CONFIDENTIAL

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APPLICATION FOR EMPLOYMENT

REMINDER TO APPLICANT

1. Only one (1) copy of the form is to be forwarded to Human Resource Management. Application must be
completed with your latest information. Any certificate or relevant documents submitted must be certified
true copy and attached together with this application.

2. Applicants who are shortlisted for assessment will be notified at a later date. Original and certified true copy
documents will be required during the assessment.

3. Any claims on costs of transportation or any other expenses related to the assessment will be borne by
applicants.

A. Personal Details

Form of Address: Miss

First Name: norsuhadat Middle Name: binti

Last Name: nordin

Nationality: Malaysian

ID Number: 880712-11-5462

Passport: A34329575

Correspondence Address
Street/House Number: pba-2,kg.pengkalan berangan

Street/House Number 2:

Country: Malaysia Region: Terengganu

Location: marang Postcode: 21040

Communication Data
Email: [email protected]

Contact Number: 0137910421

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B. Education/Training

Period Institution: utm

Sep 7, 2011 - Jun 1, 2016 Country: Malaysia Region: Johor City: skudai,Johor
Education Type: Higher Learning Institution
Education Level: PHD
Education Field: Gas Engineering
Subject: gas
Final Grade: 3.67 Score out of: 4.00
Description: graduated on 22 October 2016

Co-Curricular Activities:
- Member (Postgraduate student society (Faculty))
Period Institution: utm
Jul 9, 2007 - May 20, 2011 Country: Malaysia Region: Johor City: skudai,Johor
Education Type: Higher Learning Institution
Education Level: Bachelor's Degree/Adv. Diploma
Education Field: Chemical Engineering
Subject: gas
Final Grade: 3.78 Score out of: 4.00
Description:

Co-Curricular Activities:
- Member (Postgraduate student society (Faculty))
- Member (Gess student society)
- Member (IEM (Institution of Engineers Malaysia))
Period Institution: Matriculation College
May 8, 2006- May 15, 2007 Country: Malaysia Region: Melaka City: Londang, Melaka
Education Type: Pre-university
Education Level: Pre-university certificate
Education Field: Physics
Subject: Physic
Final Grade: 4.00 Score out of: 4.00
Description:

Co-Curricular Activities:
- Member (Postgraduate student society (Faculty))
- Member (Gess student society)
- Member (IEM (Institution of Engineers Malaysia))
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Period Institution: Sek.Men.Sains.Seri Puteri, KL

Feb 9, 2004 - Dec 2, 2005 Country: Malaysia Region: Kuala Lumpur City: Kuala Lumpur
Education Type: High school
Education Level: High school certificate
Education Field: Sciences
Subject: Science
Final Grade: 8As Score out of: 10AS
Description:

Co-Curricular Activities:
- Member (Postgraduate student society (Faculty))
- Member (Gess student society)
- Member (IEM (Institution of Engineers Malaysia))
- Member (Scout Society)
- Treasurer (mathematic club)
- Member (Petanque club)
- Member (Koperasi Sekolah)
Period Institution: Sek.Men.Pengkalan Berangan
Jan 1, 2001 - Nov 11, 2003 Country: Malaysia Region: Terengganu City: Marang
Education Type: High school
Education Level: High school certificate
Education Field:
Subject:
Final Grade: 8As Score out of: 8AS
Description:

Co-Curricular Activities:
- Member (Postgraduate student society (Faculty))
- Member (Gess student society)
- Member (IEM (Institution of Engineers Malaysia))
- Member (Scout Society)
- Treasurer (mathematic club)
- Member (Petanque club)
- Member (Koperasi Sekolah)
- Member (Pandu Puteri)
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Period Institution: Sek.Ren.Pengkalan Berangan

Jan 1, 1995 - Nov 11, 2000 Country: Malaysia Region: Terengganu City: marang
Education Type:
Education Level: Primary school certificate
Education Field:
Subject:
Final Grade: 4As Score out of: 5AS
Description:

Co-Curricular Activities:
- Member (Postgraduate student society (Faculty))
- Member (Gess student society)
- Member (IEM (Institution of Engineers Malaysia))
- Member (Scout Society)
- Treasurer (mathematic club)
- Member (Petanque club)
- Member (Koperasi Sekolah)
- Member (Pandu Puteri)
- Member (Scout)

C. Work Experience

Period Employer: arena bestari tuition center

Jun 6, 2016 - Aug 1, 2016 Country: Malaysia Region: Johor City:
Job Title: tutor
Employment Type: Temporary
Industry: Education
Functional Area: Education and Scholarship
Years of Experience: Entry level (less than 3 years working experience)
Description:
Period Employer: UTM-MPRC for Oil and Gas Institute
Sep 25, 2015 - Country: Malaysia Region: Johor City: Skudai,Johor
Nov 17, 2015
Job Title: Research Assistant
Employment Type: Contract
Industry: Oil & Gas
Functional Area: Process Technology /Operations
Years of Experience:
Description: -Preparing project proposal for industry-UTM collaboration
on Adsorbent Natural Gas storage (ANG)
-Design and sizing ANG storage tank
-Helping in preparing documentation for audit
-Preparing IP (patent application) for related research
products
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Period Employer: Globegas Engineering Sdn.Bhd

Apr 26, 2010 - Country: Malaysia Region: Selangor City: Kajang
Jul 2, 2010
Job Title: Internship
Employment Type: Contract
Industry: Oil & Gas
Functional Area: Civil/Structural & Pipeline Engineering
Years of Experience:
Description: Monitoring project onsite of installation and operation of
gas pipeline system
preparing submission/documentation for gas piping
installation and operation approval
Preparation tenders/quotations
Prepare maintenance proposal

Period Employer: sabrina tuition center

Jan 2, 2017 - Country: Malaysia Region: Selangor City: bangi
Job Title: tutor
Employment Type: Temporary
Industry: Education
Functional Area: Education and Scholarship
Years of Experience: Entry level (less than 3 years working experience)
Description:

D. Preferences

Current Salary: MYR

Salary Expectations: MYR 4,000 - 6,000

(Negotiable)

Employment Fraction: Full-time

Willing to Travel: 99 % Willingness to Relocate: Yes

Possess Own Transport: Yes

Available with Notice: 01 Months

Available After Date:

Industry Functional Area Hierarchy Level

Process Technology /
Research and development Entry level (less than 3 years working experience)
Operations
Materials, Corrosion and
Oil & Gas
Inspection Engineering
CONFIDENTIAL

Desired Working Location

Country Region City

Malaysia Selangor Bangi

Malaysia Terengganu Kerteh

Brunei Daruss.

E. Declarations

Awarded PETRONAS Sponsorship: Yes

Year Awarded: 2011

TItle of Sponsorship: My PhD (Kementerian Pengajian Tinggi)

Awarded Sponsorship from Any Organization: Yes

Name of Organization: My PhD (Kementerian Pengajian Tinggi)

Contractually Bonded: N/A

Employed by PETRONAS Previously: No

Name of Company:

Employment Type: N/A

Duration:

Participation in any PETRONAS entry level assessment

Name Year Month Name of Company

Phone Interview / Preliminary Discussion 0000 00

Online Test 0000 00

Technical Assessment 0000 00

Final Interview 0000 00

Any relative(s) currently employed by PETRONAS and/or its Group of Companies

Name Relations Company Emloyed

CONFIDENTIAL

Have you been declared a bankrupt? No

Year of bankruptcy : 0000

Have you convicted by any division of criminal court? No

Court :

Criminal Case :

Year of conviction : 0000

How do you know about this opportunity: N/A

Are you currently an owner/shareholder of an enterprise or private limited company?: No

Name of company/enterprise:

Title held in company/enterprise:

Nature of business:

Referrals

Name Position/Company Contact Number

ASSOC.PROF.IR.DR.ZAINAL ZAKARIA Senior Lecturer/UTM 0197515410

DR.MARIANI IDROAS Senior Lecturer/UTM 0127892509

Declaration Statement
I hereby certify that all the statements made in this declaration are true and correct. I understand that I must
demonstrate that I meet the minimum requirements of the job, and further understand that any exaggerated or
false statement(s) omission of requested information may be a cause for my application to be rejected; or, if I
have been employed may be caused for the termination of my services. By signing this application, I agree to
authorize the use of any information in this application to verify my statements, and I authorize all past
employers, past educators and references to release any/all information concerning my previous employment
and educational records.

✔ Yes, I agree.

F. Attachments

Document Title Attachment Type

resume Resume

IC.pdf IC / Passport

Status Letter Qualification certificate

Degree Certificate Qualification certificate

CONFIDENTIAL

Document Title Attachment Type

Degree Transcript Qualification certificate

Matric Qualification certificate

SPM result Qualification certificate

School Completion Cert Others

PMR result Qualification certificate

PMR appreciation Others

Society Others

Sport university Photo

Activity Matric Others

Photo Photo

phd cert. Qualification certificate

phd transcript Qualification certificate

G. Data Privacy Statement

PETRONAS is fully committed to the protection of Personal Data and the compliance of Personal Data Protection
Act 2010 ("Act"). PETRONAS assures that any Personal Data collected, stored, processed and used for the
purpose of this registration/application shall comply with the requirements of the Act and only to be used within
the PETRONAS Group of Companies.

Data Privacy Statement

We ensure that the data you submit to us remains confidential and is used only for the purposes stated in the
data privacy statement.

Consent Notice For Processing of Personal Data Pursuant to Requirements of Personal Data
Protection Act (PDPA) 2010
I hereby give my consent for PETRONAS NASIONAL BERHAD ("PETRONAS") and its Group of Companies
including its joint venture, affiliate and associate companies to process and to disclose to any relevant third party
my personal data for the purpose of employment application and anything directly related to it.

✔ Yes, I have read the data privacy statement and I accept it.

Name: Date:

ID/Passport Number: