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Practical Training Form - EPCC v17102018

This document contains an application form for an industrial trainee position. [1] It provides personal details of the applicant such as name, address, contact information, date of birth, marital status, nationality, identity card number, health, and bank account number. [2] The applicant declares that all information provided is true and complete to the best of their knowledge and understands any falsification will be grounds for termination. [3] The bottom section is for office use, including space for review and approval along with details of training allowance and department placement if accepted.

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Abdul Aziz Zulkifli
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52 views

Practical Training Form - EPCC v17102018

This document contains an application form for an industrial trainee position. [1] It provides personal details of the applicant such as name, address, contact information, date of birth, marital status, nationality, identity card number, health, and bank account number. [2] The applicant declares that all information provided is true and complete to the best of their knowledge and understands any falsification will be grounds for termination. [3] The bottom section is for office use, including space for review and approval along with details of training allowance and department placement if accepted.

Uploaded by

Abdul Aziz Zulkifli
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EPC CONSORTIUM SDN. BHD. (Co. Reg.

No: 1197166T)

HQ | NO.18, JALAN EKOPERNIAGAAN 1/8, TAMAN EKOPERNIAGAAN, 81100 JOHOR BAHRU, JOHOR. MALAYSIA.
BRANCH | LOT 1863, JALAN PELABUHAN 2, PELABUHAN KUANTAN, 26080 KUANTAN, PAHANG. MALAYSIA.
Engineering | Procurement | Construction
T | +607-299 1818/1819 F | +607-299 1820 E | [email protected]

I/C Photocopy Resume

INDUSTRIAL TRAINEE PARTICULARS Letter from Education Institution

1. PERSONAL PARTICULARS

a) Name (in full) Mr./Mrs./Miss (Nama) : Abdul Aziz bin Zulkifli


b) Permanent Home Address
(Alamat Tetap)
: Lot15750 Kg. Gong Kijang
21200 Kuala Terengganu, Terengganu.
c) Correspondence Address (if Different) : 11 Lorong Bukit Setongkol 7, Taman Cenderawasih Indah
(Alamat sekarang – jika berlainan)

25200 Kuantan, Pahang Darul Makmur.


d) Telephone No (Telefon No) : (H) 010-5509629 (H/P) :
e) Date Of Birth (Tarikh Lahir ) : 3/7/1994 f) Age (Umur) : 25
g) Place Of Birth (Tempat Lahir) : Kuala Terengganu h) Marital Status : Married
(Taraf p’kahwinan)

i) Nationality / Citizenship
(Warganegara)
: Malaysia j) Race (Bangsa) : Melayu
k) Identity Card No (I/C no.) : l) Religion (Agama) : Islam
940703-11-5307
m) Health (Taraf Kesihatan) : i) Present state of health (Kesihatan sekarang) : Normal
ii)Present physical/mental disabilities : None
(jika ada kecacatan mental dan fizikal sekarang)

n) Please stated your bank account no. : o) Name of Bank : Maybank


(sila nyatakan no. akaun bank anda) 153056406733 (Nama Bank)

2. DECLARATION

I declare that all particulars in this application are true and complete to the best of my knowledge.
I understand that if my service is engaged, any falsification misrepresentation or omission on this application
will be ground for discharge.
(Saya mengistiharkan semua maklumat yang saya berikan adalah betul dan lengkap sepanjang pengetahuan saya. Saya faham jika saya diambil berkhidmat, dan terdapat
sebarang pemalsuan atau ketinggalan atau pengabaian saya boleh di berhentikan)

Signature: _____________________________ 21/12/2019


Date: ______________________
(Tandatangan) (Tarikh)

For office use only

Review by: - Result: - (Please tick )

Signature: ______________Date: _________ Accepted Rejected

Name: ________________________________ Comment: ____________________________________________________

Approved by CEO/DIRECTOR:-
Training Allowance : RM Posted to :

Others Allowance : RM Department :

Signature : Date :

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