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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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* Indicates required question
Email
*
Your answer
Which agency/organization are you a member of?
Adakah anda adalah usahawan dari lain-lain agensi/organisasi? Sila nyatakan: (Public jika tiada agensi)
*
Amanah Ikhtiar Malaysia (AIM)
TEKUN Nasional
Perbadanan Nasional Berhad (PERNAS)
Suruhanjaya Koperasi Malaysia (SKM)
Institut Koperasi Malaysia (IKMa)
Angkatan Koperasi Kebangsaaan Malaysia Berhad (ANGKASA)
Jabatan Perpaduan Negara & Integrasi Nasional (JPNIN)/IKLIN
Majlis Bandaraya Petaling Jaya (MBPJ)
Lembaga Minyak Sawit Malaysia
Lembaga Getah Malaysia
IADA
MARDI
GIATMARA
Yayasan Hijrah Selangor
UPEN Selangor
Public / Awam / Umum
Other:
Full Name (as per IC)
Nama Penuh (seperti dalam IC)
*
Your answer
IC Number (without '-')
No Kad Pengenalan (tanpa '-')
*
Your answer
Phone number (Example: 60123456789)
Nombor telefon (Contoh: 60123456789)
*
Your answer
Gender
Jantina
*
Male / Lelaki
Female / Perempuan
Race
Kaum
*
Malay / Melayu
Chinese / Cina
Indian / India
Bumiputera Semenanjung (please specify in the next question / sila nyatakan dalam soalan seterusnya)
Bumiputera Sabah (please specify in the next question / sila nyatakan dalam soalan seterusnya)
Bumiputera Sarawak (please specify in the next question / sila nyatakan dalam soalan seterusnya)
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
Your answer
Do you have any disabilities that is registered with JKM?
Adakah anda mempunyai kurang berkeupayaan yang didaftarkan dengan JKM?
*
Yes (If yes, please answer the next question) / Ya (Jika ya, sila jawab soalan seterusnya)
No / Tidak
If yes, what disability do you have?
Jika ya, apakah kurang keupayaan anda?
Choose
Physical disability / Kurang keupayaan fizikal
Vision impairment / Gangguan penglihatan
Deaf or hard of hearing / Kesukaran pendengaran
Mental health conditions / Keadaan kesihatan mental
Intellectual disability / Kurang keupayaan intelek
Learning difficulty / Masalah pembelajaran
Speaking difficulty / Kurang keupayaan bertutur
Multiple disabilities / Kurang keupayaan pelbagai
State
Negeri
*
Choose
Johor
Kedah
Kelantan
Melaka
Negeri Sembilan
Pahang
Perak
Perlis
Pulau Pinang
Sabah
Sarawak
Selangor
Terengganu
WP Kuala Lumpur
WP Labuan
WP Putrajaya
District
Daerah
*
Your answer
Postcode
Poskod
*
Your answer
Level of education
Tahap pendidikan
*
Choose
PhD / Doktor Falsafah
Master's Degree / Ijazah Sarjana
Bachelor's Degree / Ijazah Sarjana Muda
Diploma
Sijil Kemahiran
STPM / A-Level / Matrikulasi
SPM / O-Level
PMR / PT3 / SRP / LCE
UPSR
Employment
Pekerjaan
*
Choose
Government Sector / Kakitangan Kerajaan
Private Sector / Kakitangan Swasta
Self-Employed / Bekerja Sendiri
Housewife / Suri Rumah
Agent / Dropshipper
Student / Masih Belajar
Retired / Pesara
Unemployed / Tidak Bekerja
Gig Workers / Pekerja Gig (E.g.: Foodpanda, Grab, Lalamove, etc)
Average Household Income
Pendapatan Isi Rumah Purata
*
Choose
No Income / Tiada Pendapatan
Below RM 2,500 / Kurang daripada RM 2,500
RM 2,500 to RM 5,000 / RM 2,500 hingga RM 5,000
RM 5,001 to RM 8,000 / RM 5,001 hingga RM 8,000
RM 8,001 to RM 10,000 / RM 8,001 hingga RM 10,000
Above RM 10,000 / Lebih RM 10,000
Number of dependents
Jumlah tanggungan
*
Choose
None / Tiada
Less than 5 people / Kurang daripada 5 orang
5 to 10 people / 5 ke 10 orang
More than 10 people / Lebih daripada 10 orang
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)
*
Agency Collaboration / Kerjasama Agensi
Billboard / Papan iklan
E-mail / Emel
Events or/atau Booth INSKEN
Facebook
Facebook Ads / Iklan Facebook
Family and Friends / Keluarga dan Rakan
INSKEN Officers / Pegawai INSKEN
Instagram
Online Portal / Portal Atas Talian (E.g.: Siakap Keli, Rotikaya, dll)
Radio
Telegram
Trainer, Industry Coach or/atau BisKaunselor INSKEN
Website INSKEN / Laman Web INSKEN
WhatsApp
Word of mouth / Pemasaran mulut ke mulut
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)
*
Haven't attended any INSKEN programmes / Belum pernah sertai program INSKEN
INSKEN Training Programme / Program Latihan INSKEN
INSKEN Coaching Programme / Program Bimbingan INSKEN
INSKEN Outreach Programme
INSKEN FB Live
Required
If yes, please specify the programme(s) you've attended
Jika ya, sila nyatakan program yang anda pernah sertai
Your answer
What is your t-shirt size?
Apakah saiz baju anda?
*
Choose
S
M
L
XL
2XL
3XL
Do you have a Business?
(**Agent or Dropshippers count as having a business)
Adakah anda mempunyai Perniagaan?
(** 'Agent' atau 'Dropshipper' dikira sebagai mempunyai perniagaan)
*
Yes / Ya
No / Tidak
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