Training Scheme for Marketing Representatives [Registration Form] Name*NRIC*Age*Address*Email* Contact Number*Highest Qualifications (Doctorate, Master, Bachelor, Diploma, Professional Qualifications)*Name of Institution/ Professional Bodies*Note: Please attach/ upload the relevant documents to support your qualification above.*Accepted file types: jpg, gif, png, pdf, doc.REASONS OF APPLICATION (Please tick (X) where necessary):* I have been recently displaced from a job (for example you were self-employed but is now without work). I have been recently retrenched or laid off by my company. I received notice that my employment will be terminated or laid off. Others, please specify: Effective date of displacement/ retrenchment/ laid off:Note: Please attach/ upload the relevant documents for us to verify that you have been/ will be displaced/ retrenched/ laid off.*Accepted file types: jpg, gif, png, pdf, doc.DECLARATION AND SIGNATURE* I hereby declare that I have given my consent to the processing of my personal data in accordance with the Notice under the Personal Data Protection Act 2010. I hereby confirm that the information provided herein is accurate, correct and complete and that the documents submitted along with this application form are genuine. I understand that my application is subject to review and approval by SIDC, and should this application is approved, I agree and undertake to execute the necessary agreement or contract document with SIDC and abide by or comply with the relevant terms and conditions of the Initiative including but not limited to the requirements prescribed by the Securities Commission Malaysia’s Guidelines for Marketing Representative I further understand that SIDC has the sole and absolute discretion to refuse or revoke its approval as it deems fit in the event that I fail to provide true and accurate information of a material nature of this application and/or fails to fulfill its undertakings made in this declaration.