EmailMe Form - RETRENCHMENT PROGRAM

1. Name *
2. In which state are your born (example: Kedah, Sabah) *
3. Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
4. IC Number *
5. Age in 2016 *
6. Mobile Number *
7. Email Address *
8. Name of Last Employer *
9. Last Day of Job *
MM / DD / YYYY
10. Last Job Title *
11. Qualification *
Phd
Master's Degree
First Degree
Diploma
Certificate
Other
12. How long have you been unemployed? *
13. Choose 5 best courses that you like if you are given a training loan (Name the list of Courses) *

a.

b.

c.

d.

e.
14. Do you like to work in Offshore Projects? Yes or No *
Yes
No
15. Do you like to work in Refinery or Petrochemical Plant? Yes or No *
Yes
No
16. Have you taken any safety courses? Yes or No *
Yes
No
17a. Majority of Think Plus Courses are under International Certification Program. Please pick the courses that you like to participate if given Study Loan. *
17b. Second option.
17c. Third option.
18. Attached your photo. *
19. Attached your CV. *
Thank You for your input. We shall contact you if the State Study Loan have been approved.