Lelaki Male Perempuan Female

Bujang (Tinggal Sendirian) Single (Staying alone) Berkahwin Married Balu Widowed Bujang (Tinggal bersama keluarga/ Ibubapa) Single (Staying with family/ parents) Bercerai Divorced Lain-Lain (Sila nyatakan) Others (Please state):

Bandar Urban Luar bandar Rural Luar bandar terpencil Remote Rural

Kurang dari RM2,500 Less than RM2,500 RM2,500 - RM3,169 RM2,500 - RM3,169 RM3,170 - RM3,969 RM3,170 - RM3,969 RM3,970 - RM4,849 RM3,970 - RM4,849 RM4,850 - RM5,879 RM4,850 - RM5,879 RM5,880 - RM7,109 RM5,880 - RM7,109 RM7,110 - RM8,699 RM7,110 - RM8,699 RM8,700 - RM10,959 RM8,700 - RM10,959 RM10,960 - RM15,039 RM10,960 - RM15,039 Lebih daripada RM15,039 More than RM15,039 Tiada pendapatan bulanan No monthly income

Bekerja sendiri Self-employed Pelajar sepenuh masa Full-time student Bekerja sepenuh masa dengan majikan Work full-time for an employer Sakit kekal, kurang upaya atau tidak dapat bekerja Permanently sick, disabled, or unable to work Kerja separuh masa dengan majikan Work part-time for an employer Tanpa pekerjaan atau digantung kerja sementara Unemployed or temporarily laid off Suri Rumah Homemaker Bersara Retired

Tiada pendidikan yang formal No formal education Pendidikan prasekolah Primary education Pendidikan menengah rendah Lower secondary education Pendidikan menengah atas Upper secondary education Pra-Universiti/ Matrikulasi/ Asasi Pre-University/ Matriculation/ Association Diploma Diploma Diploma Lanjutan Advanced Diploma Ijazah Sarjana Muda Bachelor’s degree Ijazah Sarjana Master’s Degree Ijazah Doktor Doctoral Degree Lain-lain kelayakan (Sila nyatakan) Other Qualification (Please state):