<p> PSMB/GRIP/1/16 </p><p>1MALAYSIA GLOBALLY RECOGNISED INDUSTRY AND PROFESSIONAL</p><p>CERTIFICATION</p><p>(1MALAYSIAGRIP)</p><p>APPLICATION FORM</p><p>CATEGORY OF EMPLOYEE</p><p>Employee of HRDF Registered Employer</p><p>Please tick (√) where applicable</p><p>SUPPORTING DOCUMENTS TO BE ATTACHED</p><p>Copy of MyID (Identity Card)</p><p>Copy of Latest 1 Month Pay Slip </p><p>Please tick (√)</p><p>A. TRAINING INFORMATION</p><p>1 Course Title :</p><p>2 Start Date :</p><p>3 Completion Date :</p><p>4 Venue :</p><p>5 Training Provider :</p><p>1 B) TRAINEE INFORMATION</p><p>1 Name :</p><p>2 MyID Card No. : - -</p><p>3 Gender : Male Female</p><p>4 Address :</p><p>Postcode State:</p><p>5 Tel. No (Office) :</p><p>6 Tel. No (Handphone) :</p><p>7 Email :</p><p>8 Social Media : LinkedIn : ……………………………………………………..</p><p>Preference (please Facebook : …………………………………………………….. provide ID) Others : ………………………………………………………….. 9 Academic : Sijil Pelajaran Malaysia (SPM)</p><p>Qualification Sijil Tinggi Pelajaran Malaysia (STPM)</p><p>Certificate / Skills Certificate</p><p>Diploma</p><p>Bachelor Degree</p><p>Master Degree</p><p>Doctoral Degree</p><p>Others: ………………………………………</p><p>10 Specify Highest :</p><p>Academic</p><p>Qualification; 2 eg. Bachelor of Economics</p><p>11 Current Position : Manager Professional Technicians & Associate </p><p>Clerical Support Workers Service and Sales Workers</p><p>Skilled Agricultural, Forestry & Fishery Workers</p><p>Craft and Related Trades Elementary Occupations</p><p>Plant and Machine – Operators and Assemblers</p><p>12 Exact Position :</p><p>13 Current Monthly : Below RM800 for Sabah and Sarawak</p><p>Salary Range Below RM900 for Peninsular Malaysia</p><p>RM800 to RM1,999 for Sabah & Sarawak</p><p>RM900 to RM1,999 for Sabah & Sarawak</p><p>RM900 to RM1,999 Peninsular Malaysia</p><p>RM2,000 to RM3,999</p><p>RM4,000 to RM5,999</p><p>RM6,000 to RM7,999</p><p>RM8,000 to RM9,999</p><p>RM10,000 and above</p><p>14 Race : Malay Chinese Indian Others</p><p>(C) EMPLOYER INFORMATION</p><p>1 Name of Employer :</p><p>2 MyCoID (Company :</p><p>Registration Number)</p><p>- Compulsory 3 Industry : Manufacturing Service Agriculture</p><p>Construction Mining & Quarrying</p><p>Specify Sub sector: </p><p>4 Address :</p><p>3 Poscode State</p><p>5 Tel. No (Office) :</p><p>6 Fax . No. :</p><p>7 Contact Person (HR) :</p><p>8 HR Email Address :</p><p>D. EMPLOYER ENDORSEMENT</p><p>I hereby declare that the above mentioned trainee is an employee of our company </p><p>Signature : ...... …….. Company Stamp: </p><p>Name : ………………………………………. </p><p>Position : ………………………………………..</p><p>Date : …………………………………...... </p><p>E. EMPLOYEE ENDORSEMENT</p><p>I declare that the facts stated in this application and the accompanying information are true and correct and I have not withheld / distorted any material fact.</p><p>Signature : ...... ………………………………</p><p>Name : ………………………………………………………………… </p><p>MyID Card No. : …………………………………………………………………</p><p>4 Date : ………………………………………………………………...</p><p>5</p>