PSMB/GRIP/1/16

1MALAYSIA GLOBALLY RECOGNISED INDUSTRY AND PROFESSIONAL CERTIFICATION

(1MALAYSIAGRIP)

Employee of HRDF Registered Employer

Please tick (√) where applicable

Copy of MyID (Identity Card)
Copy of Latest 1 Month Pay Slip

Please tick (√)

1 / Course Title / : /
2 / Start Date / : /
3 / Completion Date / : /
4 / Venue / : /
5 / Training Provider / : /
1 / Name / : /
2 / MyID Card No. / : /
3 / Gender / : / Male Female
4 / Address / : /
Postcode State:
5 / Tel. No (Office) / : /
6 / Tel. No (Handphone) / :
7 / Email / :
8 / Social Media Preference (please provide ID) / : / LinkedIn : ……………………………………………………..
Facebook : ……………………………………………………..
Others : …………………………………………………………..
9 / Academic Qualification / : / Sijil Pelajaran Malaysia (SPM)
Sijil Tinggi Pelajaran Malaysia (STPM)
/ Certificate / Skills Certificate
/ Diploma
Bachelor Degree
Master Degree
Doctoral Degree
Others: ………………………………………
10 / Specify Highest Academic Qualification;
eg. Bachelor of Economics / : /
11 / Current Position / : / Manager Professional Technicians & Associate
Clerical Support Workers Service and Sales Workers
Skilled Agricultural, Forestry & Fishery Workers
/ Craft and Related Trades Elementary Occupations
Plant and Machine – Operators and Assemblers
12 / Exact Position / :
13 / Current Monthly Salary Range / : / Below RM800 for Sabah and Sarawak
Below RM900 for Peninsular Malaysia
RM800 to RM1,999 for Sabah & Sarawak
RM900 to RM1,999 for Sabah & Sarawak

RM900 to RM1,999 Peninsular Malaysia

RM2,000 to RM3,999
RM4,000 to RM5,999

RM6,000 to RM7,999

RM8,000 to RM9,999

RM10,000 and above

14 Race : Malay Chinese Indian Others

1 / Name of Employer / : /
2 / MyCoID (Company Registration Number) - Compulsory / : /
3 / Industry / : / Manufacturing Service Agriculture
Construction Mining & Quarrying
Specify Sub sector:
4 / Address / : /
Poscode State
5 / Tel. No (Office) / : /
6 / Fax . No. / :
7 / Contact Person (HR) / : /
8 / HR Email Address / : /

Signature : ...... …….. Company Stamp:

Name : ……………………………………….

Position : ………………………………………..

Date : …………………………………......

Signature : ...... ………………………………

Name : …………………………………………………………………

MyID Card No. : …………………………………………………………………

Date : ………………………………………………………………...

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