APPENDIX A

PSMB/GEP/1/10

TRAINEE APPLICATION FORM

GRADUATE EMPLOYABILITY PROGRAMME (GEP)

PSMB USED ONLY: RESULT FROM THE INTERVIEW

Approved Rejected KIV Affix your
photo here
Signature of PSMB’s Officer:
Name:

Reminder: Please attach the following supporting documents:

 A copy of MyID card

 A copy of latest academic qualifications (diploma, degree or equivalents)
 A copy of an active RHB Bank account and latest transaction

A. TRAINING PROVIDER AND COURSE TITLE

1. Name of Training Provider: K-PINTAR SDN.BHD.

2. Course Title: ……………………………………………………...………………………………………….……

B. APPLICANT PERSONAL INFORMATION

1. Name :...................................................................................……………………….……………………….
2. MyID Card No. : - -

3. Age: ……………...……4. Race:....………...............…….…….….5. Religion:………………...………….…

6.Telephone No: ...............……………….……….7. H/phone No:. …………………………………………….

8. E-mail:..…..………..………………………………………..

9. Correspondence Address : ..........……………...........................................………………………………….

.................................................................................................................………………………………….
Postcode : ……………………………………State : .. ……………………………………………………….
10. RHB Bank Account Number

11. Latest Academic Qualification:

Diploma Degree Others:………………………………
(Please specify)

Field of Study : ……………………………………………………… CGPA/PNGK :…………………………….

Year Graduated :

1
 12. Please state the university/learning institution.
Public Institution/Univesity Private Institution/University Foreign Institution/University

Name of University / Institution: ……………………………………………………………………………………

Country: …………………………………………………………………………………….

13. English Language Proficiency

SPM Grade for English Language
MUET (if applicable) Score
TOEFL / IELTS (if applicable) Score
14. Please state the completion date of your studies (last day of final semester).

Day Month Year

15. Please state the duration that you have been unemployed since completion of your studies

Year(s) Month(s)
16. How many times have you applied for work?

a. Private sector …………. time (s)

b. Public sector ………… time (s)

17. How many times have you been called for an interview?

a. Public sector …………. time (s)

b. Private sector …………. time (s)

18. Please tick (√ ) the reason that hinder you from gaining employment (only one).

a. Not fluent in English and poor in communication

b. Interpersonal skills /Grooming

c. Field of studies not relevant to market demands

d. Poor general knowledge / current issues

e. Not active in co-curricular activities / associations

f. Others: (Please specify) …………………………………………………

C. APPLICANT DECLARATION
I declare that the facts stated in this application and the accompanying information are true and correct and
that I have not withheld / distorted any material facts.I understand that if I obtain the grant by false or
misleading statements, I may be prosecuted.

Applicant’s Signature : ...........................................………………………………………..…

( Name: )
MyID Card No. : ………………………………………………………
Date : ……………………………………………………...