Professional Documents
Culture Documents
Borang PTM PDF
Borang PTM PDF
8.
: ___________________________________________________________________
: ___________________________________________________________________
: __________________ 4. Bangsa
: ____________________________
: __________________ 6. No Telefon (P) : ____________________________
No Telefon (R) : ____________________________
Agama
: __________________
Bimbit
: ____________________________
Faks
: ____________________________
Kecacatan (fizikal, fizikal (tangan), bisu, penglihatan): _________________________________________
9.
Alamat Pejabat
7.
Nama
No KP (Baru)
Jantina
Tarikh Lahir
: __________________________________________________________________
___________________________________________________________________
___________________________________________________________________
: __________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Skim Perkhidmatan
Tarikh Lantikan
(Ke Skim Sekarang)
Lantikan
5.
: __________________
: __________________
:___________________
: ___________________
* Sila sertakan salinan Surat Pengesahan Lantikan atau Surat Tawaran Lantikan
C. BUTIR BUTIR MENGENAI KURSUS INDUKSI YANG PERNAH DIIKUTI SEBELUM INI
1.
2.
Tahun
Anjuran
: ______________________
: ______________________
3.
Keputusan
Lulus
Kandas
: ________________
_____________________
(Tandatangan Pemohon)
: ________________
______________________
(Tandatangan Ketua Jabatan)