itr011 application form
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Note: ITR011
APPLICATION FORM FOR INDUSTRIAL TRAINING(For Undergraduates Only)
PLEASE COMPLETE USING CAPITAL LETTERS
E-mail:
Current CGPA:
No Yes Sponsor:
Undergraduate Degree
Year One Year Two Year Three Year Four
From: To:
Please send completed application form, Curriculum Vitae (CV) along with a scanned copy of latest results transcript and Industrial Training University letter to [email protected]
Particulars of Applicant (*compulsory fields)
Name in Full:
Date of Birth: Nationality:
Gender: Identity Card No/Passport No:
Mailing Address (in Malaysia):
Permanent Address:
Home Telephone No: Mobile No (in Malaysia):
Name of University:
Discipline/Course of Study:
Are you a Sponsored Student?
Training Period (Please provide exact dates; start to end)
Please tick your Preferred Training Area and Location:SKILL GROUP LOCATION
Gebeng, Kuantan, Pahang
Mechanical Engineering Bintulu, Sarawak
Electrical Engineering Miri, Sarawak
Kerteh, Terengganu
Legal
Gurun, Kedah
Melaka
Information Technology Labuan
Segamat, Johor
Geoscience Sitiawan, Perak
Others Kuala Lumpur/Selangor
Maritime Others
ACADEMIC RECORDSPlease attach/scan your most recent results transcript from your university(Kindly note that application forms without applicant's most recent resultsWILL NOT be entertained)
LANGUAGE PROFICIENCY
Written:
Finance & Accounts
Civil/Structural Engineering
Business Planning
Marketing & Trading
Procurement & Logistics
Instrumentation/Control Engineering
Inspection & Material Science Management
Human Resource & Management
Process Technology/Operations
Corporate Affairs & Administration
Quality Management
Health, Safety & Environment Management
Project/Maintenance Management
Petroleum Engineering
OTHERS Please attach your CV and other relevant documents (if necessary)
I hereby certify that all the details given above are correct, to the best of my knowledge
NAME OF APPLICANT DATE
Spoken:
