COURSE APPLICATION FORM

Transcription

1 PUSAT LATIHAN PROAKTIFISO 9001: 2008 Lot , Jalan Simen Raya, Pending Industrial Estate, Pending Industrial Estate, Kuching, Sarawak Tel: Fax: Website: COURSE APPLICATION FORM Please glue one passport sized photo here / Lekat satu gambar bersaiz passport di sini USE CAPITAL LETTERS / GUNAKAN HURUF BESAR * Mandatory to be fill / Wajib diisi PART A: PERSONAL DETAILS / Butir-Butir Peribadi * Full Name (as per IC) / Nama Penuh (mengikut KP) * I.C. No. / No. K.P. * Nationality / Warganegara * Date of birth / Tarikh Lahir * Race / Bangsa * Status: * Gender/Jantina: Married /Berkahwin Single /Bujang Male / Lelaki Female/Perempuan * Home Address / Alamat Rumah: Postcode : * Home Phone Number / Telefon Rumah: * Office Telephone Number / Telefon Pejabat: - - * H/P Number / Telefon Bimbit: Fax Number / Nombor Faks: - - * * EDUCATION BACKGROUND / Latar Belakang Pendidikan Name of School / College / University Nama Sekolah / Kolej / Universiti Qualification Kelayakan Year Tahun 1

2 * Working Experience / Latar Belakang Pekerjaan Job s Title / Position Jawatan Dipegang Name of Organisation Nama Organisasi Period (Months / Years) Tempoh (Bulan / Tahun) * PROFICIENCY IN LANGUAGES / Kecekapan Bahasa Please tick () the appropriate box / Sila tandakan () dalam kotak yang berkenaan LANGUAGES PROFICIENCY EXCELLENT GOOD FAIR WEAK English English Bahasa Malaysia Bahasa Malaysia Others: Others: Written Oral Written Oral Written Oral PART B: PARENTS / GUARDIAN S / SPOUSE S INFORMATION * PARENTS / GUARDIAN S NAME / NAMA IBU / BAPA / PENJAGA / SPOUSE * Contact No (H/P) / No Telefon (H/P) * Contact No Home/Office/No Tel Rumah/Pejabat - - * Mailing Address / Alamat Surat Menyurat: 2

3 DECLARATION AND SIGNATURE / Pengesahan Dan Tandatangan S/NO: PLP/KCH/2018 I declare that the information provided by me in this application is true and correct. I acknowledge that Pusat Latihan Proaktif reserves the right to vary or reserves any decision regarding admission or enrolment made on the basis of incorrect or incomplete information. I accept terms and conditions executed by Pusat Latihan Proaktif. Saya mengesahkan bahawa semua maklumat dalam pemohonan ini adalah sahih dan benar. Saya bersetuju bahawa Pusat Latihan Proaktif berhak untuk mengubah keputusan berkenaan kemasukan sekiranya maklumat yang saya berikan adalah tidak benar atau tidak lengkap. Saya menerima terma dan syarat yang dimaktubkan oleh Pusat Latihan Proaktif... Signature of Applicant Tandatangan Pemohon.. Date Tarikh 3

4 PART C: COMPETENCY COURSES APPLICATION Please provide the course code apply. Refer to Appendix A attached. /Sila isi kod kursus yang dipilih mengikut Lampiran A yang dikepilkan. No Course Code Apply / Kod Kursus Yang Dipohon Date / Tarikh PART D: TERMS AND CONDITIONS 1. Application form must be properly completed and attached with the relevant documents as stated in our application form. Photograph of the applicant must be attached to the application form. 2. RM (including 6% GST) Enrollment Fee to be enclosed together with the application form submission. This fee is non-transferable and non-refundable. a) A deposit of RM (including 6% GST) for all competency courses to be paid upon receipt of the Letter of Acceptance from Pusat Latihan Proaktif. 3. b) A deposit of RM53.00 (including 6% GST) for all short courses to be paid upon receipt of the Letter of Acceptance from Pusat Latihan Proaktif. The deposit is non-transferable and non-refundable. The deposit will be forfeited if the candidate fails to attend the class on the registered date. The deposit 4. will be brought forward to the next available class if Pusat Latihan Proaktif fails to conduct the class on the registered date. 5. The Letter of Acceptance from Pusat Latihan Proaktif will be sent or given out to the student before the commencement of the class or on the first day of class. The remaining final balance of your Course Fee must be paid prior to the commencement of the Course 6. practical class; failing which the Management of Pusat Latihan Proaktif reserves the right to disallow the continuation of the student s class. 7. Course Fee is non-transferable and non-refundable. Students must adhere strictly to the Rules and Regulations of the Training Centre. No stealing and 8. photographing are allowed during and around the training premises. Anyone caught will be penalized accordingly. 9. The Management of Pusat Latihan Proaktif reserves the right to withdraw any application should be information given is found to be false. 10. For participants residing outside Kuching (eg. Bintulu, Sibu, Miri), DO NOT book / purchase your air ticket before getting a confirmation from Pusat Latihan Proaktif. 4

5 PART E: APPLICATION CHECKLIST / Senarai Semak Permohonan No. 1 ITEM All sections of the form must be completed and the declaration signed and dated. Semua bahagian borang mesti diisi dan deklarasi ditandatangani. Check / Semak () 2 Enclose one certified copy of I.C. and all academic certificates and transcripts. Kepilkan satu salinan kad pengenalan dan sijil akademik dan transkrip yang disahkan. 3 4 Enclose a copy of your resume. Kepilkan satu salinan resume. Attach ONE (1) passport sized photo Kepilkan SATU (1) gambar bersaiz passport. 5 Send complete application to: Hantar permohonan yang lengkap kepada: PUSAT LATIHAN PROAKTIF LOT , JALAN SIMEN RAYA PENDING INDUSTRIAL ESTATE KUCHING, SARAWAK TEL: FAX: Website: PART F: PAYMENT METHOD 1. CASH 2. CHEQUE (Please issue under Proaktif Electrical Sdn Bhd (Acct No. RHB ) 3. ATM Transfer / Internet Banking 5

6 PART G: CHECK LIST FOR SCHOLARSHIP S APPLICATION / Senarai Semak Permohonan Biasiswa Kindly attach herewith the required supporting documents: Sila kepilkan bersama dokumen sokongan: Student (Pelajar) (a) 1 photocopy of IC (Salinan Kad Pengenalan) (b) 2 passport size photo (2 keping gambar berukuran passport) (c) Birth certificate (Sijil lahir) (d) SPM and SRP certificate, PMR, STPM, Diploma or Degree certificate (Salinan sijil SRP, SPM, Diploma ataupun Sarjana) (e) School relevant certificates (Aktiviti Ko-kurikulum - kegiatan sukan, persatuan/kelab sekolah/pasukan pakaian seragam dan sebagainya) (f) School leaving certificate (Sijil berhenti sekolah) Parents / Guardian (Ibubapa / Penjaga) (a) Parents / Guardian photocopy IC 1 each (Salinan kad pengenalan ibubapa / penjaga) (b) A copy of 1 month (recent) pay slip (Salinan penyata gaji sebulan yang terkini samada daripada ibubapa / penjaga yang bekerja) (c) If no source of regular income, please submit a letter from the Ketua Kampung / Penghulu as evidence (Jika tiada surat punca pendapatan tetap, sila kemukakan surat pengesahan dari Ketua Kampung / Penghulu sebagai bukti) 6

7 APPENDIX A CODE COURSE COMPETENCY COURSE WG2 WG1 CML1 CML2 CML3 CMH1 CML4 EIC ATT SF6 LVDS FA BULATS IHWC-SL IHWC-PL DLEC CADCAM 3D CNC Wireman Grade 2 Single Phase Wireman Grade 1 Three Phase Chargeman L1 (415v System) Chargeman L2 (Overhead Line) Chargeman L3 (Genset Synchronising) Chargeman H1 (High Voltage) Chargeman L4 (PV Standalone Systems) Electrical Installation Contractor Authorized To Test SF6 Gas Handling & Management Requirement Low Voltage Distribution & Switching First Aid Cambridge English Language Innovative High-End Wood Craftman Skill Level Innovative High-End Wood Craftman Professional Level Digital Laser Engraving and Cutting Industrial Digital 3D CNC Designing & Programming Industrial Digital 3D CNC Printer SHORT COURSE EO&S EP ES EPS C&C P&B MSB MOTOR EI EM GT&C Solar HV & T&C CIDB Award (CCD Point) GT&C Solar HV & T&C Electrical Ordinance & Safety Electrical Principle Earthing System Electrical Protection System Cables & Conductors Photovoltaic & Battery Main Switchboard Motor Starter Electrical Installation Electrical Measurement Genset Testing & Commissioning Photovoltaic (Solar) Servicing & Preventive/Predictive Maintenance High Voltage Testing & Commissioning CIDB/Genset Testing & Commissioning (GT&C) CIDB/Photovoltaic (Solar) Servicing & Preventive/Predictive Maintenance (SOLAR S&PM) CIDB/High Voltage Testing & Commissioning (HV-T&C) WEEKEND COURSE G2 - WK Wireman Grade 2 G1 - WK Wireman Grade 1 L1 - WK Chargeman L1 7

8 8