Industrial Training Application Form
Fields with * are mandatory.
A. Personal Particulars
Full Name (as per I/C) *
NRIC No. (New) *
Gender *
Select Gender
Male
Female
Age *
Date of Birth *
Nationality *
-- Select --
Afghan
Albanian
Algerian
American
Andorran
Angolan
Antiguans
Argentinean
Armenian
Australian
Austrian
Azerbaijani
Bahamian
Bahraini
Bangladeshi
Barbadian
Barbudans
Batswana
Belarusian
Belgian
Belizean
Beninese
Bhutanese
Bolivian
Bosnian
Brazilian
British
Bruneian
Bulgarian
Burkinabe
Burmese
Burundian
Cambodian
Cameroonian
Canadian
Cape Verdean
Central African
Chadian
Chilean
Chinese
Colombian
Comoran
Congolese
Costa Rican
Croatian
Cuban
Cypriot
Czech
Danish
Djibouti
Dominican
Dutch
Dutchman
Dutchwoman
East Timorese
Ecuadorean
Egyptian
Emirian
Equatorial Guinean
Eritrean
Estonian
Ethiopian
Fijian
Filipino
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Greek
Grenadian
Guatemalan
Guinea-Bissauan
Guinean
Guyanese
Haitian
Herzegovinian
Honduran
Hungarian
I-Kiribati
Icelander
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakhstani
Kenyan
Kittian and Nevisian
Kuwaiti
Kyrgyz
Laotian
Latvian
Lebanese
Liberian
Libyan
Liechtensteiner
Lithuanian
Luxembourger
Macedonian
Malagasy
Malawian
Malaysian
Maldivan
Malian
Maltese
Marshallese
Mauritanian
Mauritian
Mexican
Micronesian
Moldovan
Monacan
Mongolian
Moroccan
Mosotho
Motswana
Mozambican
Namibian
Nauruan
Nepalese
Netherlander
New Zealander
Ni-Vanuatu
Nicaraguan
Nigerian
Nigerien
North Korean
Northern Irish
Norwegian
Omani
Pakistani
Palauan
Panamanian
Papua New Guinean
Paraguayan
Peruvian
Polish
Portuguese
Qatari
Romanian
Russian
Rwandan
Saint Lucian
Salvadoran
Samoan
San Marinese
Sao Tomean
Saudi
Scottish
Senegalese
Serbian
Seychellois
Sierra Leonean
Singaporean
Slovakian
Slovenian
Solomon Islander
Somali
South African
South Korean
Spanish
Sri Lankan
Sudanese
Surinamer
Swazi
Swedish
Swiss
Syrian
Taiwanese
Tajik
Tanzanian
Thai
Togolese
Tongan
Trinidadian or Tobagonian
Tunisian
Turkish
Tuvaluan
Ugandan
Ukrainian
Uruguayan
Uzbekistani
Venezuelan
Vietnamese
Welsh
Yemenite
Zambian
Zimbabwean
Email *
H/P *
Residential Address *
Possess Own Transportation? *
Possess own transportation?
Yes
No
License (Motor/Car) *
Select License
Car License
Motor License
Both
Possess Own Laptop? *
Possess own laptop?
Yes
No
Possess Own Safety Shoe? *
Possess Own Safety Shoe?
Yes
No
Shirt Size *
Select Shirt Size
XS
S
M
L
XL
XXL
XXXL
Preferred Location *
Select Preferred Location
WP Kuala Lumpur
Johor
Kedah
Kelantan
Melaka
Negeri Sembilan
Pahang
Penang
Perak
Perlis
Sabah
Sarawak
Selangor
Terengganu
WP Labuan
WP Putrajaya
Area of Interest (What would you like to learn in your internship?) *
B. Education and Internship Particulars
Name of Institution *
CGPA / Average Score *
Select CGPA
2.00 - 2.19
2.20 - 2.99
3.00 - 3.49
3.50 - 4.00
Course Major *
Select Course Major
Civil Engineering
Mechanical Engineering
Electrical & Electronic Engineering
Construction Management
Mechatronic
Quantity Surveying
Occupational Safety and Health
Others
Qualification *
Select Qualification
Certification
Diploma
Degree
Current Year *
Select Current Year
1st Year
2nd Year
3rd Year
4th Year
Graduating Month *
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
Graduating Year *
Select Year
2021
2022
2023
2024
2025
Internship Period (From) *
Internship Period (To) *
C. Resume
Resume (File must be 2MB or less)*
D. Academic Transcript
Academic Transcript (File must be 2MB or less)
E. Photocopy of IC
Photocopy of your IC (File must be 2MB or less)