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.