Microsoft Word - Application Form - Doc (SBC) PDF
Microsoft Word - Application Form - Doc (SBC) PDF
Microsoft Word - Application Form - Doc (SBC) PDF
1. PERSONAL PARTICULARS
Name: __________________________________
NRIC No.: __________________________________
Address: __________________________________ Please attach
passport-
__________________________________ sized
Email Address: __________________________________ photograph
here
Tel. No. (Home): __________________________________
Tel. No. (Mobile) __________________________________
2. TRAINING DETAILS
Name of University: __________________________________________________
University Address: __________________________________________________
__________________________________________________
Faculty & Programme: __________________________________________________
Name of Co-ordinator: __________________________________________________
University/Faculty Tel.: __________________________________________________
University/Faculty Fax: __________________________________________________
Date of Training: Start: ___________________ End: ______________________
Duration: _______________ (Weeks)
3. CHECKLIST
Please attach the following documents to this application form:
Application Cover Letter (from faculty)
Complete list of all courses/subjects taken to-date
Copy of Academic Transcript * must be certified true copy
Copy of NRIC (both sides) * must be certified true copy
Passport-sized Photograph * to be attached in Section 1 above
4. TRAINING PROGRAMME PREFERENCE (please mark “X” for the preferred program)
Microbiology Laboratory
Molecular Biology Laboratory
Extraction and Analytical Chemistry Laboratory
Bio-informatics
Traditional Knowledge (TK) Documentation
Public Awareness and Appreciation
Placement is subject to SBC’s discretion and you may not be placed at your most preferred
programme.
5. EMERGENCY CONTACT
Name of contact : __________________ Relationship : ______________
Tel. (Home/Office) : ___________________ Tel No. (Mobile) : ______________
7. DECLARATION
I, ____________________________________ (NRIC No.) ______________________,
hereby declare that all the information submitted in this application form is true; and that I
have read and understood all the terms and conditions stated in Section 6 (a) – (h).
Please mail the completed application form together with the required documents to:
SARAWAK BIODIVERSITY CENTRE
KM20, Jalan Borneo Heights, Semenggoh
Locked Bag No. 3032
93990 Kuching, Sarawak
(Tel) 082-610 610
(Fax) 082-611 535
(Email) [email protected]