Samuel Yaw Jian Fong
$30/hr
Amateur writer and copyeditor with a keen eye, at your service!
- Reply rate:
- -
- Availability:
- Hourly ($/hour)
- Age:
- 29 years old
- Location:
- Seremban, Negeri Sembilan, Malaysia
- Experience:
- 1 year
REGISTRATION FORM
*Instruction: Please complete all sections using BLOCK LETTERS
SECTION 1: PERSONAL INFORMATION
Name of Applicant (as per Identity Card) ________________________________________________
Date of Birth __-__-____Nationality __________________________
NRIC ______________Place of Birth ________________________
Mobile Number ____________Gender:◦ Male◦ Female
Martial Status ___________________Race_____________________________
Correspondence Address ________________________________________________________
_____________________________________________________________________________
State ____________________Country ______________________Postcode _________
Religion: ◦ Muslim◦ Christian◦ Hindu◦ Buddhist◦Others: __________
Ethnic Origin (For Malaysian Only): ◦Malay◦ Pribumi ◦ Chinese ◦ Indian ◦ Others ____________
Do you have any disability, impairment or long-term medical condition which may affect your studies?
◦ No, I do not have any form of disability / critical illness.
◦ Yes, Please indicate: ____________________________________________________________
SECTION 2: ACADEMIC QUALIFICATION
Highest Qualification _________________ Town ___________________ Year __________
Name of School / Institution ______________________________________________________
SECTION 3: APPLY FOR FULL TIME
State available time
Applicant name: ___________________________
Interview by: ________________________Date: _______________
SECTION 4: APPLY FOR PART TIME
State available time
Applicant name: ___________________________
Interview by: ________________________Date: _______________
SECTION 5: DETAILS OF PARENTS
FatherMother
Name ______________________________Name ________________________
Mobile Number ______________________Mobile Number ________________
SECTION 6: DECLARATION
I, __________________________ (NRIC Number): ________________, hereby declare that the information given in this application form is complete, accurate and true, and I understand and agree to abide Code of Honour, policies and regulations of ACT Hubs Sdn Bhd. I also understand that all monies paid (whether full or partial) towards my registration, is not refundable.
Name of Applicant:Date:
