PARTICIPANTS� CHECKLIST FORM FOR GRADUATES PROGRAMME by tJpe17BZ

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									                                           APPLICATION FORM
                              A P P L I C A N T ’S I N F O R M A T I O N
NAME (AS PER I/C)
GENDER                                                 I/C NO.
DATE OF BIRTH                                          AGE
PLACE OF BIRTH                                         RACE
                                                                                                   Attach current
CONTACT DETAILS                                                                                    passport-size
                                                                                                    photograph
TEL. NO. (H)                                           TEL. NO. (HP)                               (digital photo
                                                                                                    Is allowed)
E-MAIL



PERMANENT                                              CORRESPONDENT
ADDRESS                                                ADDRESS



Are you required to pay any other loans/bonded in addition to educational         Yes
loans? If yes, please state the type of loan.
                                                                                  No
EDUCATION BACKGROUND
HIGHEST ACADEMIC QUALIFICATION

DEGREE/ MASTERS

UNIVERSITY
FINAL RESULT / CGPA / GRADE                                                 GRADUATION DATE
SCHOLARSHIP AWARDED
ACHIEVEMENTS (DEAN’S LIST ETC.)

SECONDARY QUALIFICATION - SIJIL PELAJARAN MALAYSIA (SPM) RESULT

NAME OF SCHOOL
BAHASA MELAYU _______________              ENGLISH ______________                  MATHEMATICS ______________
Please attach copy of SPM certificate

WORKING EXPERIENCE/ INTERNSHIP
 DATE JOIN      DATE END                ORGANISATION                POSITION HELD          NATURE OF BUSINESS




EXTRA–CURRICULAR ACTIVITIES
       INSTITUTIONS                 SPORTS/GAMES                  CLUB/SOCIETY                 RESPONSIBILITY




REFEREE
                                                                                EMAIL/CONTACT         RELATIONSHI
        NAME                  DESIGNATION                  ADDRESS
                                                                                     NO.                   P



DECLARATION
Do you have any relatives or friends working in Sapura Group? If yes, please state who and what is the relationship
and which subsidiary/department do your relative or friends work?

____________________________________________________________________________________
APPLICANT’S DECLARATION                                  FOR SECRETARIAT USE ONLY

                                                                    Meet Criteria           Does not meet criteria
I hereby declare that all information given above is true
and I shall be disqualified from the Program for providing
false information.                                         Comments :


SIGNATURE                                                SIGNATURE


DATE                                                     DATE

								
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