Application for Internship Insurance Coverage

Application for Internship Insurance Coverage
Description:

All students undertaking internships will be covered by insurance. Starting in 2025, the Insurance Provider will issue the insurance coverage letter to current students and interns once their internship has been confirmed by the internship hosts.

The current student/intern provides relevant information to the Employability team within five (5) working days after accepting the internship offer by e-mailing the Internship Offer Letter to careercentre@swinburne.edu.my
APPLICANT DETAILS
Student ID*
Your 9 digits Swinburne Student ID.
Full Name*
Your Full Name as per Malaysian MyKad | International Passport.
Faculty*
Course Enrolled*
Mobile Number*
Swinburne Student E-mail*
e.g. 123456789@students.swinburne.edu.my.
INTERNSHIP HOST DETAILS
Industry Supervisor's Name*
Industry Supervisor's Position*
Name of Internship Host*
Location of Internship Host*
Internship Host Address*
Office address for internship
Internship Host Phone Number*
Internship Host E-mail*
INTERNSHIP DETAILS
Start Date*

DayMonthYear
End Date*

DayMonthYear
Is an internship allowance provided by the Internship Host?*

YesNo
If an internship allowance is provided, what is the range?*
Faculty Supervisor's Name*
PRIVACY STATEMENT & DISCLAIMER
Privacy Statement

Swinburne University of Technology Sarawak Campus collects, uses and destroys personal data in accordance with our Privacy Collection Notice at http://www.swinburne.edu.my/privacy/.

Disclaimer

By submitting, I certify all information is true and correct to the best of my knowledge.

I understand that if the information that I submit is incorrect or incomplete that my request will not be processed.
I agree to the terms and condition stated for this application.
Should be Empty:

Application for Internship Insurance Coverage

APPLICANT DETAILS

INTERNSHIP HOST DETAILS

INTERNSHIP DETAILS

PRIVACY STATEMENT & DISCLAIMER