A. Preferred Course

• Motor Vehicle Mechanic (P-115-1) Level 1
• Motor Vehicle Mechanic (P-115-2) Level 2
• Motor Vehicle Technician (P-115-2) Level 3
• C & G Diploma
• C & G Advanced Diploma
• Wyotech Pre- Degree

• Full Time
• Part Time

B. Student Personal Information 个人资料

• *Name (as stated on your NRIC in BLOCK letters) 姓名
  
• *New NRIC Number 身份证号码
  
• Date of Bitrh 出生日期
  31 30 29 28 27 26 25 24 23 22 21 20 19 18 17 16 15 14 13 12 11 10 09 08 07 06 05 04 03 02 01 January February March April May June July August September October November December 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
• Age 年龄
  
• *House Telephone Number 家里电话号码
  
• *Handphone Number 手提号码
  
• Disabilities or Sickness 残障或疾病
  

  No	Yes 是
  (If Yes, please state) 请列名

• Have you ever enrolled for an JPK program? 你是否报名过国家技能训练课程
  

  No

  Yes 是

• Marital Status             婚姻状况

  Single 单身

  Married 已婚

• Sex 性别
  

  Male

  Female

• Race 种族
  

  Chinese 华裔

  Malay 巫裔

  Indian 印裔

  Others 其他

• E-mail Address 电邮
  
• *Mailing Address 住家地址
  
  
• *Postcode 编号
  
• Nationality 国籍
  

C. Parent Information 家长资料

• *Father's Name (as per I.C / Passport )父亲姓名
  
• *New NRIC Number 身份证号码
  
• *Handphone Number 手提号码
  
• Education level 学历程度
  

  Graduate

  Non Graduate

• Occupation 职业
  
• Company Name 公司名字
  
• Office Number 公司电话号码
  

• *Mother's Name (as per I.C / Passport)母亲姓名
  
• *New NRIC Number 身份证号码
  
• *Handphone Number 手提号码
  
• Education level 学历程度
  

  Graduate

  Non Graduate

• Occupation 职业
  
• Company Name 公司名字
  
• Office Number 公司电话号码