This document contains a form for trainees to provide their personal information and details about their industrial training placement. Section I requests the trainee's name, identity card number, gender, nationality, religion, race, mailing address, and contact phone number. Section II is for information about the organization hosting the training, including its name, address, phone/fax numbers, name and job title of the supervisor, and duration of the training period. The form is to be included in the trainee's training file.

1. LAMPIRAN E
MAKLUMAT PELATIH
(Diisi oleh pelatih untuk dimasukkan ke dalam Fail Latihan Industri)
Lekatkan
gambar di sini
NAMA PUSAT BERTAULIAH:
KOD DAN NAMA PROGRAM:
BAHAGIAN I : MAKLUMAT PERIBADI
1. Nama :____________________________________
2. Nombor K.P. :____________________________________
3. Jantina :____________________________________
4.. Warga negara :____________________________________
5. Agama :____________________________________
6. Bangsa :____________________________________
7. Alamat Surat Menyurat :____________________________________
____________________________________
____________________________________
8. Nomber Telefon :____________________________________
9. E-mail :____________________________________
BAHAGIAN II : MAKLUMAT SYARIKAT/JABATAN PENEMPATAN LATIHAN
INDUSTRI
1. Nama Organisasi :________________________________________
2. Alamat Surat Menyurat :________________________________________
________________________________________
________________________________________
3. No. Telefon/Faks :________________________________________
4. Nama Penyelia :________________________________________
5. Jawatan :________________________________________
6. No. Telefon Penyelia :________________________________________
7. Tempoh Latihan :________________________________________