BPP(ES)103/1

LOG AKTIVITI PENCARIAN PEKERJAAN

JOB SEARCH ACTIVITY LOG
PROGRAM PENEMPATAN PEKERJAAN SEMULA
RE-EMPLOYMENT PLACEMENT PROGRAMME

Nama Orang Berinsurans* Nombor JSA*

Name of Insured Person* JSA Number*

No. Kad Pengenalan (Baru) * Tarikh Pendaftaran*

Identification Card No. (New)* Registration Date*

Nota/ Note:

Borang ini digunakan untuk merekodkan aktiviti pencarian pekerjaan seperti yang telah dipersetujui dalam Pelan Komitmen Pekerjaan (ECP).
This form is for the purpose of recording job search activities as agreed in Employment Commitment Plan (ECP).

Aktiviti Pencarian Pekerjaan / Job Search Activities Penerangan Aktiviti Pencarian Pekerjaan / Details of Job Search Activities

Carian Pekerjaan / Job Search Carian pekerjaan boleh dilakukan melalui sumber seperti berikut; suratkhabar, Internet dan lain-lain.
Job search activities including job search done through newspapers, Internet and others.

Permohonan Pekerjaan / Job Applications Permohonan pekerjaan boleh dilakukan untuk mendapat peluang pekerjaan.
Job Application includes applications made to employers to obtain employment opportunities.

Menghadiri Temuduga /Job Interview Temuduga melalui walk-in interview, temuduga yang diaturkan oleh Pegawai Perkhidmatan PERKESO.
Includes interviews attended by walk-in, invitation by employers or interviews arranged by SOCSO’s Employment Services

Tawaran Pekerjaan / Job Offer Menerima mana-mana tawaran pekerjaan daripada majikan.
Acceptance of any job offer from employers.

Latihan / Training Menghadiri sebarang kursus yang boleh meningkatkan kemahiran Orang Berinsurans samada melalui usaha sendiri atau pengesyoran ESO.
Includes attending training or re-skilling programmes to increase employability or employment opportunities.

Bengkel Kebolehpekerjaan / Employability Workshop Menghadiri sebarang kursus yang boleh meningkatkan kebolehpekerjaan Orang Berinsurans samada melalui usaha sendiri atau pengesyoran ESO.
Includes attending workshops or programmes to increase the employability of Insured Persons

Lain-lain / Others Lain-lain aktiviti berkaitan dengan mendapatkan peluang pekerjaan.

Other activities related to obtaining employment opportunties.

LOG AKTIVITI PENCARIAN PEKERJAAN / JOB SEARCH ACTIVITY LOG

Tarikh Jenis Aktiviti Nama Majikan / Lokasi Jawatan Nama Wakil Sumber Nombor Alamat Emel Status Aktiviti
Date Pencarian Pekerjaan Agensi/ Syarikat/ (Bandar, dimohon (Majikan/ Kekosongan Telefon Email (Telah Dihubungi / Belum Dihubungi /
Type of Job Search Penyedia Latihan Negeri) Position Penyedia Latihan) Source of Telephone Address Telah Menghadiri / Belum Menghadiri /
Activity Name of Employer / Location Applied for Representative Name Vacancy Number Berjaya / Belum Berjaya / Diterima /
Agency / Company / (City, State) (Employer/ Training Ditolak)
Training Provider Provider)
Activity Status
(Contacted / Not Contacted / Attended /
Not Attended / Successful / Unsuccess-
ful / Accepted / Rejected / Completed /
Ongoing / Defaulted)
 BPP(ES)103/1
LOG AKTIVITI PENCARIAN PEKERJAAN
JOB SEARCH ACTIVITY LOG
PROGRAM PENEMPATAN PEKERJAAN SEMULA
RE-EMPLOYMENT PLACEMENT PROGRAMME
Nama Orang Berinsurans* Nombor JSA*
Name of Insured Person* JSA Number*

No. Kad Pengenalan (Baru) * Tarikh Pendaftaran*

Identification Card No. (New)* Registration Date*

LOG AKTIVITI PENCARIAN PEKERJAAN / JOB SEARCH ACTIVITY LOG

Tarikh Jenis Aktiviti Nama Majikan / Lokasi Jawatan Nama Wakil Sumber Nombor Alamat Emel Status Aktiviti
Date Pencarian Pekerjaan Agensi/ Syarikat/ (Bandar, dimohon (Majikan/ Kekosongan Telefon Email (Telah Dihubungi / Belum Dihubungi /
Type of Job Search Penyedia Latihan Negeri) Position Penyedia Latihan) Source of Telephone Address Telah Menghadiri / Belum Menghadiri /
Activity Name of Employer / Location Applied for Representative Name Vacancy Number Berjaya / Belum Berjaya / Diterima /
Agency / Company / (City, State) (Employer/ Training Ditolak)
Training Provider Provider)
Activity Status
(Contacted / Not Contacted / Attended /
Not Attended / Successful / Unsuccess-
ful / Accepted / Rejected / Completed /
Ongoing / Defaulted)
 BPP(ES)103/1
LOG AKTIVITI PENCARIAN PEKERJAAN
JOB SEARCH ACTIVITY LOG
PROGRAM PENEMPATAN PEKERJAAN SEMULA
RE-EMPLOYMENT PLACEMENT PROGRAMME
Nama Orang Berinsurans* Nombor JSA*
Name of Insured Person* JSA Number*

No. Kad Pengenalan (Baru) * Tarikh Pendaftaran*

Identification Card No. (New)* Registration Date*

LOG AKTIVITI PENCARIAN PEKERJAAN / JOB SEARCH ACTIVITY LOG

Tarikh Jenis Aktiviti Nama Majikan / Lokasi Jawatan Nama Wakil Sumber Nombor Alamat Emel Status Aktiviti
Date Pencarian Pekerjaan Agensi/ Syarikat/ (Bandar, dimohon (Majikan/ Kekosongan Telefon Email (Telah Dihubungi / Belum Dihubungi /
Type of Job Search Penyedia Latihan Negeri) Position Penyedia Latihan) Source of Telephone Address Telah Menghadiri / Belum Menghadiri /
Activity Name of Employer / Location Applied for Representative Name Vacancy Number Berjaya / Belum Berjaya / Diterima /
Agency / Company / (City, State) (Employer/ Training Ditolak)
Training Provider Provider)
Activity Status
(Contacted / Not Contacted / Attended /
Not Attended / Successful / Unsuccess-
ful / Accepted / Rejected / Completed /
Ongoing / Defaulted)

PENGAKUAN ORANG BERINSURANS / DECLARATION BY INSURED PERSON

Saya mengaku bahawa maklumat yang telah saya berikan adalah benar. Saya faham bahawa maklumat ini akan digunakan untuk menentukan sama ada saya berhak kepada Elaun Mencari Pekerjaan
mengikut kelayakan dan kegagalan saya untuk memberikan maklumat yang diperlukan boleh menjejaskan penyediaan bantuan Perkhidmatan Pekerjaan dan/atau faedah tunai oleh PERKESO.
I declare that all the above information given are true. I understand that this information will be used to determine whether I am entitled for the Job Search Allowance based on eligibility and failure to provide the necessary
information can affect the termination/ suspension of Employment Services assistance and/or cash benefits by SOCSO.

Tandatangan* : Tarikh* :
Signature* Date*
Nama Orang Berinsurans* :
Name of Insured Person*

RUMUSAN AKTIVITI (Untuk kegunaan PERKESO) / ACTIVITIES SUMMARY (For SOCSO use only)

Pencarian Pekerjaan Permohonan Pekerjaan Temuduga Tawaran Kerja

Job Searching Job Application Interview Job Offer

Bengkel Kebolehpekerjaan Latihan Lain-Lain Sila Nyatakan

Employability Workshop Training Others Please Specify