<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%> Application Form

 

APPLICATION FORM FOR SHORT COURSE
INSTITUT LATIHAN PERINDUSTRIAN KEPALA BATAS PULAU PINANG

     
  • Please read carefully before you enter any information in this form.
  • Please fill in the blank in this application form. Fill the space mark *.
  A. COURSE INFORMATION
     
*
 Field Of Study :
*
 Course Code :

*

 Date :
     
  B. APPLICANT INFORMATION
     
*
Applicant's Name :
*
 NRIC Num : Tel No:
 
 Email :
*
 Address
*
 Postcode : *State :
 
  C. EMPLOYER / SCHOOL INFORMATION (if related)
     
  Employer/ School Name:
Address :
Postcode : State :
  Post : Tel No:
     
 
Success candidate will be informed later. Candidates also can checking your application status using online. if you're not contactable within one week before the class start, you application is considered unsuccessful.