Persatuan Pendidik Malaysia/ ⼤⻢教育公会: Email
Persatuan Pendidik Malaysia/ ⼤⻢教育公会: Email
Persatuan Pendidik Malaysia/ ⼤⻢教育公会: Email
Email *
LEVEL
DIPLOMA
BACHELOR OR DEGREE
MASTER DEGREE
COURSE /科系
(Please list out three choices of courses /请选择三个科系)
https://docs.google.com/forms/u/2/d/1TK1tNYMcnAsa40cZ4DsNZ5…Jo_6ZfsjL-RoMfPyBk0zkeTdaQM1PHr9L8n3T_ckNJcaMaIGqWWFRrtE4w Page 1 of 10
Persatuan Pendidik Malaysia/⼤⻢教育公会 16/06/2023, 2:02 PM
DURATION OF COURSE/课程时间 *
1 YEARS
2 YEARS
3 YEARS
4 YEARS
B. PERSONAL PARTICULARS/个⼈资料
FULL NAME/姓名 *
Charis Loo Si Qi
DATE OF BIRTH/⽣⽇⽇期 *
DD MM YYYY
24 / 11 / 2005
NRIC/身份证号码: *
241105010922
https://docs.google.com/forms/u/2/d/1TK1tNYMcnAsa40cZ4DsNZ5…Jo_6ZfsjL-RoMfPyBk0zkeTdaQM1PHr9L8n3T_ckNJcaMaIGqWWFRrtE4w Page 2 of 10
Persatuan Pendidik Malaysia/⼤⻢教育公会 16/06/2023, 2:02 PM
MARITAL STATUS/婚姻状况 *
SINGLE
MARRIED
ADDRESS/地址 *
8, Jalan Puteri Indah 2 /1, Taman Puteri Indah, 83000 Batu Pahat, Johor
TEL.NO.MOBILE/⼿机号码 *
0177062552
RELIGION/宗教信仰
Christian
https://docs.google.com/forms/u/2/d/1TK1tNYMcnAsa40cZ4DsNZ5…Jo_6ZfsjL-RoMfPyBk0zkeTdaQM1PHr9L8n3T_ckNJcaMaIGqWWFRrtE4w Page 3 of 10
Persatuan Pendidik Malaysia/⼤⻢教育公会 16/06/2023, 2:02 PM
PERSONALITY/性格
INTROVERT/内向
EXTROVERT/外向
HOBBIES/爱好
OKU/您是属于OKU吗? *
YES/是
NO/不是
C. EDUCATION BACKGROUND/教育背景
PRIMARY SCHOOL/⼩学 *
SECONDARY SCHOOL/中学 *
https://docs.google.com/forms/u/2/d/1TK1tNYMcnAsa40cZ4DsNZ5…Jo_6ZfsjL-RoMfPyBk0zkeTdaQM1PHr9L8n3T_ckNJcaMaIGqWWFRrtE4w Page 4 of 10
Persatuan Pendidik Malaysia/⼤⻢教育公会 16/06/2023, 2:02 PM
Name of University/⼤学
如果已被⼤学⼊取,请填写⼤学名字和开学⽇期。若⽬前正读着中六的学⽣,请填写中六选择理科
或⽂科.
申请UTAR
D. RESULT/成绩
UPSR
A B C D E
Bahasa
Melayu(Pemahaman)
Bahasa
Melayu(Karangan)
English
Mathematic
SCIENCE
华语理解
华语作⽂
https://docs.google.com/forms/u/2/d/1TK1tNYMcnAsa40cZ4DsNZ5…Jo_6ZfsjL-RoMfPyBk0zkeTdaQM1PHr9L8n3T_ckNJcaMaIGqWWFRrtE4w Page 5 of 10
Persatuan Pendidik Malaysia/⼤⻢教育公会 16/06/2023, 2:02 PM
PT3
A B C D E
Bahasa Melayu
English
Science
Mathematic
Bahasa Cina
Geoghraphy
Sejarah
Other subject
SPM/O level
A+ A A- B+ B C+ C D E
Bahasa Melayu/Malay
Language
Bahasa
Inggeris/English
Language
Sejarah/History
https://docs.google.com/forms/u/2/d/1TK1tNYMcnAsa40cZ4DsNZ5…Jo_6ZfsjL-RoMfPyBk0zkeTdaQM1PHr9L8n3T_ckNJcaMaIGqWWFRrtE4w Page 6 of 10
Persatuan Pendidik Malaysia/⼤⻢教育公会 16/06/2023, 2:02 PM
Matematik/Mathematic
Pendidkan Moral/Moral
Education
Sains/Science
Fizik /Physic
Kimia/Chemistry
Biologi/Biology
Bahasa Cina/Chinese
Language
Prinsip
Perakaunan/Principle
of Accounting
Subjek Lain/Other
Subject
Row 13
https://docs.google.com/forms/u/2/d/1TK1tNYMcnAsa40cZ4DsNZ5…Jo_6ZfsjL-RoMfPyBk0zkeTdaQM1PHr9L8n3T_ckNJcaMaIGqWWFRrtE4w Page 7 of 10
Persatuan Pendidik Malaysia/⼤⻢教育公会 16/06/2023, 2:02 PM
STPM/A Level/Matriculation/Diploma/统考
A A- B+ B B- C+ C C- D+ D
GENERAL
STUDIES
HISTORY
PHYSIC
BIOLOGY
CHEMISTRY
MATHEMATIC
M
MATHEMATIC
T
ECONOMY
GEOGRAPHY
ACCOUTING
OTHER
https://docs.google.com/forms/u/2/d/1TK1tNYMcnAsa40cZ4DsNZ5…Jo_6ZfsjL-RoMfPyBk0zkeTdaQM1PHr9L8n3T_ckNJcaMaIGqWWFRrtE4w Page 8 of 10
Persatuan Pendidik Malaysia/⼤⻢教育公会 16/06/2023, 2:02 PM
Loo Nyak Yong(father ) , Tan Bee Kheng(mother) , Stella Loo Si Yi (younger sister)
F. CO-CURRICULUM VATAE/课外活动资料
CO-CURRICULUM VATAE/课外活动资料 *
G. PERSONAL ACHIEVEMENT/个⼈成就
PERSONAL ACHIEVEMENT/个⼈成就 *
H.WORKING EXPERIENCE/⼯作经验
WORKING EXPERINCE/⼯作经验 *
(Name of company, position and years of working)
Tuisyen centre
https://docs.google.com/forms/u/2/d/1TK1tNYMcnAsa40cZ4DsNZ5…Jo_6ZfsjL-RoMfPyBk0zkeTdaQM1PHr9L8n3T_ckNJcaMaIGqWWFRrtE4w Page 9 of 10
Persatuan Pendidik Malaysia/⼤⻢教育公会 16/06/2023, 2:02 PM
REASON/申请原因: *
AT LEAST 100 WORDS/⾄少100个字
B40群体
Forms
https://docs.google.com/forms/u/2/d/1TK1tNYMcnAsa40cZ4DsNZ…Jo_6ZfsjL-RoMfPyBk0zkeTdaQM1PHr9L8n3T_ckNJcaMaIGqWWFRrtE4w Page 10 of 10