SAPPS SDSI: Shah Alam, Petaling, Selangor
Date: 25th October 2024
Venue: Dewan Kenanga, Kompleks Pejabat Kerajaan Daerah Petaling, Selangor

Tarikh: 25hb Oktober 2024
Tempat: Dewan Kenanga, Kompleks Pejabat Kerajaan Daerah Petaling, Selangor
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Email *
Which agency/organization are you a member of?
Adakah anda adalah usahawan dari lain-lain agensi/organisasi? Sila nyatakan: (Public jika tiada agensi)
*
Full Name (as per IC) 
Nama Penuh (seperti dalam IC)
*
IC Number (without '-')
No Kad Pengenalan (tanpa '-')
*
Phone number (Example: 60123456789)
Nombor telefon (Contoh: 60123456789)
*
Gender
Jantina
*
Race
Kaum
*
Please specify your ethnic group if you are Bumiputera Semenanjung, Sabah or Sarawak
Sila nyatakan kumpulan etnik anda jika anda Bumiputera Semenanjung, Sabah atau Sarawak
Do you have any disabilities that is registered with JKM?
Adakah anda mempunyai kurang berkeupayaan yang didaftarkan dengan JKM?
*
If yes, what disability do you have?
Jika ya, apakah kurang keupayaan anda?
State
Negeri
*
District
Daerah
*
Postcode
Poskod
*
Level of education
Tahap pendidikan
*
Employment
Pekerjaan
*
Average Household Income
Pendapatan Isi Rumah Purata
*
Number of dependents
Jumlah tanggungan
*
How did you know about INSKEN and its programmes? (can choose more than 1)
Bagaimanakah anda tahu tentang INSKEN dan program INSKEN? (boleh pilih lebih dari 1)
*
Required
Which INSKEN programme have you attended before? (can choose more than 1)
Program INSKEN manakah yang anda telah sertai? (boleh pilih lebih daripada 1)
*
Required
If yes, please specify the programme(s) you've attended
Jika ya, sila nyatakan program yang anda pernah sertai
What is your t-shirt size?
Apakah saiz baju anda?
*
Do you have a Business?
(**Agent or Dropshippers count as having a business)

Adakah anda mempunyai Perniagaan? 
(** 'Agent' atau 'Dropshipper' dikira sebagai mempunyai perniagaan)
*
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