APPENDIX 2

TRAINING NOMINATION
SEAMEO VOCTECH FORM
nRegional Training Programme on
“Leaders Training Workshop”
7,8,9,13 & 14 July 2021 (Virtual)

(Please submit the application form in word file and send it on or before the deadline. Thank you.!)

1. PERSONAL & PROFESSIONAL INFORMATION

TITLE MS
NAME: ANNEKE TAROREH, SS., M.Pd
IDENTIFICATION 7202226110870002
CARD NO.
DATE OF BIRTH: Poso, OCTOBER 21st, 1987
E- MAIL: anneketaroreh393@gmail.com
TELEPHONE/MOBIL 0812736123977
E:
COUNTRY: Indonesia

OFFICE ADDRESS: SMKS GKST POSO, YOS SUDARSO STREET

POSITION: ENGLISH TEACHER

ORGANISATION: -
FIELD OF -
EXPERTISE:
YEARS OF 11 YEARS
EXPERIENCE:
QUALIFICATIONS: MASTEROF ARTS

Page 1 of 2 TPD-06 (Rev: 12/06/2021)

 APPENDIX 2
TRAINING NOMINATION
SEAMEO VOCTECH FORM

2. LEVEL OF COMPETENCY IN THE MODULE PERQUISITE

No Normal Very High
competence competence competence
Competence in the general field of Leadership

☐ ☐ √ ☐ ☐
Competence in the leadership development
☐ ☐ √ ☐ ☐
Competence in vocational education and training for industry

☐ ☐ √ ☐ ☐
3. PLEASE INSERT A PICTURE OF YOURS BELOW

Page 2 of 2 TPD-06 (Rev: 12/06/2021)