Car Dependency Phenomenon in Pulau Pinang
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Seberang Perai(PDF)
31 October 2014 (Friday) Pacifico, Yokohama, Japan DATO’ MAIMUNAH MOHD SHARIF MUNICIPAL PRESIDENT MUNICIPAL COUNCIL OF SEBERANG PERAI (MPSP) PENANG, MALAYSIA To cut emissions 3 categories; energy efficiency, low carbon technologies and halt deforestation Malaysia is adopting an indicator of a voluntary reduction up to 40 percent in terms of emissions intensity of GDP by the year 2020 compared to 2005 levels National Green Technology Council chaired by Malaysia Prime Minister, Penang Green Council, MPSP Level- Green Office Vision is for energy, economy, environment & society 2 To assists local authorities, townships developers, designers and individuals in accessing whether developments carried out within the city contribute towards the reduction or decrease in Green House Gases (GHG) 3 Incentives Carbon trading & regulation Increase technology support Ecological footprint Engagement with the public or residents 4 Less pollution Better Health GOOD Cleaner transport QUALITY OF LIFE Protects water supply Controls Flooding Provide bio-diversity 5 THINK GLOBAL ACT LOCAL 6 SEGREGATION AT SOURCE WASTE GENERATORS PAY: To reduce cost at landfill To reduce wastage and as a source for other beneficial output/ activities To involve industries in recycling to reduce waste To encourage innovation and productions of new item base on industrial and commercial waste To increase the life- span of existing sanitary landfill To encourage zero waste, waste minimization and low carbon initiative. 7 MOU with Kawasaki, Japan- Waste to -
High-Level Roundtable Discussion on Smart Sustainable Cities World Smart Sustainable Cities Organization
High-level Roundtable Discussion on Smart Sustainable Cities World Smart Sustainable Cities Organization Mr. Kyong-yul Lee Secretary General WeGO | World Smart Sustainable Cities Organization WHAT IS WeGO? INTERNATIONAL ORGANIZATION OF 131 CITIES + 5 NATIONAL ICT INSTITUTIONS + 7 CORPORATE MEMBERS • President City: Seoul • Executive Vice President City: Makati • Vice President Cities: Addis Ababa, Beyoğlu, Ha Noi, Jakarta, Mexico City, Moscow, Ulyanovsk Region • Executive Committee Member Cities: Bucharest, Chengdu, Goyang, Hebron, Khartoum State, Kigali, Nairobi, Pittsburgh, Seberang Perai, Ulaanbaatar • Regional Offices: Asia, Europe, Latin America, Mediterranean • Secretariat: Seoul Global Center 7F, South Korea WeGO | World Smart Sustainable Cities Organization WeGO MEMBERS 20 5 44 65 143 MEMBERS WORLDWIDE VISION: Smart Sustainable Cities for All • Innovative cities that leverage digital technology and connectivity to improve quality of life, efficiency of urban operation and services, and economic prosperity for all citizens, while ensuring long-term economic, social and environmental sustainability MISSION • To promote and facilitate the transformation of cities to Smart Sustainable Cities worldwide; • To be a global platform for cities to enhance their digital capabilities and leverage their innovation potentials in order to develop transformative solutions; and • To foster international exchange, cooperation, and learning among cities. WeGO | World Smart Sustainable Cities Organization WeGO ACTIVITIES 1. Capacity Building 3. Knowledge -
Vortexbrochure012014.Pdf
Vortex Simplified Brochure • Close Size: 20cm(w) X 27cm(h) WHERE GREAT BUSINESSES CONVERGE Vortex Simplified Brochure • Close Size: 20cm(w) X 27cm(h) 4 STOREY SEMI-D • Corporate office Type A • Corporate office Type B 112 Units A VERSATILE COMMERCIAL DISTRICT FREEHOLD Based in one of the most developed and economically important state in Malaysia, Vortex Business Park at Bukit Tambun aims to be a prominent business centre of southern Penang. Housing contemporary workspaces designed with versatility and style, each unit features spacious, practical built-up to fulll your business needs. Vortex Simplified Brochure • Close Size: 20cm(w) X 27cm(h) 4 STOREY SEMI - D 4 STOREY SEMI - D CORPORATE OFFICE TYPE A CORPORATE OFFICE TYPE B FLOOR PLAN FLOOR PLAN • Built up : Appx 6558 sq.ft • Built up : Appx 8960 sq.ft • With Lift • With Lift 7365 7365 10370 10370 Utility Utility Utility Utility Shop Shop Office Office Light Light 18368 Industry Industry 18711 21336 21338 Office Office Office Office Ground Floor 1st Floor Ground Floor 1st Floor 7365 7365 10370 10370 Utility Utility Utility Utility Utility Utility Utility Utility Office Office Office Office 21336 21336 21338 21338 Office Office Office Office 2nd Floor 3rd Floor 2nd Floor 3rd Floor Vortex Simplified Brochure • Close Size: 20cm(w) X 27cm(h) Taman Penang Air Itam Bandar Seberang Jaya Fortune Park DISTANCE OF DESTINATIONS Bandar Baru Air Itam Seberang Perai Jaya Lebuhraya Utara - Selatan 1.6 km Perai 17.9 km Kawasan Desa Mutiara Perusahaan Simpang Ampat 7.5 km Penang Bridge 20.6 km Perai 1 & 2 Dua Bandar -
08 Seberang Perai MY Climate and Energy
7TH UCLG ASPAC CONGRESS “INNOVATION-DRIVEN DEVELOPMENT FOR SUSTAINABLE CITIES” 13th September 2018 City Energy and Climate Action : Seberang Perai’s Experience on Climate Change Speaker: Ahmad Zabri Mohamed Sarajudin Director of Crisis Management Department, Seberang Perai SEBERANG PERAI EXPERIENCE ON CLIMATE CHANGE EXPERIENCESEBERANG ON PERAICLIMATE CHANGE 3,256 171,428 houses 162 cars people affected trapped affected 9,636 358 1 Person 15 cars people Died houses affected relocated affected 362mm 15,942 tonnes rainfall within 12 days Solid Waste 6 consecutive for collected hours recovery RM11.3M 11,323 1,194 trees Economic Warriors uprooted Loss SEBERANG PERAI Aspiring City Of Tomorrow Citizen Cashless Public Participation Payment Reporting System System System Smart Industry Data 4.0 Exchange Smart Street Platform Light Flood Management Digital System Signage Smart & Smart Sustainable Parking Building Smart & Smart Smart Solid Smart Integrated Sustainable Traffic Waste Learning Command Hawkers Complex Light Management Center Center Vision Seberang Perai Resilient, Inclusive, Green, Competitive and Technology Driven Smart City Mision To provide urban service, development planning and infrastructure efficiently, effectively and responsive to the needs of the community in Seberang Perai Corporate Value We work collaboratively across organization and communities to improve outcome, value for money and services 7Ps INCLUSIVE PARTNERSHIP Guiding Principles MODEL “City for all” •Improve governance and inclusiveness •Accessibility and mobility -
Seberang Perai Utara
SEBERANG PERAI UTARA KOD KAWASAN PETAK KERETA SPU 1 Jalan susur di hadapan Bangunan No. 3843 -3851 Jalan Bagan Luar 7 SPU 2 Jalan susur di hadapan Bangunan No. 4873 -4876 Jalan Bagan Luar 14 SPU 3 Jalan susur di hadapan Bangunan No. 4105 -4114 Jalan Bagan Luar 17 SPU 4 Jalan susur di hadapan Bangunan No. 4144-4223 Jalan Bagan Luar 11 Jalan susur di hadapan Bangunan No. 4703 hingga 4710, 4422 hingga 4425 & 4802 Jalan SPU 5 53 Bagan Luar SPU 6 Jalan susur di hadapan Bangunan No. 4451 -4454 Jalan Bagan Luar 4 SPU 7 Jalan Pasar termasuk jalan susur di hadapan Kompleks MARA 52 SPU 8 Jalan susur di hadapan Bangunan No. 3635 – 4921 Jalan Bagan Luar 51 SPU 9 Sekitar bangunan No. 3914 – 4277 Jalan Bagan Luar 44 SPU 10 Lorong Bagan Luar 1 21 SPU 11 Lorong Bagan Luar 2 61 SPU 12 Lorong Bagan Luar 3 25 SPU 13 Lorong Bagan Luar 4 3 SPU 14 Jalan Kampong Banggali 219 SPU 15 Jalan Telekom 19 SPU 16 Jalan Pantai 113 SPU 17 Taman Selat 303 SPU 18 Jalan Kampong Jawa & Lorong Kampong Jawa 64 SPU 19 Jalan susur di hadapan Bangunan No. 4768 – 4777 Jalan Bagan Luar 25 SPU 20 Jalan susur di hadapan Bangunan No. 3838 – 4072 Jalan Bagan Luar 47 SPU 21 Jalan susur di hadapan Bangunan No. 1 – 79 Jalan Kapal 41 SPU 22 Jalan susur di hadapan Bangunan No. 4654 – 4679 Jalan Chain Ferry 77 SPU 23 Jalan susur di hadapan Bangunan No. 4803 – 4807 Jalan Chain Ferry 11 SPU 24 Jalan susur di hadapan Bangunan No. -
The State of Penang, Malaysia
Please cite this paper as: National Higher Education Research Institute (2010), “The State of Penang, Malaysia: Self-Evaluation Report”, OECD Reviews of Higher Education in Regional and City Development, IMHE, http://www.oecd.org/edu/imhe/regionaldevelopment OECD Reviews of Higher Education in Regional and City Development The State of Penang, Malaysia SELF-EVALUATION REPORT Morshidi SIRAT, Clarene TAN and Thanam SUBRAMANIAM (eds.) Directorate for Education Programme on Institutional Management in Higher Education (IMHE) This report was prepared by the National Higher Education Research Institute (IPPTN), Penang, Malaysia in collaboration with a number of institutions in the State of Penang as an input to the OECD Review of Higher Education in Regional and City Development. It was prepared in response to guidelines provided by the OECD to all participating regions. The guidelines encouraged constructive and critical evaluation of the policies, practices and strategies in HEIs’ regional engagement. The opinions expressed are not necessarily those of the National Higher Education Research Institute, the OECD or its Member countries. Penang, Malaysia Self-Evaluation Report Reviews of Higher Education Institutions in Regional and City Development Date: 16 June 2010 Editors Morshidi Sirat, Clarene Tan & Thanam Subramaniam PREPARED BY Universiti Sains Malaysia, Penang Regional Coordinator Morshidi Sirat Ph.D., National Higher Education Research Institute, Universiti Sains Malaysia Working Group Members Ahmad Imran Kamis, Research Centre and -
Age, Petrochemistry and Modelling of the Bukit Mertajam-Kulim Granite, Northwest Peninsular Malaysia
Geol. Soc. MalaY4ia, Bulletin 44, July 2000; pp. 139-150 Age, petrochemistry and modelling of the Bukit Mertajam-Kulim granite, northwest Peninsular Malaysia AzMAN A. GHANI, BORHAN M. DoYA AND G.H. TEH Department of Geology University of Malaya 50603 Kuala Lumpur Abstract: The Bukit Mertajam-Kulim granite consists of three units, namely, the Mertajam, Bongsu and Panchor granites which were emplaced in a relatively short time span between 180 to 224 Ma. All three units consists of rocks ranging from equigranular fine to coarse grained syeno- to monzogranite with subordinate porphyritic types. The essential minerals in all granites are K-feldspar, plagioclase, quartz, biotite, muscovite, tourmaline, apatite, zircon, garnet and opaque phases. The range of Si02 for each of the units overlap: Mertajam granite (71.49-74.73%), Bongsu granite (73.59-76.27%) and Panchor granite (70.21-73.91%). The rocks in many aspects, are comparable to the'S' type granites from the Lachlan Fold Belt of Australia. The mineral mixes predicted in the major elements modelling confirm the dominance of plagioclase and K-feldspar in the fractionation process. INTRODUCTION the Panchor granite (known as Bongsu granite by Cobbing and Mallick, 1987). A single isochron was The Bukit Mertajam Kulim (BMK) granite is drawn through the granite data set which defined an isolated body located at north-west Peninsular an age of 224±5 Ma. A same method applied to the Malaysia. The granite, which lies to the west of the Bongsu granite (known as Jelutong microgranite Bintang batholith, is part of the Western Belt by Cobbing and Mallick, 1987) gave an age of211±9 granite of Peninsular Malaysia (Fig. -
1970 Population Census of Peninsular Malaysia .02 Sample
1970 POPULATION CENSUS OF PENINSULAR MALAYSIA .02 SAMPLE - MASTER FILE DATA DOCUMENTATION AND CODEBOOK 1970 POPULATION CENSUS OF PENINSULAR MALAYSIA .02 SAMPLE - MASTER FILE CONTENTS Page TECHNICAL INFORMATION ON THE DATA TAPE 1 DESCRIPTION OF THE DATA FILE 2 INDEX OF VARIABLES FOR RECORD TYPE 1: HOUSEHOLD RECORD 4 INDEX OF VARIABLES FOR RECORD TYPE 2: PERSON RECORD (AGE BELOW 10) 5 INDEX OF VARIABLES FOR RECORD TYPE 3: PERSON RECORD (AGE 10 AND ABOVE) 6 CODES AND DESCRIPTIONS OF VARIABLES FOR RECORD TYPE 1 7 CODES AND DESCRIPTIONS OF VARIABLES FOR RECORD TYPE 2 15 CODES AND DESCRIPTIONS OF VARIABLES FOR RECORD TYPE 3 24 APPENDICES: A.1: Household Form for Peninsular Malaysia, Census of Malaysia, 1970 (Form 4) 33 A.2: Individual Form for Peninsular Malaysia, Census of Malaysia, 1970 (Form 5) 34 B.1: List of State and District Codes 35 B.2: List of Codes of Local Authority (Cities and Towns) Codes within States and Districts for States 38 B.3: "Cartographic Frames for Peninsular Malaysia District Statistics, 1947-1982" by P.P. Courtenay and Kate K.Y. Van (Maps of Adminsitrative district boundaries for all postwar censuses). 70 C: Place of Previous Residence Codes 94 D: 1970 Population Census Occupational Classification 97 E: 1970 Population Census Industrial Classification 104 F: Chinese Age Conversion Table 110 G: Educational Equivalents 111 H: R. Chander, D.A. Fernadez and D. Johnson. 1976. "Malaysia: The 1970 Population and Housing Census." Pp. 117-131 in Lee-Jay Cho (ed.) Introduction to Censuses of Asia and the Pacific, 1970-1974. Honolulu, Hawaii: East-West Population Institute. -
SUSTAINABLE URBAN TRANSPORTATION Shafida Azyanti Mohd Shafie, Assistant Director of Engineering Municipal Council of Seberang Perai (MPSP), Penang, Malaysia
SUSTAINABLE URBAN TRANSPORTATION Shafida Azyanti Mohd Shafie, Assistant Director of Engineering Municipal Council Of Seberang Perai (MPSP), Penang, Malaysia Training on Sustainable Urban Transportation Seoul Human Resource Department Centre, Korea | 15-23 March 2016 INTRODUCTION: MALAYSIA Training on Sustainable Urban Transportation Seoul Human Resource Department Centre, Korea | 15-23 March 2016 INTRODUCTION: SEBERANG PERAI MPSP’s Vision: Seberang Prai which is cleaner, more North Seberang Perai AREA : 262 SQ KM beautiful and comfortable to live in, working to become investment and tourism draw towards 2018 Central Seberang Perai MPSP’s Mission: Providing AREA : 235 SQ KM safer, cleaner, greener and healthier municipal management that is responsive to the Seberang South Seberang Perai Perai Community AREA : 241 SQ KM Population: 900,000 Area : 738sq km Training on Sustainable Urban Transportation Seoul Human Resource Department Centre, Korea | 15-23 March 2016 CURRENT TRAVEL DEMAND AM peak some 250,000 trips are 56% by car. Follow by 33% by made in Penang. motorcycle. between Penang through Public Factory/ and other trips; transport School Bus, states; 1,5% (bus), 5% 8% 14% between within Mainland Island; and 42,5% Motorcycles, Private Island; 33% Vehicles, 7% 56% within Mainland , 35% Training on Sustainable Urban Transportation Seoul Human Resource Department Centre, Korea | 15-23 March 2016 CURRENT TRAVEL DEMAND Population Growth Forecast Year 2010 2020 2030 Population 839,000 1,119,000 1,460,600 TRIPS ARE GETTING MORE DIVERSE AS POPULATION ARISES AND PEOPLE TRAVEL MORE Result in travel demand increasing by: • 25% or more by 2020 By 2030, without significant changes: • 50% or more by 2030 • Roads will get more congested • Traffic will travel at reduced speed • PT mode share will stay low HOW WE MEET THE CHALLENGE OF KEEPING 1.46 MILLION PEOPLE MOVING WILL DETERMINE OUR SUCCESS AS A STATE Training on Sustainable Urban Transportation Seoul Human Resource Department Centre, Korea | 15-23 March 2016 CURRENT CHALLENGES HIGHWAY 1. -
KK = Klinik Kesihatan Timur Laut, 11200 Pulau Pinang
DAERAH DAERAH DAERAH DAERAH DAERAH TIMUR LAUT BARAT DAYA SEBERANG PERAI UTARA SEBERANG PERAI TENGAH SEBERANG PERAI SELATAN KK Seberang Jaya, KK Teluk Bahang, KK Butterworth, KK Sungai Dua, Lot 340, Mukim 1, KK Nibong Tebal, Lot 669, Mukim 2, Lot 1699 Seksyen 4, Lot 2544, Mukim 13, Bandar Sunway, Lot 320, Mukim 17, 11050 Teluk Bahang, Jalan Bagan Luar Sungai Dua, Timur Laut, DAERAH TIMUR LAUT 13700 Seberang Jaya, 14300 Nibong Tebal, Pulau Pinang. 12000 Butterworth, 11700 Pulau Pinang. Pulau Pinang. Pulau Pinang. Tel: 04-8851951 Pulau Pinang. Tel: 04-6422201 Tel: 04-3900264 Tel: 04-5931355 Fax : 04-8811333 Tel: 04-3233333 Fax : 04-3905424 KK Jalan Macalister, KK Berapit, KK Bayan Lepas, KK Kepala Batas, KK Sungai Acheh, Lot 1762, Lot 89, Mukim 7, Lot 1157, Mukim 12, Lot 1446, Mukim 6, Lot 1376, Mukim 10, Jalan Macalister, Jalan Bukit Panchor, Bayan Lepas, 13200 Kepala Batas, 14300 Nibong Tebal, Timur Laut, 14300 Nibong Tebal, 11900 Pulau Pinang. Pulau Pinang. Pulau Pinang. 10400 Pulau Pinang. Pulau Pinang. Tel: 04-6433967 Tel: 04-5753355 Tel: 04-5981733 Tel: 04-2289610 Tel: 04-5395400 KK Bayan Baru, KK Mak Mandin, KK Prai, KK Bandar Tasik Mutiara, KK Jalan Perak, Jalan Tengah, Lot 2822, Seksyen 3, Klinik Kesihatan Prai, Lot 1051 Mukim 15, Lot 808, Seksyen 2 11950 Bayan Lepas, Jalan Mak Mandin, 13700 Perai, 14100 Simpang Ampat, Jalan Perak, Timur Laut, Pulau Pinang. 13400 Butterworth, Pulau Pinang. Pulau Pinang. 10400 Pulau Pinang. Tel: 04-6425102 Pulau Pinang. Tel: 04-3901477 Tel: 04-5079855 Tel : 04-2812033 Fax: 04-6413189 Tel: 04-3244685 KK Kubang Semang, KKIA Air Putih, KK Tasek Gelugor, Lot 807, Mukim 5, KK Bukit Jambul, Lot 312, MK.E JKR KK Bukit Panchor, Lot 19944m Mukim 12, Kubang Semang, Taman Bukit Jambul, 2761 (P) Air Putih, Seberang Perai Selatan, 13300, Tasek Gelugor, 14400 Bukit Mertajam, Bukit Jambul, Timur Laut, 11000 Balik Pulau Pulau Pinang. -
List of Certified Workshops-Final
PULAU PINANG: SENARAI BENGKEL PENYAMAN UDARA KENDERAAN YANG BERTAULIAH (LIST OF CERTIFIED MOBILE AIR-CONDITIONING WORKSHOPS) NO NAMA SYARIKAT ALAMAT POSKOD DAERAH/BANDAR TELEFON NAMA & K/P COMPANY NAME ADDRESS POST CODE DISTRICT/TOWN TELEPHONE NAME& I/C 1 PERFECT AUTO ELECTRICAL NO. 1273-A, PAYA TERUBONG 11060 AYER ITAM TEL : 04-8272892 QUAH KUNG HOOI SERVICES ROAD, 11060 AYER ITAM, 680923-07-5193 PENANG. 2 TEOH AUTO ACCESSORIES & AIR- 87-Z, JALAN KAMPUNG 11500 AYER ITAM TEL: 04-8297673 TEOH THEAN HUAT COND TRADING. PISANG, 11500 AYER ITAM, 651113-07-5869 PENANG. 3 ISLAND CAR-COOLER & AUTO 3E, JALAN THEAN TEIK, AYER 11400 AYER ITAM TEL: 04-8260817 WONG MUN CHEONG ACCESSORIES. ITAM, 11400 PENANG. H/P: 012-4721690 640206-08-5827 4 RONSON AUTO ACCESSORIES & 247, JALAN SUNGAI PINANG, 11000 BALIK PULAU TEL : 04-8660064 QUEK CHAI PENG AIR COND SERVICES BALIK PULAU, 11000 PULAU 580909-07-5017 PINANG. 5 TEE HENG CAR AIR-COND BDKTN 297, PAYA KONGSI MK 11000 BALIK PULAU H/P : 016-4896661 YONG HAI ENG ACCESSORIES M-F, BALIK PULAU 760730-01-5127 6 MEICONNAX CAR AIR-COND & 10 TINGKAT, TELUK KUMBAR 11920 BANDAR BARU TELUK H/P : 012-4306200 CHEN CHEE CHEW ACCESSORIES 4, BANDAR BARU TELUK KUMBAR 791009-07-5097 KUMBAR, 11920 PULAU PINANG. 1 PULAU PINANG: SENARAI BENGKEL PENYAMAN UDARA KENDERAAN YANG BERTAULIAH (LIST OF CERTIFIED MOBILE AIR-CONDITIONING WORKSHOPS) NO NAMA SYARIKAT ALAMAT POSKOD DAERAH/BANDAR TELEFON NAMA & K/P COMPANY NAME ADDRESS POST CODE DISTRICT/TOWN TELEPHONE NAME& I/C 7 LEAN HOCK CAR AIR-COND 9, BARRACK ROAD, 10450 10450 BARRACK ROAD TEL: 04-2284586 ONG KAI MIN SERVICES. -
Date : Klinik Singapore Sungai Ara-Relau
Agilent Technologies LDA 60 (4) 680 3888 (telephone) Malaysia Sdn. Bhd. (1075825-M), 60 (4) 680 3708 (fax) Bayan Lepas Free Industrial Zone, www.agilent.com 11900 Penang, Malaysia. Date : _________________ Klinik Singapore Sungai Ara-Relau Klinik Aman 823-G-03, Kejora Business Point 11 Jalan Sultan Azlan Shah Jalan Paya Terubong MK 13 11700 Penang 11900 Bayan Lepas, Penang (24 Hours) (9.00am to 1.00pm, 2.00pm to 10.00pm) Tel: 04 6581361 Tel: 04 6448488 Klinik Joe Fernandez (Tmn Jaya) Klinik Aman No. 30-1, Taman Jaya 603 Jalan Dato Kramat Jalan Kulim 10150 Penang 14000 Bukit Mertajam (Mon-Sun 9.00am to 9.00pm) (Mon-Fri 24 Hours) Tel: 04 2291844 (Sat, Sun, P. Holiday : 24 Hours) Tel: 04 5395217/04 5386439/04 5386448 Others, Non-Agilent Panel Clinic Klinik Singapore 71F Trengganu Road 10460 Penang (24 Hours) Tel: 04 2810114 Dear Doctor, Kindly conduct Physical Examination, Routine Urine Examination and Chest X-Ray on Mr./Miss/Madam : ___________________________________ I.C. No. : ___________________________________ and bill us accordingly. (Agilent Technologies panel clinic only) Yours Faithfully, Note to Clinic and Candidate: * Candidate to print all 5 pages of the form single sided * Clinic to detach and collect page 1 * Routine urine examination EXCLUDE urine cannabinoids or morphine * Expenses for other diagnostic tests not required in this pre-employment check-up _____________________________ will be borne by candidate HUMAN RESOURCE DEPARTMENT * Official receipt is required for reimbursement if payment is made by candidate * Candidate to submit claim at in-house clinic 1 PRE-EMPLOYEMENT HEALTH QUESTIONNAIRE (To be filled up by employee) Name : __________________________ Age : ______________ Date of Birth : ____________ I.C.