Stake attention in this memory
The image shows a pre-course questionnaire form for a "LAGOS MINES AND MANAGEMENT TRAINING WORKSHOP" at the "SAFETYPLUS LEARNING AND CONFIDENCE CENTRE." The form is partially filled out by hand, with the top of the paper being held by an obscured hand. There are blank fields for name, middle name, address, organization, mobile number, and email. The form asks for the individual's main duty at work, any prior training, where they heard about "SAFETYPLI," their reason for taking the course, and how they intend to use the knowledge after training. The form is signed "SAFETYPLUS" with the date field blank. The image does not provide any details about the person filling out the form. The location of Ashaka, Nigeria, with coordinates (latitude: 10.929, longitude: 11.476) does not appear in the image.
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