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APPLICATION FOR CERTIFICATE OF COMPETENT PERSON
DIRECTOR GENERAL
FIRE AND RESCUE DEPARTMENT OF MALAYSIA
LEBUH WAWASAN,
PRESINT 7, 62250 PUTRAJAYA
(ATT : ADG FIRE SAFETY DIVISION )
I wish to apply for the Certificate of Competent Person
* Mandatory Field

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FORM APA 1
Particulars of Applicant
Name as per NRIC * Abd Majid Bin Gabriel
Sex *
   
Address of applicant *
Example : No. 20, Tingkat Bawah, Jalan Cempaka 3/12, Taman Cempaka, 50200
State
City
Identification card no *
Copy of identification card *
    (Replace) ( Copy Of Identification Card Must be Certified by the Commisioner for Oath)
Telephone *
Email Address muhamad_aminl@yahoo.com.my
Place of Birth *
Current job and position *
Name of the Company
Address of the Company
Academics qualification / Training Course
Please Submit Copies of All The Certificate(s) (SPM, Competent Person Certificate(UPM) and Confirmation of Working Experiance) Which is Certified by the Commisioner for Oath.
Brief explanation on experience *
Reject Remarks *
1. Sila upload Sijil SPM dan Sijil Kursus Competent Person dari Universiti Putra Malaysia (UPM) secara online melalui sistem efeis. 2. Sila poskan salinan kad pengenalan, sijil SPM dan Sijil Kursus Competen Person (UPM) yang telah disahkan oleh Pesuruhjaya Sumpah ke alamat berikut: Bahagian Keselamatan Kebakaran Jabatan Bomba dan Penyelamat Malaysia d/a Tingkat 2, Balai Bomba dan Penyelamat Cyberjaya, Persiaran APEC, 63000 CYBERJAYA, Selangor 3. Sila poskan surat pengesahan pengalaman pekerjaan dari majikan terdahulu dan/atau sekarang. 4. Sila gunakan huruf besar pada ejaan NAMA & ALAMAT