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REGISTRATION FORM ECP - PLC TECHNOLOGY
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* Indicates required question
Email
*
Your email
SECTION A : Personal Particular
Name (as per NRIC)
*
Your answer
NRIC/MyKad
*
Your answer
Home Address
Your answer
Telephone (Home)
Your answer
Telephone (Mobile)
*
Your answer
Date of Birth
MM
/
DD
/
YYYY
Age
Your answer
Gender
Female
Male
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Race
Your answer
Marital Status
Single
Married
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Nationality
Your answer
SECTION B : Education Qualifications
*
Please choose ONLY one
Degree
Diploma
Diploma Kemahiran Malaysia
Institution
*
IPTA
IPTS
Degree / Diploma obtained
*
Your answer
Year
Your answer
SECTION C : Choose Programme
*
Expert Craftsman Mechatronic - PLC Technology
Required
SECTION D : Working Experience (if any)
*
Your answer
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