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PSNo. OB. nEPORTTS HUNTSMAN [Hor Eniching ives trough Innovation ALLOWANCE: PRACTICAL STUDENT ENTRANCE Photo Here FORM I Personal Detalls Nome Address Tei NO. Date of Birth NRIC No. ; Bank Adaress Place of Birth: (Branch)* Race / Sex Bank A/C No* Sar Date End Date Report to Dept/Section FOnly Maybank account is allowed 2, Education/Qualitication. Dole Type of Courses Cerificate or From To other Quaification School/institution/College 3. Co-Curricular aciivites (Soctely/Communlty/Spor!) Name of Name of the Co Date Remarks Curicular involved ros Hee Inston or | (Begin-Finish) (if any) Sig Date Romans Pleo return he Gonipiote torn ieyeinir wii bank GeeSunT copy 16 the Geleress ase Be ‘Alin Training Administrator Doc No TROGI-TADI GENO, Page TofT “Viaside (Mali) San Bhd Tek Kang dst Ace, 24007 Kemarnu, Terug vel: 09 0628688 Fax : 09 - 8651988

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