Cidb Green Card Form PDF Details

The Construction Industry Development Board (CIDB) Green Card form plays a vital role in the construction industry in Malaysia, ensuring that construction personnel are properly registered and their qualifications duly recognized. As a means to streamline the workflow and uphold safety standards, the form requires comprehensive details, ranging from basic personal information to more detailed academic and skill qualifications. It is designed for both new registrations and renewals, with a particular section dedicated to updating necessary information such as occupation, employer details, and beneficiary information if applicable. Furthermore, the form outlines the registration and renewal fees structured according to the duration and specifics of the work permit for local and foreign workers. The form also comes with checks and balances, including a declination and certification process to verify the authenticity of the provided information. Emphasizing the importance of truthfulness, the form warns against the provision of false information, which could lead to registration nullification or legal action. This careful collection and verification of details not only contribute to the personal safety of construction personnel but also bolster the integrity and professionalism within the construction industry in Malaysia.

QuestionAnswer
Form NameCidb Green Card Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescidb green card application form, cidb form, check cidb online, cidb renewal fee 2021

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Lembaga Pembangunan

Industri Pembinaan Malaysia

CONSTRUCTION INDUSTRY DEVELOPMENT BOARD

Tingkat 10, Menara Dato' Onn,, Pusat Dagangan Dunia Putra,

No 45, Jalan Tun Ismail, 50480 Kuala Lumpur

Tel: 03-4047 7000 Fax No : 03-4047 7070 http:/www.cidb.gov.my

NEW REGISTRATION

RENEWAL

Please where applicable. For renewal, information for A, F & G are necessary to fill-up. Please enclose the certified documents as instructed.

A. APPLICANT'S INFORMATION

CIDB Registration Card No:

(Enclose copy of certified i.c)

 

UPP 1 FORM IS GIVEN

Pin.1/2014

FOR FREE

CONSTRUCTION PERSONNEL

REGISTRATION FORM

The Construction Personnel Registration Programme is based to Pekeliling Program Kad Hijau CIDB Bil.1/2000 dan Bil.1/2001.

General instruction:

-This Form is to be read together with Construction Personnel Registration Requirements & Procedures.

PHOTO

Please paste one recent i.c. size colour photograph with glue. Do not use stapler/cut the photo.

PHOTO MUST BE SHARP

& CLEAN

Full name:

 

Date of

 

birth:

 

 

(With capital letter as in i.c/passport)

 

 

New i.c.

Old i.c.

Nationality:

no:

no:

 

EXTRA INFORMATIONS TO BE FILLED-UP BY FOREIGN WORKER

Passport

Work permit

no:

expiry date:

(Enclose copy of passport with valid work permit certified by employer as appear on work permit)

Correspondence address:

Postcode

 

Tel. no.:

Mobile

tel. no.:

 

Race:

 

 

 

Religion:

 

 

Sex:

Male

Female

Marital status:

Single

Married

Divorcee/Widow/Widower

 

Permanent address if different:

 

 

 

 

Postcode

B. ACADEMIC/SKILL QUALIFICATION (Enclose copy of Technical Cerificate (marked **) if any)

Primary

SRP/LCE

SPM

SKM**/

Polytechnic**

Diploma**

Degree**

 

/PMR

/MCE

SPVM**

 

 

 

C. INFORMATION OF OCCUPATION

 

 

 

 

General

Construction

Skilled

Construction

Assistant

Construction

Construction

Worker

Worker

Construction

Site

Construction

Site Manager

Trainee

 

 

Worker

Supervisor

Manager

 

 

Income in daily/monthly:

Amount of salary in RM:

 

 

 

 

 

Daily

<29

30-39

40-49

50-59

daily

monthly

Monthly

<499

500-749

750-999

1000-1499

Field of skills & years of experience

(please refer list of trades in the form)

 

 

 

 

Others (please specify)

 

 

Master**

Doctor of **

 

 

 

 

Degree

Phylosophy

 

 

 

 

 

Others (please specify)

 

 

 

Administrative

 

 

 

 

 

Personnel

 

 

 

 

 

60-79

80-99

100-1119

120-139

140

or

1500-1999

2000-2499

2500-2999

3000-3999

4000

more

1.

Years

2.

Years

4.

Years

5.

Years

D. EMPLOYER INFORMATION

 

Contractor registration no. with CIDB:

Company name and address:

Please √ jif self employed

 

 

 

3. Years

6. Years

-

 

Tel

Fax

 

no:

no:

 

Mobile

 

Postcode

tel no:

 

E. BENEFICIARY INFORMATION

(Fill-up if applicant ages between 16 and 65 years old)

Name:

Sex:

 

I.c. no./

 

Birth cert.

Male

Female

/passport (if available)

 

 

Relationship:

 

 

Tel. no:

 

 

F. APPLICANT'S DECLARATION

I hereby certify that all the informations given and copy/ies of document/s enclosed with this form are right and true.

Application/Registration will be automatically deemed nullified for any false information and action including lawsuit can be taken.

G.CERTIFICATION

(Certification can be made by officers as stated in the registration procedure. For foreign worker, certification can only be done by employer as appeared in the work permit).

I hereby certiffy that informations given are true.

Permanent address if different than applicant's address:

 

CERTIFICATION

 

Signature & Date

Signature & Date

Postcode

Name

Name

REGI STRATI ON FEE

RENEW AL FEE

................................Tarikh terima: ........…........................... Bayaran: RM

No. Resit:

Local worker

RM 5 0

Local worker

RM 5 0 ( 2 YEARS)

 

ages between

 

Borang Bermasalah

Pengesyoran Kategori & Tred

Foreign worker

 

with one year or less

RM 2 5

work permit

 

Foreign worker with

 

more than one year

RM 5 0

work permit

 

Payment can be made by money order or bank draft made payable to CIDB Malaysia. Cash payment can only be accepted for submission at CIDB counter

16 and 70 years

RM 70

( 3 YEARS)

RM 10 0 ( 5 YEARS)

 

 

 

 

 

 

 

Local worker

RM 5 0

 

ages above

( 5 YEARS)

70 years

 

 

 

 

 

Foreign worker

 

( AS I N

with one year or less

RM 2 5

W ORK

work permit

 

PERM I T)

 

 

 

 

 

 

Foreign worker with

 

( M AXI M UM

more than one year

RM 5 0

OF

work permit

 

2 YEARS)

 

 

OFFICE USE

Bayaran kurang/tiada

Salinan k.p. tiada

Salinan pasport/permit tiada

Permit kerja syarikat lain

Permit kerja bukan binaan

Gambar tiada/tidak sesuai

Maklumat pewaris tidak diisi

Salinan sijil....................................

tidak disertakan

Tiada pengakuan pemohon

Tiada pengesahan majikan

Lain-lain:

.................................................................

GW

Pembaharuan

CW

Tukar Kategori

SW

Tukar Tred

SS

KIV

AM

 

MG

 

LT

 

AD

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