INTERNSHIP APPLICATION FORM
Name
*
First Name
Last Name
NRIC Number
*
Gender
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Please Select
Male
Female
Race
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Please Select
Malay
Chinese
Indian
Others
Religion
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Islam
Buddha
Christian
Hinduism
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Marital
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Married
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Date of Birth
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Month
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Day
Year
Date
Place of Birth
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Email
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Phone Number
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name/ Address/ Contact/ Relationship
*
Education History 1
*
Education History 2
*
Internship Date (Start)
*
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Month
-
Day
Year
Date
Internship Date (End)
*
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Month
-
Day
Year
Date
Health Status/ Allergy/ History of Medical
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Please attach the Resume
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Please attach the Internship Letter
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Please attach the NRIC Copy
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Please attach Training Certificates
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Please attach Passport-sized Photograph
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By submitting this application form, I acknowledge and agree to share my personal details/data with Pomen AutoData Sdn Bhd as part of the recruitment and internship application process. I also confirm that all the details provided are correct, and I understand that the company can withdraw my application if the details given were incorrect or fraudulent.
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