For office use

Interview Details: Date: Time: Venue:

Selected; cant contact Accepted KIV Rejected Re-interview Re-interview: Date & time: ____________ Venue: _________________

Unqualified Selected; Declined Offer Shortlisted; cant contact Declined Interview Didnt attend interview

INSEP & WTTP APPLICATION FORM

(BORANG PERMOHONAN PROGRAM INSEP & WTTP) Please attach a copy of the following documents:
Passport Size Picture

Birth Certificate of Applicant SPM Result Salary Slip of Parent/Guardian

IC of Applicant and Parent/Guardian Transcripts/Diploma or Degree

(Gambar berukuran paspot)

SABAH SKILLS & TECHNOLOGY CENTRE

No 8, Jalan 1C, KKIP Selatan, Industrial Zone 1 (IZ 1), Kota Kinabalu Industrial Park (KKIP), 88460, Kota Kinabalu, Sabah, Malaysia. Tel: 088-496613/496614 Fax: 088-499615 E-mail: sstc@sabah.edu.my

For SPM Holders (Untuk lepasan SPM sahaja)

For Graduates (Untuk pemegang Diploma/Ijazah)

Plantation Management Pengurusan Perladangan Safety & Health Officer Pegawai Keselamatan & Kesihatan Logistics Management Pengurusan Logistik AgriBusiness Management Pengurusan Perniagaan-Tani Retail Operation Operasi Perniagaan Jual-Beli Professional Server Administrator Pentadbiran Server Profesional PCN-Welding Inspection Penyeliaan Kimpalan PCN-NDT Inspection Penyeliaan NDT

Culinary Arts
Seni Kulinari

Program Selection
(Pilihan program)

Pastry Arts
Seni Pastri

Front Office Skills

Kemahiran Kaunter Depan

Please choose one (Pilih satu sahaja)

Plantation Mill
Perkilangan Kelapa Sawit

Plantation Practices
Amalan Perladangan

Shielded Metal Arc Welding

Kimpalan

Scaffolding
Rancahan

Name (Nama) IC No (No. KP) Address (Alamat) Date of Birth (DD/MM/YY)

(Tarikh Lahir) (HH/BB/TT)

Post Code (Pos kod) House Phone No.

(No. Tel Rumah)

State (Negeri) Mobile Phone No.

(No. Tel Mobil)

E-mail Address
(Alamat E-mel)

State of Birth
(Negeri Kelahiran)

Gender (Jantina) Marital Status

(Status Perkahwinan)

Male (Lelaki) Female Perempuan)

Race (Bangsa) Married (Kahwin)

Single (Bujang) < RM3,000

Divorcee (Janda / Duda)

RM3,000 RM6,000
No. of Children: _________
Bil. Tanggungan: ___________

> RM6,000

Parents/Guardians Income
(Pendapatan Ibubapa)

No. of Children: _________

Bil. Tanggungan: __________

No. of Children: _________

Bil. Tanggungan: ___________

 SPM
Year (Tahun) : __________

SPMV
Year (Tahun) : __________

SPMA
Year (Tahun) : __________

SPM Results (Keputusan SPM yang diperolehi):

Bahasa Melayu English / GCE O Level English Geography Commerce (Perdagangan) Principles of Accountancy (Prinsip Perakaunan) English for Science and Technology Bahasa Cina Literature in English Kesusasteraan Cina Kesusasteraan Melayu Others (Lain-lain) -

For SPM Holders (Untuk lepasan SPM)

Pendidikan Islam Pendidikan Moral Sejarah Mathematics Science Additional Mathematics Biology Chemistry Physics -

CGPA: (PNGK) _____________________

Diploma Bachelor (Sarjana Muda) Masters (Sarjana)

1 Class (Kelas 1) 2 Upper (2 Atas) 2

nd rd nd

st

Lower (2 Bawah)

3 Class (Kelas 3)

For Graduates
(Untuk Graduan)

Discipline: (Jurusan) ________________________________________________________________________ Major: ___________________________________________________________________ Minor: ___________________________________________________________________

Name Of University/IHL: ___________________________________________________

(Nama Universiti/IPT)

Year of Graduation: (Tahun Pengijazahan)

________________________

How Did You Know About This Program? (Bagaimana anda tahu tentang program ini?)

Daily Express Website/Internet

Applicant Certification
(Pengakuan Pemohon)

New Sabah Times Others (Lain-lain) Friends and family (Sahabat dan Keluarga)

I hereby certify that the information above is true and correct.

(Adalah disahkan butir-butir maklumat di atas adalah benar)

Signature (Tandatangan): ________________________

Date (Tarikh): ________________

For office use