SEASEP Ph.2 Enrolment (Rev.5) - Indonesia
SEASEP Ph.2 Enrolment (Rev.5) - Indonesia
SEASEP Ph.2 Enrolment (Rev.5) - Indonesia
Under this program, financial assistance is available for Indonesian citizens wishing to
pursue a career in Welding, Non-Destructive Testing (NDT), Occupational Health and
Safety (HSE), Blasting and Painting, and plant Inspection.
SEASEP offers partial subsidies towards the cost of training. Any remaining course
fees should be paid by yourself, your employer, a government schemes
(e.g. apprenticeships) or other national or international charities.
Title
Gender
Date of Birth
D D M M Y Y Y Y
Country of Birth
Permanent Address
Country: Telephone:
Mobile: Email:
Country: Telephone:
Mobile: Email:
Candidates who hold an international or national certificate in safety, may be exempt from ‘IOSH Working
Safely’ training.
To gain exemption, please attach the copy of your certificate to this enrolment form.
☐ Because it is affordable 4
Please describe your current experience within the subject of your training (if any)
18
Please list the education you completed in chronological order, starting from the highest.
Results
School / College / Year
Level Subject (grades / bands
Awarding body Taken
or GPA)
Please list your current qualifications relevant to your current employment (if applicable)
Qualification level Certificate expiry
Qualification name Awarding body
(if applicable) date (if applicable)
19
Please list your occupational (work) history in chronological order (if applicable)
☐ 0 – 3 mil Rp
☐ 3 – 5 mil Rp
☐ 5 – 10 mil Rp
☐ 0 – 3 mil Rp
☐ 3 – 5 mil Rp
☐ 5 – 10 mil Rp
☐ 0 – 3 mil Rp
☐ 3 – 5 mil Rp
☐ 5 – 10 mil Rp
Please tell us, which skills you believe you need to gain / your company believes you
need to gain)?
Please select up to a maximum of 4 options (from each column)
I believe I My company
need believes I need
Attention to detail ☐ 61 ☐ 71
81
82
Bursary Eligibility
Please tick the boxes to confirm:
(ii) the use of my personal data by TWI to fulfil its legal and contractual obligations including the
sharing of my personal with third parties for this purpose, and
(iii) being contacted by TWI or third parties for or on behalf of TWI to access impact of the
training
Cooperation on study-case
We may contact you to ask you for case study on behalf of TWI or Lloyds register. Please could you confirm
we have your consent with this?
Candidate’s Declarations
I do agree that I will participate on the follow up surveys and interviews as required by programme
☐ (represented either by TWI and/or Lloyds register foundation).
I confirm that the information given in this form is true, complete and accurate and no information requested
or other material information has been omitted. I give my consent to the processing of my data by TWI as
provided for herein.
Please tell us, what is/are your main motivators to get your personnel upskilled?
Please select up to a maximum of 4 options
Employer’s Declarations
I do agree that I will participate on the follow up surveys and interviews as required by programme
☐ (represented either by TWI and/or Lloyds register).
TWI is collecting this information to help assess and process your Lloyd’s Register Foundation
Scholarship eligibility and to undertake marketing, legal or contractual obligations concerning
the scholarship. The information will be held on file by TWI. This application form is also used
to collect data for third parties. Access to the information you provide will be restricted to a
limited number of authorised TWI Ltd and third party staff. If unsuccessful your application
form will remain on file and be destroyed after one year.
Your information will be processed and stored (by means of a computer database or otherwise) as described
above for a duration to fulfil the statutory and recommended retention periods and as required by any
contractual obligations of TWI. If you have any concerns about your personal information please contact
[email protected].
The granting of a Lloyd’s Register Foundation Scholarship bursary and the amount of said bursary is at the
discretion of TWI. No correspondence relating to the bursary will be entered into. Applications from
candidates who do not meet the minimum level of qualification to undertake the course to which a bursary
application has been made will be ineligible to receive a bursary. TWI shall have the right, at its sole
discretion and at any time, to change or modify the terms and conditions of the Lloyd’s Register Foundation
Scholarship, such change shall be effective immediately upon posting to its webpage
(www.twiindonesia.com).
TWI shall mean as appropriate: TWI Technology (S.E.Asia) Sdn. Bhd. (Reg. No. 247037-X) - No. 1, Jalan
Utarid U5/13 - Section U5, 40150 Shah Alam, Selangor Darul Ehsan, Malaysia; TWI Ltd, Granta Park, Great
Abington, Cambridge CB21 6AL, United Kingdom and/or PT. Teknologi Weldim Indonesia, Mutiara Building,
3rd Floor, Room 301, Jl. Mampang Prapatan Raya No. 10, Jakarta Selatan, 12790, Indonesia.
Discount Code: