APPLICATION FORM  FOR TUTOR'S POST
  
 
OPEN UNIVERSITY MALAYSIA
  
 
Date: 11:07 AM 03 Jul 2009
  
 
 
 
 
 
 
     
  * compulsory fields  
 
 
 
*University Learning Centre
(Institut Perguruan is only for KDP, SMP and SMK programme)
*Faculty
 
Select courses you wish to teach
First Choice
Second Choice
Third Choice
Fourth Choice
Fifth Choice
 
     
  A. PERSONAL PROFILE  
     
 
Designation
*Full Name
*Correspondence Address
 
*Postcode *City
*State
 
     
  Telephone Number  
 
House Office
*Mobile Facsimile
*Email
 
     
 
IC Number
*New (without dashes) Old
Date of Birth
*Race  
*Sex MALE         FEMALE
*Marital Status
Languages
Bahasa Malaysia Spoken
Written
English Spoken
Written
Others (please specify) Spoken
Written
 
 
   
Current Job (eg: Manager in IT Department)
Office Address
 
Postcode City
 
     
     
  * B. EDUCATIONAL BACKGROUND  
 
  Level of Education Specialization University / Institution

Year of
Graduation
1
2
3
4
 
     
  ** Year only (eg :2004)  
  C. Teaching Experience (or any other Training session conducted)  
 
  Institution Subject

**Year From

**Year To

 Level Taught (eg:Cert/Dip/Deg)
1
2
3
 
     
  D. Working Experience  
 
  Organisation Position

**Year
From

**Year
To

1
2
3
 
     
  * E. Research and Publications (if any)  
 
Publication/
Research (1)
characters leftcharacters left
Publication/
Research (2)
characters leftcharacters left
Publication/
Research (3)
characters leftcharacters left
 
     
     
  F.Computer and Internet Skills  
 
Computer Skills  
Microsoft Word
Microsoft Power Point
Microsoft Excel
   
Internet Skills  
Email
Downloading
Online Moderation
 
     
     
  G. Interests  
 
Interests (eg: reading, tennis, swimming, cooking)
characters leftcharacters left
 
     
  H.Bank Account No. (if applicable)  
  Maybank Account No  
  Bumiputera Commerce Account No  
     
     
 

What can you contribute to OUM ? (Please indicate in not more than 500 words.)


characters left
 
 
   
* compulsory fields
** Year only (eg :2004)