P. 1
borangpermohonan1malaysia_baru

borangpermohonan1malaysia_baru

|Views: 35|Likes:
Dipublikasikan oleh Zana Riah

More info:

Published by: Zana Riah on May 17, 2011
Hak Cipta:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

10/10/2011

pdf

text

original

Institut Latihan Perindustrian (ILP

)
Bukit Katil 75450
Melaka
Borang Permohonan Kursus Kemahiran Modular
(Program Latihan 1Malaysia)
A Kursus !i"ohon # $ourse A""lied
Nama Kursus / Course Title : …………………………………………………………………………………………………………
B Butir%Butir Peri&adi # Personal Identi'i(ation
1. Nama / Name : …………………………………………………………………………………………………………………………
2. No. K/P / I/C No. : ………………………………………………………………………………………….
3. Jantina / Sex : Lelaki/Male ! Perem"uan/#emale !
$. Ke%ar&ane&araan : Mala'sia/Mala'sian ! Lain(Lain/)t*ers ! …………………………..
+. ,lamat Surat Men'urat / Mailin& ,--ress:
………………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………………..
.. Posko- / Post/o-e: …………………………… 0. Ne&eri / State : ……………………………………………
1. Nom2or Tele3on / P*one Num2er : ……………………………………………
$ )a*atan # Post +ika &erkenaan
1. Ja%atan Sekaran& / Post 4el- : ………………………………………………………………………………………….
2. Nama Ma5ikan / 6m"lo'er Name : ………………………………………………………………………………………….
3. ,lamat Ma5ikan / 6m"lo'er ,--ress : ………………………………………………………………………………………….
………………………………………………………………………………………….
………………………………………………………………………………………….
$. Posko- / Post/o-e: …………………………… +. Ne&eri / State : ……………………………………………
.. No Tele3on Pe5a2at / )33i/e P*one No : …………………………………………… Sam2 / 6xt : …………………………
0. No #ax / #ax No : ……………………………………………
, -ntuk Kegunaan Pe+a&at # .or /''i(e -se
Tarik* 7iterima : …………………………… Catatan : …………………………………………………………………………..
Nota: 1! Tia-a 'uran kursus -ikenakan untuk "ro&ram ini.
2! Kursus -ia-akan se/ara se"aru* masa "a-a *u5un& min&&u atau se2ela* malam.
3! Kursus ter2uka ke"a-a semua %ar&ane&ara Mala'sia.
Maklumat Lan5ut Sila 4u2un&i
8a*a&ian Pen&urusan Pela5ar 7an Lati*an 8PPL!9
Institut Lati*an Perin-ustrian ILP!9
8ukit Katil 0+$+:9 Melaka.
Tele3on: :.(232:.319 :.(232:.$: atau :.(232:.32
atau email ke 2-uil"mlka;'a*oo./om
8oran& 'an& tela* -iisi sila *antar ke "e5a2at 8PPL ILP 8ukit Katil atau 3aks ke
#ax No : :.(232:202/:.(232<.::
http://www.ilpmelaka.gov.my
atau email ke 2-uil"mlka;'a*oo./om atau il"2k;il"melaka.&o=.m'

You're Reading a Free Preview

Mengunduh
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->