Technical Energy Enrichment Programme (TEP) 2023 Application Form

10/27/22, 9:44 PM Technical Energy Enrichment Programme (TEP) 2023 Application Form
Technical Energy Enrichment

Programme (TEP) 2023 Application
Form
Instructions:
1. Please fill in the following form to complete your TEP application. You are required to
make payment and provide transaction code as payment evidence in this form.
2. For field with multiple details, please use semi-colon (;) to separate the details as shown in
the example.
3. Please complete the application form. You only need to complete the form once.
* Required
Declaration
Personal Data Protection Act (PDPA) Declaration
1. Consent Notice for Processing of Personal Data Pursuant to Requirement of

PDPA 2010 *
Please select this statement before proceeding with your application.
I hereby give my consent for INSTEP to process and disclose my personal data to any
relevant third party for the purpose of training and anything directly or indirectly re‐
lated to it.
Payment Details
2. Method of Payment *
https://forms.office.com/pages/responsepage.aspx?id=QYkuO0h5MUGXirLfxylQkTHx8HmQ12BMrvg4GguJLm5UNlNLWFFVQjlTTU9VV1dGM0… 1/13
Online Transfer
3. Transaction Code *
Please fill in the following detail:
1. For online transfer, fill in TEP followed by IC number e.g. TEP001011112345
TEP980330055677
4. Amount (in MYR) *
20
5. Date of transaction *
10/27/2022
Personal Information
6. Full Name as in NRIC *
MUHAMMAD HAZMI BIN ABDUL RAZAK
7. NRIC Number *
Please use the following format: XXXXXX-XX-XXXX
980330055677
8. Gender *
Male 
9. Date of Birth *
3/30/1998
10. Age *
24
11. Race *
Malay 
12. Religion *
Islam 
13. Marital Status *
Single 
14. Weight (in kg) *
76
15. Height (in cm) *
173
16. Present Correspondence Address *
KELOMPOK SATU, BLOK A, NO.2-21, KUARTERS KLIA
17. Postcode *
71800
18. State *
Negeri Sembilan 
19. State of Birth *
Negeri Sembilan 
20. HP No *
0132103577
21. HP No (Additional)
Enter your answer
22. Email Address *
hazmirazak3003@gmail.com
Trade Preferences
Please choose the trade based on your academic qualification or interest.
23. First Choice *
Mechanical 
24. Second Choice *
Production 
Highest Education Information
25. Highest Education Level *
Diploma 
26. Qualification *
Please enter your qualification.
Example: Electrical Engineering, Mechanical Engineering, Education etc.
Mechanical Engineering (Product Design)
27. Institution Category *
Polytechnic 
28. Institution Name *
POLITEKNIK MUADZAM SHAH, PAHANG
29. Date of Commencement *
6/13/2016
30. Date of Completion *
4/30/2019
31. Final CGPA upon Graduation *
2.48
32. Education Sponsorship *
Yayasan Negeri 
Sijil Pelajaran Malaysia (SPM) & Sijil Vokasional Malaysia (SVM)

Results
33. Year in Undertaking SPM/SVM *
2015
34. School Name *
SEKOLAH MENENGAH KEBANGSAAN KOMPLEKS KLIA
35. Bahasa Malaysia Grade *
B+ 
36. English Grade *
C+ 
37. Modern Mathematics Grade *
A- 
38. Science Grade

Skip if not applicable.
Select your answer 
39. Physics Grade

D 
40. Chemistry Grade

E 
41. Additional Mathematics Grade

D 
Non-Academic Activities & Participation

For this part, you are required to fill in your best achievement of your non-academic activities.
Examples are as follow:
Sports/Games: Football, rugby, table tennis, swimming, etc.

Club/Society/Co-Curriculum: Scouts, debate club, etc.
Participation level: Leisure, District, State, National, International
42. Sports/Games
Please fill in using the following format:
Sports ; Level ; Year ; Achievement
Example: Football ; National ; 2019 ; Gold medal
Hockey ; District ; 2015 ; Silver Medal
43. Sports/Games
Sports ; Level ; Year ; Achievement
Example: Football ; National ; 2019 ; Gold medal
Enter your answer
44. Club/Society/Co-Curriculum
Please fill using the following format:
Club ; Level ; Year ; Position ; Achievement
Example: Debate Society ; National ; 2019 ; President ; 2nd runner up
Enter your answer
English Language Proficiency
45. Writing Skill
Basic
Intermediate
Advance
46. Speaking Skill
Basic
Intermediate
Advance
Health Screening Survey
47. Body Mass Index (BMI) *
Between 18 - 30 
Relationship Status Verification
48. Do you have your father/mother/siblings in any of PETRONAS Group of

Companies? *
Yes
No
Declaration on Security Screening
49. Do you have any previous case related to Police/Court/Immigration/Custom? *

Yes
No
Family Information
50. Father's / Guardian's Name
ABDUL RAZAK BIN ABDUL WAHAB
51. Father's state of Birth *
Perak 
52. Father's / Guardian's Occupation & Contact Number *

Example: Self employed ; 0123456789
01132405061
53. Mother's / Guardian's Name
SUHANA BINTI SUKIMIN
54. Mother's State of Birth *
Sarawak 
55. Mother's / Guardian's Occupation & Contact Number *
https://forms.office.com/pages/responsepage.aspx?id=QYkuO0h5MUGXirLfxylQkTHx8HmQ12BMrvg4GguJLm5UNlNLWFFVQjlTTU9VV1dGM… 10/13
Example: Housewife ; 0123456789
0193601166
Work Experience
56. Company Name, Location & Duration

Please fill in using the following format.
Example: Bina Sdn Bhd ; Kuala Terengganu, Terengganu ; 1 Year
LION TOOLING ; BANTING ; SELANGOR ; 3 MONTHS
57. Basic Salary / Allowance (RM)
2000
58. Company Name, Location & Duration

Please fill in using the following format.
Example: Bina Sdn Bhd ; Kuala Terengganu, Terengganu ; 1 Year
DARCO WATER SYSTEMS ; CYBERJAYA ; SELANGOR ; 4 MONTHS
59. Basic Salary / Allowance (RM)
1400
60. Current Work Status
Employed
Unemployed
Other
Referral information
61. Referee 1 Details

Please enter the referee details in the following format:
Name ; Occupation/Position ; Company ; Contact number
Example: Abu bin Ahmad ; Lecturer ; UITM ; 012-3456789
Norhudah Basri ; Supervisor ; UNIKL ; 013-2906343
62. Referee 2 Details

Please enter the referee details in the following format:
Name ; Occupation/Position ; Company ; Contact number
Example: Abu bin Ahmad ; Lecturer ; UITM ; 012-3456789
Enter your answer
Declaration
63. Declaration Statement *
I hereby declare that all statements contained in this application are true and correct,
and I understand that false or inaccurate information in the application will be the basis
for rejection from the company.
You can print a copy of your answer after you submit
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10/27/22, 9:44 PM Technical Energy Enrichment Programme (TEP) 2023 Application Form

Technical Energy Enrichment

Personal Data Protection Act (PDPA) Declaration

1. Consent Notice for Processing of Personal Data Pursuant to Requirement of

1. For online transfer, fill in TEP followed by IC number e.g. TEP001011112345

4. Amount (in MYR) *

6. Full Name as in NRIC *

MUHAMMAD HAZMI BIN ABDUL RAZAK

13. Marital Status *

14. Weight (in kg) *

15. Height (in cm) *

16. Present Correspondence Address *

KELOMPOK SATU, BLOK A, NO.2-21, KUARTERS KLIA

19. State of Birth *

Enter your answer

22. Email Address *

23. First Choice *

24. Second Choice *

Highest Education Information

25. Highest Education Level *

Example: Electrical Engineering, Mechanical Engineering, Education etc.

Mechanical Engineering (Product Design)

27. Institution Category *

28. Institution Name *

POLITEKNIK MUADZAM SHAH, PAHANG

29. Date of Commencement *

30. Date of Completion *

31. Final CGPA upon Graduation *

32. Education Sponsorship *

Sijil Pelajaran Malaysia (SPM) & Sijil Vokasional Malaysia (SVM)

33. Year in Undertaking SPM/SVM *

34. School Name *

SEKOLAH MENENGAH KEBANGSAAN KOMPLEKS KLIA

35. Bahasa Malaysia Grade *

36. English Grade *

37. Modern Mathematics Grade *

38. Science Grade

Select your answer 

39. Physics Grade

40. Chemistry Grade

41. Additional Mathematics Grade

Non-Academic Activities & Participation

Examples are as follow:

Sports/Games: Football, rugby, table tennis, swimming, etc.

Participation level: Leisure, District, State, National, International

Sports ; Level ; Year ; Achievement

Example: Football ; National ; 2019 ; Gold medal

Hockey ; District ; 2015 ; Silver Medal

Sports ; Level ; Year ; Achievement

Example: Football ; National ; 2019 ; Gold medal

Enter your answer

Club ; Level ; Year ; Position ; Achievement

Example: Debate Society ; National ; 2019 ; President ; 2nd runner up

Enter your answer

English Language Proficiency

45. Writing Skill

46. Speaking Skill

Health Screening Survey

47. Body Mass Index (BMI) *

Relationship Status Verification

48. Do you have your father/mother/siblings in any of PETRONAS Group of

Declaration on Security Screening

49. Do you have any previous case related to Police/Court/Immigration/Custom? *

50. Father's / Guardian's Name