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Upp1 Latest 2
Upp1 Latest 2
Lembaga Pembangunan
Industri Pembinaan Malaysia
CONSTRUCTION INDUSTRY DEVELOPMENT BOARD
http:/www.cidb.gov.my
RENEWAL
Please where applicable. For renewal, information for A, F & G are necessary
to fill-up. Please enclose the certified documents as instructed.
A. APPLICANT'S INFORMATION
CONSTRUCTION PERSONNEL
REGISTRATION FORM
NEW REGISTRATION
Pin.1/2014
PHOTO
FORM IS GIVEN
FOR FREE
Full name:
(With capital letter as in i.c/passport)
New i.c.
no:
Old i.c.
no:
Nationality:
Work permit
expiry date:
Race:
Religion:
Sex:
(Enclose copy of passport with valid work permit certified by employer as appear on work permit)
Male
Correspondence address:
Female
Marital status:
Single
Married
Divorcee/Widow/Widower
Postcode
Postcode
Mobile
tel. no.:
Tel. no.:
B. ACADEMIC/SKILL QUALIFICATION
SRP/LCE
/PMR
Primary
SPM
/MCE
Master**
Degree
C. INFORMATION OF OCCUPATION
General
Worker
Construction
Worker
Income in daily/monthly:
daily
monthly
Skilled
Construction
Worker
Doctor of **
Phylosophy
Others (please specify)
Construction
Site
Supervisor
Assistant
Construction
Manager
30-39
500-749
Construction
Site Manager
Construction
Trainee
40-49
750-999
50-59
1000-1499
Administrative
Personnel
60-79
1500-1999
80-99
2000-2499
100-1119
2500-2999
120-139
3000-3999
140 or
4000 more
Field of skills & years of experience (please refer list of trades in the form)
1.
Years
2.
Years
3.
Years
4.
Years
5.
Years
6.
Years
D. EMPLOYER INFORMATION
Company name and address:
Tel
no:
Mobile
tel no:
Postcode
E. BENEFICIARY INFORMATION
(Fill-up if applicant ages between 16 and 65 years old)
Name:
Sex:
Male
Female
I.c. no./
Birth cert.
/passport (if available)
Fax
no:
F. APPLICANT'S DECLARATION
G. CERTIFICATION
(Certification can be made by officers as stated in
the registration procedure. For foreign worker,
certification can only be done by employer as
appeared in the work permit).
Relationship:
Tel. no:
CERTIFICATION
Postcode
RM50
Foreign worker
with one year or less
work permit
RM25
RM50
RENEWAL FEE
Local worker
ages between
16 and 70 years
Local worker
ages above
70 years
Foreign worker
with one year or less
work permit
Foreign worker with
more than one year
work permit
RM50
RM50
RM70
RM100
RM50
RM25
RM50
Tarikh terima:
(2 YEARS)
(3 YEARS)
(5 YEARS)
(5 YEARS)
(AS IN
WORK
PERMIT)
(MAXIMUM
OF
2 YEARS)
...................................
Bayaran: RM
................................
Borang Bermasalah
OFFICE USE
REGISTRATION FEE
Local worker
Name
Name
Bayaran kurang/tiada
GW
Pembaharuan
CW
Tukar Kategori
SW
Tukar Tred
SS
KIV
Lain-lain:
AM
MG
LT
AD
.................................................................
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