CePSWAM & CePIETSO-BP Registration Form

CePSWAM & CePIETSO-BP Registration form

This registration form will be forwarded to INSTEP registration focal (Siti Suhaili Shuib at sitisuhaili.shuib@petronas.com.my), applicant and sponsor (if any).
Kindly contact Siti Suhaili Shuib at 09-668 6000 for any inquiry on the registration.

Please click here to register for other programmes.

Email (default- hidden) *

Instructions:

1. A copy of applicant's academic certificates need to be submitted via the attachment section or e-mail to course coordinator or registar (sitisuhaili.shuib@petronas.com.my)

2. Incomplete application form and without the proper documents attached will be rejected.

3. You may refer to the guidelines for more information.

4. Please note that both programmes are non-residential programmes.

1. Programme Title *

2. Session Date *

Please note that all the session is fully booked. However, if you are still interested to join this course, you may fill up the waiting list slot which to be contacted later.

3. Name *

(As per NRIC in capital letters)

4. IC Number *

5. Staff ID (For PETRONAS Staff Only)

6. Cost Center (For PETRONAS Staff Only)

7. Age *

8. Sex *

Male
Female

9. Nationality *

Malaysian
Others, please specify

10. Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

11. Highest Academic Qualification *

SPM
Diploma
Degree
Other

12. Field of Study *

Science
Engineering
Other

13. Working Experience *

14. Current Position *

13. Contacts

Tel.No (O) *

H/Phone No *

Email *

16. Food Preference *

Vegetarian
Non-Vegetarian

17. Jacket Size *

Chest size in centimeter (cm)

Attachments

All documents are required to either be attached in the area below or be emailed to Siti Suhaili Shuib (sitisuhaili.shuib@petronas.com.my) after submitting this form:

1) A certified copy of highest academic certificate (*CTC required) of the participant.

2) Proof of superior’s approval i.e. email for attending this course (for PETRONAS employees only).

3) Job offers letter/letter from company stating participant’s working experience (other than Diploma/Degree in Science or Engineering certificate holder)

Click or drag files to this area to upload. You can upload up to 3 files.

All attachments must be CERTIFIED TRUE COPY

Sponsor Information *

Self-sponsored
Company-sponsored

C. PAYMENT INFORMATION

19. Payment Method *

Telegraphic Transfer (TT)
Cheque Deposit
Bank Draft
HRDC - SBL KHAS

21. Remarks

D. PERSONAL DATA PROTECTION ACT (PDPA)

I expressly agree and consent to INSTEP processing my Personal Data (including my Sensitive Personal Data) in accordance with INSTEP Privacy Statement. Click here for details on PDPA Notice or please visit our website at www.instep.my

I expressly agree and consent to INSTEP Terms and Conditions

I, hereby declare that my company agree to send me as a candidate and bear my course fee for this course. If my company does not acknowledge my participation, I agree to bare all the cost for this training.