IBTE COURSE TAWARAN BAGI SESI JULAI 2015 Tarikh Tutup Menerima Permohonan: 26 Mac 2015 @ 4.30 petang

PEMOHON-PEMOHON yang terdiri daripada Rakyat Kebawah Duli Yang Maha Mulia Paduka Seri Baginda Sultan dan Yang Di-Pertuan Negara Brunei Darussalam dan Penduduk Tetap Negara Brunei Darussalam adalah dipelawa untuk mengikuti kursus-kursus di peringkat Diploma, Higher National Education Certificate (HNTec), National Education Certificate (NTec), Skim Perantisan dan Sijil Kemahiran 2.

BDTVEC Diploma in Aircraft Maintenance Engineering (Airframe & Engine)	1. Pemohon hendaklah sekurang-kurangnya memperolehi 4 kepujian (Gred A*-C) dan LULUS dalam mata pelajaran: English Language, Mathematics/Additional Mathematics, Physics/Engineering Science dan Computer Studies ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 3. Lulus temuduga.	2 Tahun 3 Bulan Sepenuh Masa	MTSSR
BDTVEC Diploma in Aircraft Maintenance Engineering (Avionics)	1. Pemohon hendaklah sekurang-kurangnya memperolehi 4 kepujian (Gred A*-C) dan LULUS dalam mata pelajaran: English Language, Mathematics/Additional Mathematics, Physics/Engineering Science dan Computer Studies ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 3. Lulus temuduga.	2 Tahun 3 Bulan Sepenuh Masa	MTSSR
BDTVEC Diploma in Audio and Video Systems	1. Pemohon hendaklah sekurang-kurangnya memperolehi 4 kepujian (Gred A*-C) dan LULUS dalam mata pelajaran: English Language, Mathematics, Physics dan Combined Science /Engineering Science ATAU 2.Lulus dalam semua mata pelajaran diperingkat BDTVEC Pre-National Diploma in Audio & Video Technology ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	MTSSR
BDTVEC Diploma in Electronic & Communication Engineering	1. Pemohon hendaklah sekurang-kurangnya memperolehi 4 kepujian (Gred A*-C) dan LULUS dalam mata pelajaran: English Language, Mathematics, Physics dan Combined Science /Engineering Science/Design & Technology ATAU 2. Lulus dalam semua mata pelajaran diperingkat BDTVEC Pre-National Diploma in Electronic & Communication Engineering ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	MTSSR
BDTVEC Diploma in Fabrication & Welding Engineering	1. Pemohon hendaklah sekurang-kurangnya memperolehi 4 kepujian (Gred A*-C) English Language, Mathematics, Computer Studies/ICT, Physics & Combined Science ATAU 2. Mempunyai BDTVEC Sijil Kemahiran 3 (SC3) dengan memperolehi minima GPA 2.0 ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	SVSB
BDTVEC Diploma in Geomatics	1. Pemohon hendaklah sekurang-kurangnya memperolehi 4 kepujian (Gred A*-C) English Language/English as A Second Language/Literature in English,Mathematics/Additional Mathematics, Physics/Combined Science/Engineering Science, Information & Communication Technology dan Geography ATAU 2. Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 di dalam bidang yang bersesuaian ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	SVNR
BDTVEC Diploma in Hotel and Catering Management	1. Pemohon hendaklah sekurang-kurangnya memperolehi 4 kepujian (Gred A*-C) dan LULUS dalam mata pelajaran: English Language, Food & Nutrition, Accounting/Principles of Account dan Business Studies/Commerce/Commercial Studies/ Economics/ Geography ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 3. Lulus temuduga DAN 4. Lulus ‘Pemeriksaan Kesihatan’ yang lengkap (Full Medical Check-up) dari rumah sakit atau pusat kesihatan kerajaan.	2 Tahun Sepenuh Masa	MTSSR
BDTVEC Diploma in Information and Library Science	1. Pemohon hendaklah sekurang-kurangnya memperolehi 4 kepujian (Gred A*-C) dan LULUS dalam mata pelajaran: English Language/ English Literature, Computer studies/ ICT, History/Geography, Principle of Accounts/Accounting, Commerce/ Commercial Studies/Design & Technology dan Combined Science/ Science(Biology , Chemistry)/ Science (Biology, Physics)/Science(Physics, Chemistry) ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 3. Lulus temuduga.	2 Tahun Sepenuh Masa	MTSSR
BDTVEC Diploma in Interior Design	1. Pemohon hendaklah sekurang-kurangnya memperolehi 4 kepujian (Gred A*-C) English Language, Art / Art & Design/ Design & Technology, Mathematics dan History ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 3. Lulus temuduga.	2 Tahun Sepenuh Masa	SVNR
BDTVEC Diploma in Planning and Development	1. Pemohon hendaklah sekurang-kurangnya memperolehi 4 kepujian (Gred A*-C) English Language/English As A Second Language, Economics, Geography, History, Commerce, Combined Science, Physics dan Chemistry ATAU 2. Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 didalam bidang yang bersesuaian ATAU 3. Lulus dalam kelulusan-kelulusan lain yang diiktiraf DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	SVNR
IBTE Diploma in Marine Engineering	1. Pemohon hendaklah sekurang-kurangnya memperolehi 5 kepujian (Gred A*-C) English Language, Mathematics/Additional Mathematics,Physics,Chemistry, 1 mata pelajaran yang menggunakan bahasa penghantar English ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 3. Lulus temuduga DAN 4. Lulus ‘Pemeriksaan Kesihatan’ yang lengkap (Full Medical Check-up) dari rumah sakit atau pusat kesihatan kerajaan.	3 Tahun Sepenuh Masa	BMA (MKJB)
IBTE Diploma in Nautical Studies	1. Pemohon hendaklah sekurang-kurangnya memperolehi 5 kepujian (Gred A*-C) English Language, Mathematics/Additional Mathematics,Physics,Chemistry, 1 mata pelajaran yang menggunakan bahasa penghantar English ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 3. Lulus temuduga DAN 4. Lulus ‘Pemeriksaan Kesihatan’ yang lengkap (Full Medical Check-up) dari rumah sakit atau pusat kesihatan kerajaan.	3 Tahun Sepenuh Masa	BMA (MKJB)
HNTec in Automobile Technology	1. Pemohon hendaklah sekurang-kurangnya lulus/memperolehi 3 GCE ‘O’ Level/IGCSE : Mathematics/Additional Mathematics(Gred 1-8),English Language(Gred 1-8),Science (Physics/Chemistry/Engineering Science)(Gred 1-8)  ATAU 2. Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 didalam bidang yang bersesuaian ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	PLM
HNTec in Building Services Engineering	1. Pemohon hendaklah sekurang-kurangnya lulus/memperolehi 3 GCE ‘O’ Level/IGCSE : Mathematics(Gred 1-8),English Language ,Science (General Science/Combined Science/Physics)(Gred 1-8)  ATAU 2. Mempunyai sijil BDTVEC Skill Certificate 3 in Building Services Engineering dengan memperolehi GPA sekurang-kurangnya 2.0 DAN 3. Lulus temuduga	2 Tahun Sepenuh Masa	MKJB
HNTec in Business and Finance	1. Pemohon hendaklah sekurang-kurangnya lulus/memperolehi 3 GCE ‘O’ Level/IGCSE : Mathematics(Gred 1-7),English Language(Gred 1-8) , Principles of Accounts/Commercial Studies/Economics(Gred 1-6)  ATAU 2. Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 didalam bidang yang bersesuaian DAN 3. Lulus temuduga	2 Tahun Sepenuh Masa	SP SVSB
HNTec in Computer Networking	1. Pemohon hendaklah sekurang-kurangnya lulus/memperolehi 3 GCE ‘O’ Level/IGCSE : Mathematics/Additional Mathematics(Gred 1-7), Physics/Combined Science/ Science (Physics, Chemistry)/Science (Biology, Physics)/Engineering Science, Computer Studies/Information and Communication Technology(ICT)/Design and Technology(Gred 1-8), English Language/Literature in English, Commerce/Commercial Studies/Principles of Account/Accounting, Geography(Gred 1-8)  ATAU 2. Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 didalam bidang yang bersesuaian ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	MKJB
HNTec in Construction Engineering	1. Pemohon hendaklah sekurang-kurangnya lulus/memperolehi 3 GCE ‘O’ Level/IGCSE : Mathematics(Gred 1-8),English Language(Gred 1-8) , Satu Matapelajaran Sains yang berkaitan -(Gred 1-8)  ATAU 2. Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 didalam bidang yang bersesuaian ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus Temuduga	2 Tahun Sepenuh Masa	SVNR
HNTec in Electrical Engineering	1. Pemohon hendaklah sekurang-kurangnya lulus/memperolehi 3 GCE ‘O’ Level/IGCSE : Mathematics/Additional Mathematics(Gred 1-6), English Language(Gred 1-6) , Satu Matapelajaran Sains yang berkaitan (Physics, Chemistry, Engineering Science or Combined Science-Physics & Chemistry)(Gred 1-6)  ATAU 2. Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 didalam bidang yang bersesuaian ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf. DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	SVNR
HNTec in Information Technology	1. Pemohon hendaklah sekurang-kurangnya lulus/memperolehi 3 GCE ‘O’ Level/IGCSE : Mathematics/Additional Mathematics(Gred 1-7), , Physics/Combined Science/ Science (Physics, Chemistry)/Science (Biology, Physics)/Engineering Science, Computer Studies/Information and Communication Technology(ICT)/Design and Technology(Gred 1-8), English Language/Literature in English, Commerce/Commercial Studies/Principles of Account/Accounting, Geography(Gred 1-8)  ATAU 2. Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 didalam bidang yang bersesuaian ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	MTSSR SVSB MKJB
HNTec in Instrumentation & Control Engineering	1. Pemohon hendaklah sekurang-kurangnya memperolehi 3 kepujian (Gred A*-6) Mathematics/Additional Mathematics(Gred 1-6), English Language(Gred 1-6), Satu mata pelajaran Sains yang berkaitan (Physics, Chemistry, Engineering Science atau Combined Science-Physics & Chemistry)(Gred 1-6) ATAU 2. Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 didalam bidang yang bersesuaian ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	MKJB
HNTec in Laboratory Science	1. Pemohon hendaklah sekurang-kurangnya lulus/memperolehi 3 GCE ‘O’ Level/IGCSE : Dua mata pelajaran berikut:Combined Science/ Biology/ Physics/ Chemistry/ Mathematics (Gred 1-6), Satu mata pelajaran yang menggunakan bahasa penghantar English(Gred 1-8)  ATAU , Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 didalam bidang yang bersesuaian ATAU , Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN , Lulus temuduga	2 Tahun Sepenuh Masa	SVW
HNTec in Mechanical Engineering	1. Pemohon hendaklah sekurang-kurangnya memperolehi 3 kepujian (Gred 1-6) : Mathematics/Additional Mathematics(Gred 1-6) , English Language(Gred 1-6) , Salah satu mata pelajaran Sains yang berkaitan (Physics, Chemistry, Engineering Science or Combined Science-Physics & Chemistry)(Gred 1-6) ATAU 2. Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 didalam bidang yang bersesuaian ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	SVSB
HNTec in Office Administration	1. Pemohon hendaklah sekurang-kurangnya lulus/memperolehi 3 ‘O’ Level/IGCSE :Mathematics (Gred 1-7), English Language (Gred 1-8), Principles of Accounts/ Commercial Studies/ Economics (Gred 1-6)  ATAU 2. Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 didalam bidang yang bersesuaian. ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	SP
HNTec in Pharmacy Technician	1. Pemohon hendaklah sekurang-kurangnya lulus/memperolehi 3 ‘O’ Level/IGCSE , Dua mata pelajaran Combined Science/ Biology/ Physics/ Chemistry/, Mathematics (Gred 1-6)  DAN Satu mata pelajaran yang menggunakan bahasa penghantar English(Gred 1-8) ATAU Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 didalam bidang yang bersesuaian ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 3. Lulus temuduga.	2 Tahun Sepenuh Masa	SVW
HNTec in Plant Engineering	1. Pemohon hendaklah sekurang-kurangnya memperolehi 3 kepujian (Gred 1-6) :Mathematics/Additional Mathematics(Gred 1-6),English Language(Gred 1-6) , Salah satu matapelajaran Sains yang berkaitan (Physics, Chemistry, Engineering Science or Combined Science-Physics & Chemistry)(Gred 1-6) ATAU 2. Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 didalam bidang yang bersesuaian ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	MKJB
HNTec in Travel and Tourism Services	1. Pemohon hendaklah sekurang-kurangnya lulus/memperolehi 3 ‘O’ Level/IGCSE :English/English As A Second Language/ History/Geography/Accounting/Combined Science (Gred 1-6) , Dua mata pelajaran yang menggunakan bahasa penghantar English(Gred 1-8)  ATAU 2. Mempunyai sijil BDTVEC Skill Certificate 3 dengan memperolehi GPA sekurang-kurangnya 2.0 didalam bidang yang bersesuaian ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	MTSSR
HNTec in Completion Well Intervention Technician	1. Pemohon hendaklah sekurang-kurangnya lulus/memperolehi 3 ‘O’ Level/IGCSE :Mathematics/Additional Mathematics(Gred 1-6), English Language (Gred 1-6), Any approved related Science subject (Physics, Chemistry, Engineering Science or Combined Science (Physics, Chemistry)(Gred 1-6)  ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 3. Lulus temuduga.	2 Tahun Sepenuh Masa	SVSB
NTec in Aquaculture	1. Pemohon hendaklah tamat pengajian Tahun 10/11 di peringkat Sekolah Menengah ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 3. Lulus temuduga.	1 Tahun Sepenuh Masa	SVW
NTec in Business and Office Administration	1. Pemohon hendaklah tamat pengajian Tahun 10/11 di peringkat Sekolah Menengah DAN 2. Pemohon hendaklah sekurang-kurangnya memperolehi/lulus (Gred 1-8) dalam satu mata pelajaran English Language/ Mathematics, Principle of Accounts/ Business Studies/ Commercial Studies/ Economics ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	1 Tahun Sepenuh Masa	SP SVSB
NTec in Crop and Livestock Production	1. Pemohon hendaklah tamat pengajian Tahun 10/11 di peringkat Sekolah Menengah ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf. DAN 3. Lulus temuduga.	1 Tahun Sepenuh Masa	SVW
NTec in Culinary Operations	1. Pemohon hendaklah menamatkan Tahun 10/11 di peringkat Sekolah Menengah ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 3. Lulus ‘Pemeriksaan KesihatanÓ yang lengkap (Full Medical Check-up) dari rumah sakit atau pusat kesihatan kerajaan 4. Lulus temuduga	1 Tahun dan 6 bulan Sepenuh Masa	MTSSR
NTec in Electrical Technology	1. Pemohon hendaklah menamatkan Tahun 10/11 di peringkat Sekolah Menengah DAN 2. Pemohon hendaklah sekurang-kurangya memperolehi/lulus 2 GCE ‘O’ Level/IGCSE :Mathematics(Gred 1-6) , Satu mata pelajaran yang menggunakan bahasa penghantar English (Gred 1-8) ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	1 1/2 Tahun Sepenuh Masa	SVNR
NTec in Food Processing	1. Pemohon hendaklah tamat pengajian Tahun 10/11 di peringkat Sekolah Menengah ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf. DAN 3. Lulus temuduga.	1 Tahun Sepenuh Masa	SVW
NTec in Information Technology	1. Pemohon hendaklah tamat pengajian Tahun 10/11 di peringkat Sekolah Menengah DAN 2. Pemohon hendaklah sekurang-kurangnya memperolehi/lulus 1 GCE’O’ Level/IGCSE :Mathematics/ Additional Mathematics(Gred 1-8) ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf. DAN 4. Lulus temuduga.	1 Tahun Sepenuh Masa	MTSSR SVSB
NTec in Heavy Vehicle Mechanic	1. Pemohon hendaklah menamatkan Tahun 10/11 peringkat Sekolah Menengah DAN 2. Pemohon hendaklah sekurang-kurangnya memperolehi/lulus : Mathematics(Gred 1-8), Satu mata pelajaran Sains yang berkaitan (Gred 1-8), Satu matapelajaran yang menggunakan bahasa penghantar English(Gred 1-8) ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf. DAN 4. Lulus temuduga.	1 1/2 Tahun Sepenuh Masa	PLM
NTec in Light Vehicle Mechanic	1. Pemohon hendaklah menamatkan Tahun 10/11 peringkat Sekolah Menengah DAN 2. Pemohon hendaklah sekurang-kurangnya memperolehi/lulus : Mathematics(Gred 1-8), Satu mata pelajaran Sains yang berkaitan (Gred 1-8), Satu matapelajaran yang menggunakan bahasa penghantar English(Gred 1-8) ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf. DAN 4. Lulus temuduga.	1 1/2 Tahun Sepenuh Masa	PLM
NTec Apprenticeship in Automotive Technician	1. Pemohon hendaklah menamatkan Tahun 10/11 peringkat Sekolah Menengah DAN 2. Pemohon hendaklah sekurang-kurangnya memperolehi/lulus (Gred 1-8) Mathematics, Science dan matapelajaran yang menggunakan bahasa penghantar English ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	2 Tahun Sepenuh Masa	PLM
NTec Apprenticeship in Refrigeration and Air-Conditioning	1. Pemohon hendaklah menamatkan Tahun 10/11 peringkat Sekolah Menengah DAN 2. Pemohon hendaklah sekurang-kurangnya memperolehi Lulus (Gred 1-8) yang bersesuaian ATAU 3. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 4. Lulus temuduga.	2 Tahun Skim Perantisan	SVSB bersama dengan industri yang bersuaian
NTec Apprenticeship in Professional Cookery and Services	1. Pemohon hendaklah menamatkan Tahun 10/11 peringkat Sekolah Menengah dan sekurang-kurangnya memperolehi satu Lulus (Gred 1-8) Bahasa Inggeris/ Food and Nutrition/ Home Science/ Art & Design DAN 2. Lulus temuduga yang dikendalikan oleh pihak MTSSR dan pihak industri DAN 3. Lulus ‘Pemeriksaan KesihatanÓ yang lengkap (Full Medical Check-up) dari rumah sakit atau pusat kesihatan kerajaan DAN 4. Bersedia untuk membuat Latihan Amali di industri-industri pada bila-bila masa termasuk diluar waktu bekerja biasa atau pada waktu cuti awam semasa program dijalankan DAN 5. Pemohon mestilah berumur tidak melebihi 25 tahun.	2 Tahun Skim Perantisan	MTSSR bersama dengan industri perhotelan
BDTVEC Skill Certificate 2 in Building Craft	1. Pemohon hendaklah memperolehi sekurang-kurangnya 2 lulus (Gred D-E) Mathematics/Additional Mathematic; English Language/English as a Second Language ATAU 2. Lulus diperingkat BDTVEC NTC3 dalam bidang yang bersesuaian DAN 3. Lulus temuduga.	1 Tahun Sepenuh Masa	SVNR
BDTVEC Skill Certificate 2 in Building Services Engineering	1. Pemohon hendaklah memperolehi sekurang-kurangnya 2 lulus (Gred D-E) Mathematics, Science/Physics, Design & Technology, Technical Drawing & Enginering Science. ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf. DAN 3. Lulus temuduga.	1 Tahun Sepenuh Masa	SVSB
BDTVEC Skill Certificate 2 in Communication Technology	1. Pemohon hendaklah memperolehi sekurang-kurangnya 2 lulus (Gred D-E) English Language, Mathematics/Additional Mathematics, Engineering Science, Physics/Combined Science/Science (Biology,Physics) / Science (Physics, Chemistry), dan Design and Technology ATAU 2. Lulus diperingkat BDTVEC NTC3 dalam bidang yang bersesuaian DAN 3. Lulus Temuduga	1 Tahun Sepenuh Masa	SVNR
BDTVEC Skill Certificate 2 in Cosmetology	1. Pemohon hendaklah memperolehi sekurang-kurangnya 2 lulus (Gred D-E) English Language dan Art & Design ATAU 2. Lulus diperingkat BDTVEC NTC3 dalam bidang yang bersesuaian DAN 3. Lulus Temuduga	1 Tahun Sepenuh Masa	SVNR
BDTVEC Skill Certificate 2 in Industrial Machinery Maintenance	1. Pemohon hendaklah memperolehi sekurang-kurangnya 2 lulus (Gred D-E) Mathematics, Science/Physics, Design & Technology, Technical Drawing ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 3. Lulus temuduga.	1 Tahun Sepenuh Masa	SVSB
BDTVEC Skill Certificate 2 in Precision Machining	1. Pemohon hendaklah memperolehi sekurang-kurangnya 2 lulus (Gred D-E) Mathematics, Science/Physics, Design & Technology, Technical Drawing ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 3. Lulus temuduga.	1 Tahun Sepenuh Masa	SVSB
BDTVEC Skill Certificate 2 in Fabrication and Welding Engineering	1. Pemohon hendaklah memperolehi sekurang-kurangnya 2 lulus (Gred D-E) Mathematics, Science (Physics & Chemistry), English, Design & Technology, Engineering Science ATAU 2. Mempunyai sijil-sijil atau kelulusan yang bersesuaian dan diiktiraf DAN 3. Lulus temuduga.	1 Tahun Sepenuh Masa	SVSB
Certificate of Proficiency Apprenticeship in Engine Ratings	1. Tamat sekolah dalam Tahun 9 dan berumur 18 tahun 2. Boleh berkomunikasi dalam bahasa English dengan fasih. 3. Lulus Pemeriksaan Kesihatan	9 Bulan Termasuk 6 bulan di atas kapal	BMA (MKJB)
Certificate of Proficiency Apprenticeship in Deck Ratings	1. Tamat sekolah dalam Tahun 9 dan berumur 18 tahun 2. Boleh berkomunikasi dalam bahasa English dengan fasih. 3. Lulus Pemeriksaan Kesihatan	1 Tahun Termasuk 9 bulan di atas kapal	BMA (MKJB)

Treating Gout Attacks at Home

If you have gout, you know the unfortunate signs of a gout flare-up. There's nothing you can do to stop a gout attack once it's started, but there are things you can do to care for a gout flare at home.

A gout attack happens when someone who already has higher than normal levels of uric acid in the body has a build-up of uric acid around a joint. Uric crystals form, causing a painful gout flare. Many things, including alcohol, some foods, stress, and some medications, can cause your uric acid level to rise, leaving you open to a gout attack.

Warning Signs of a Gout Flare-Up

Some people with gout, also known as gouty arthritis, say a gout attack begins with a burning, itching, or tingling feeling in a joint maybe an hour or two before their gout flare-up starts. The joint may feel a little stiff or a little bit sore. Not long after these warning signals, the telltale signs of gout begin. If you get repeated gout attacks, you'll learn your body's signals that a gout flare-up is about to begin.

Sometimes, people with gout have no early signs that a gout flare is about to start. They may wake up in the middle of the night with a very painful joint.

When the gout flare starts, most people have redness, swelling, and severe pain usually in one joint. The most common place for gout is the big toe, but it can occur in other joints such as the elbow, knee, wrist, ankle, and instep.

The pain is often so strong that it hurts to have anything touch the joint at all. Many people with gout say that just the feel of the bed sheet touching the inflamed joint is very painful.

Home Care for a Gout Flare-Up

If your gout has been diagnosed and your doctor has given you medicine for a gout flare-up, take the medicine as directed when you know you are having a flare-up. In most cases, that will probably be as soon as the first signs of gout begin.

Home Care for a Gout Flare-Up continued...

Your health care provider may prescribe nonsteroidal anti-inflammatory drugs (NSAIDs) such as naproxen (Aleve), ibuprofen (Motrin, Advil), indomethacin (Indocin), sulindac (Clinoril), celecoxib (Celebrex), or meloxicam (Mobic) or suggest you take over-the-counter NSAIDs in prescription doses. This usually will be effective.

In some cases, you already may be taking medicine to help avoid gout flare-ups. Your doctor may suggest:

• febuxostat (Uloric)
• allopurinol (Lopurin, Zyloprim)
• colchicine (Colcrys)
• probenecid (Benemid)

Just because you have a flare doesn't mean these medicines aren't working. In the first few months that you take this type of gout medication, you actually may have a gout flare-up as your body adjusts to the medicine. Your doctor will likely have given you medicine to take if this happens, so take that medicine when you have a flare. Continue to take the preventive medicine, too.

If you have been taking preventive gout medicine for a long time and have started to have flares for the first time in a while, call your doctor. He may talk to you about changing your dosage or your medicine.

Non-Medication Pain Relief

In addition to medication, these self-care tips may help your gout flare-up pain:

• Use cold. If the pain isn't too bad, try cold packs or cold compresses on the joint to lessen the inflammation and help the pain. Ice the joint for 20 to 30 minutes several times a day.
• Rest the joint. It's a good idea to rest until the pain lessens. Most people having an acute attack of gouty arthritis probably won't want to move the joint much anyway. Raise the joint if you can on a pillow or other soft object.
• Drink water. A lack of water in your body can make your uric acid levels rise even higher than they already are. Drinking water will help your body stabilize uric acid to a normal level.
• Watch what you eat and drink. Foods that are high in purines (seafood, organ meats like liver, and even some vegetables) can increase the uric acid in your blood even more. So can fructose-sweetened drinks and alcohol -- especially beer..

When to Get Help for a Gout Flare

It's always a good idea to let your doctor know that you are having a flare. Sometimes, you may need to follow up to make sure your gout treatment plan is working or if your symptoms don't improve. Call your health care provider, if:

• This is your first gout flare-up -- There are several other conditions, such as a joint infection, that have some of the same symptoms as gout flares.
• You have a high fever and chills -- Gout attack symptoms may include a low-grade fever, but a higher fever may be a symptom of an infection.
• Your symptoms don't improve somewhat after 48 hours or don't end after about a week -- If you don't start to feel somewhat better after a few days, call your health care provider. She may suggest a different treatment. Most gout attacks will resolve by themselves in 7 to 10 days even without gout treatment.

http://www.webmd.com/arthritis/gout-attacks-at-home?page=3

Questions and Answers about Gout

This booklet contains general information about gout. It describes what gout is and how it develops. It also explains how gout is diagnosed and treated. At the end is a list of key words to help you understand the terms used in this booklet. If you have further questions after reading this booklet, you may wish to discuss them with your doctor.

What Is Gout?

Gout is a painful condition that occurs when the bodily waste product uric acid is deposited as needle-like crystals in the joints and/or soft tissues. In the joints, these uric acid crystals cause inflammatory arthritis, which in turn leads to intermittent swelling, redness, heat, pain, and stiffness in the joints.

In many people, gout initially affects the joints of the big toe (a condition called podagra). But many other joints and areas around the joints can be affected in addition to or instead of the big toe. These include the insteps, ankles, heels, knees, wrists, fingers, and elbows. Chalky deposits of uric acid, also known as tophi, can appear as lumps under the skin that surrounds the joints and covers the rim of the ear. Uric acid crystals can also collect in the kidneys and cause kidney stones.

• What Is Uric Acid?
• What Are the Four Stages of Gout?
• What Causes Gout?
• Who Is Likely to Develop Gout?
• How Is Gout Diagnosed?
• How Is Gout Treated?
• What Can People With Gout Do to Stay Healthy?
• Research Highlights
• Where Can People Find More Information About Gout?
• Key Words

Information Boxes

• When It’s Not Gout, It May Be Pseudogout
• Signs and Symptoms of Gout
• High-Purine Foods

What Is Uric Acid?

Uric acid is a substance that results from the breakdown of purines. A normal part of all human tissue, purines are found in many foods. Normally, uric acid is dissolved in the blood and passed through the kidneys into the urine, where it is eliminated.

If there is an increase in the production of uric acid or if the kidneys do not eliminate enough uric acid from the body, levels of it build up in the blood (a condition called hyperuricemia). Hyperuricemia also may result when a person eats too many high-purine foods, such as liver, dried beans and peas, anchovies, and gravies. Hyperuricemia is not a disease, and by itself it is not dangerous. However, if excess uric acid crystals form as a result of hyperuricemia, gout can develop. The crystals form and accumulate in the joint, causing inflammation.

What Are the Four Stages of Gout?

Gout can progress through four stages:

1. Asymptomatic (without symptoms) hyperuricemia. In this stage, a person has elevated levels of uric acid in the blood (hyperuricemia), but no other symptoms. Treatment is usually not required.
2. Acute gout, or acute gouty arthritis. In this stage, hyperuricemia has caused the deposit of uric acid crystals in joint spaces. This leads to a sudden onset of intense pain and swelling in the joints, which also may be warm and very tender. An acute attack commonly occurs at night and can be triggered by stressful events, alcohol or drugs, or the presence of another illness. Attacks usually subside within 3 to 10 days, even without treatment, and the next attack may not occur for months or even years. Over time, however, attacks can last longer and occur more frequently.
3. Interval or intercritical gout. This is the period between acute attacks. In this stage, a person does not have any symptoms.
4. Chronic tophaceous gout. This is the most disabling stage of gout. It usually develops over a long period, such as 10 years. In this stage, the disease may have caused permanent damage to the affected joints and sometimes to the kidneys. With proper treatment, most people with gout do not progress to this advanced stage.

When It’s Not Gout, It May Be Pseudogout

Gout is sometimes confused with other forms of arthritis because the symptoms—acute and episodic attacks of joint warmth, pain, swelling, and stiffness—can be similar. One form of arthritis often confused with gout is called pseudogout. The pain, swelling, and redness of pseudogout can also come on suddenly and may be severe, closely resembling the symptoms of gout. However, the crystals that irritate the joint are calcium phosphate crystals, not uric acid. Therefore, pseudogout is treated somewhat differently and is not reviewed in this booklet.

What Causes Gout?

A number of risk factors are associated with hyperuricemia and gout. They include:

• Genetics. Many people with gout have a family history of the disease. Estimates range from 20 to 80 percent.
• Gender and age. It is more common in men than in women and more common in adults than in children.
• Weight. Being overweight increases the risk of developing hyperuricemia and gout because there is more tissue available for turnover or breakdown, which leads to excess uric acid production.
• Alcohol consumption. Drinking too much alcohol can lead to hyperuricemia, because alcohol interferes with the removal of uric acid from the body.
• Diet. Eating too many foods that are rich in purines can cause or aggravate gout in some people.
• Lead exposure. In some cases, exposure to lead in the environment can cause gout.
• Other health problems. Renal insufficiency, or the inability of the kidneys to eliminate waste products, is a common cause of gout in older people. Other medical problems that contribute to high blood levels of uric acid include:
  • high blood pressure
  • hypothyroidism (underactive thyroid gland)
  • conditions that cause an excessively rapid turnover of cells, such as psoriasis, hemolytic anemia, or some cancers
  • Kelley-Seegmiller syndrome or Lesch-Nyhan syndrome, two rare conditions in which the enzyme that helps control uric acid levels either is not present or is found in insufficient quantities.
• Medications. A number of medications may put people at risk for developing hyperuricemia and gout. They include:
  • Diuretics, which are taken to eliminate excess fluid from the body in conditions like hypertension, edema, and heart disease, and which decrease the amount of uric acid passed in the urine
  • Salicylate-containing drugs, such as aspirin
  • Niacin, a vitamin also known as nicotinic acid
  • Cyclosporine, a medication that suppresses the body’s immune system (the system that protects the body from infection and disease). This medication is used in the treatment of some autoimmune diseases, and to prevent the body’s rejection of transplanted organs.
  • Levodopa, a medicine used to support communication along nerve pathways in the treatment of Parkinson’s disease.

Who Is Likely to Develop Gout?

Scientists estimate that 6 million adults age 20 and older report having had gout at some time in their lives.¹ It is rare in children and young adults. Men, particularly those between the ages of 40 and 50, are more likely to develop gout than women, who rarely develop the disorder before menopause. People who have had an organ transplant are more susceptible to gout.

¹According to the National Arthritis Data Workgroup, this estimate is based on self-reports, which may produce an overestimation of prevalence, as cited in Helmick CG, Felson DT, Lawrence RC, Gabriel S, Hirsch R, Kwoh CK, et al.; National Arthritis Data Workgroup. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part 1. Arthritis and Rheumatism 2008;1:15-25.

How Is Gout Diagnosed?

Gout may be difficult for doctors to diagnose because the symptoms can be vague, and gout often mimics other conditions. Although most people with gout have hyperuricemia at some time during the course of their disease, it may not be present during an acute attack. In addition, having hyperuricemia alone does not mean that a person will get gout. In fact, most people with hyperuricemia do not develop the disease.

To confirm a diagnosis of gout, a doctor may insert a needle into an inflamed joint and draw a sample of synovial fluid, the substance that lubricates a joint. The joint fluid is placed on a slide and examined under a microscope for uric acid crystals. Their absence, however, does not completely rule out the diagnosis.

The doctor also may find it helpful to look for uric acid crystals around joints to diagnose gout. Gout attacks may mimic joint infections, and a doctor who suspects a joint infection (rather than gout) may also culture the joint fluid to see whether bacteria are present.

Signs and Symptoms of Gout

• hyperuricemia
• presence of uric acid crystals in joint fluid
• more than one attack of acute arthritis
• arthritis that develops in a day, producing a swollen, red, and warm joint
• attack of arthritis in only one joint, often the toe, ankle, or knee.

How Is Gout Treated?

With proper treatment, most people who have gout are able to control their symptoms and live productive lives. Gout can be treated with one or a combination of therapies. The goals of treatment are to ease the pain associated with acute attacks, to prevent future attacks, and to avoid the formation of tophi and kidney stones. Successful treatment can reduce discomfort caused by the symptoms of gout, as well as long-term damage to the affected joints. Treatment will help to prevent disability due to gout.

The most common treatments for an acute attack of gout are nonsteroidal anti-inflammatory drugs (NSAIDs)² taken orally (by mouth), or corticosteroids, which are taken orally or injected into the affected joint. NSAIDs reduce the inflammation caused by deposits of uric acid crystals, but have no effect on the amount of uric acid in the body.

²Warning: NSAIDs can cause stomach irritation or, less often, they can affect kidney function. The longer a person uses NSAIDs, the more likely he or she is to have side effects, ranging from mild to serious. Many other drugs cannot be taken when a patient is being treated with NSAIDs because NSAIDs alter the way the body uses or eliminates these other drugs. Check with your health care provider or pharmacist before you take NSAIDs. Also, NSAIDs sometimes are associated with serious gastrointestinal problems, including ulcers, bleeding, and perforation of the stomach or intestine. People age 65 and older and those with any history of ulcers or gastrointestinal bleeding should use NSAIDs with caution.

Corticosteroids are strong anti-inflammatory hormones. The most commonly prescribed corticosteroid is prednisone. Patients often begin to improve within a few hours of treatment with a corticosteroid, and the attack usually goes away completely within a week or so.

When NSAIDs or corticosteroids do not control symptoms, the doctor may consider using colchicine. This drug is most effective when taken within the first 12 hours of an acute attack.

For some patients, the doctor may prescribe either NSAIDs or oral colchicine in small daily doses to prevent future attacks. The doctor also may consider prescribing other medicines to treat hyperuricemia and reduce the frequency of sudden attacks and the development of tophi.

People who have other medical problems, such as high blood pressure or high blood triglycerides (fats), may find that the drugs they take for those conditions can also be useful for gout.

The doctor may also recommend losing weight, for those who are overweight; limiting alcohol consumption; and avoiding or limiting high-purine foods, which can increase uric acid levels.

What Can People With Gout Do to Stay Healthy?

Fortunately, gout can be controlled. People with gout can decrease the severity of attacks and reduce their risk of future attacks by taking their medications as prescribed. Acute gout is best controlled if medications are taken at the first sign of pain or inflammation. Other steps you can take to stay healthy and minimize gout’s effect on your life include the following:

• Tell your doctor about all the medicines and vitamins you take. He or she can tell you if any of them increase your risk of hyperuricemia.
• Plan followup visits with your doctor to evaluate your progress.
• Drink plenty of nonalcoholic fluids, especially water. Nonalcoholic fluids help remove uric acid from the body. Alcohol, on the other hand, can raise the levels of uric acid in your blood.
• Exercise regularly and maintain a healthy body weight. Lose weight if you are overweight, but avoid low-carbohydrate diets that are designed for quick weight loss. When carbohydrate intake is insufficient, your body can’t completely burn its own fat. As a consequence, substances called ketones form and are released into the bloodstream, resulting in a condition called ketosis. After a short time, ketosis can increase the level of uric acid in your blood.
• Avoid foods that are high in purines.

High-Purine Foods

• anchovies
• asparagus
• beef kidneys
• brains
• dried beans and peas
• game meats
• gravy
• herring
• liver
• mackerel
• mushrooms
• sardines
• scallops
• sweetbreads

Research Highlights

Because uric acid’s role in gout is well understood and medications to ease attacks and reduce the risk or severity of future attacks are widely available, gout is one of the most—if not the most—controllable forms of arthritis. But researchers continue to make advances that help people live with gout. Perhaps someday these advances will prevent this extremely painful disease.

Some areas of gout research include the following:

• Refining current treatments. Although many medications are available to treat gout, doctors are trying to determine which of the treatments are most effective and at which dosages. Recent studies have compared the effectiveness of different NSAIDs in treating the pain and inflammation of gout and have looked at the optimal dosages of other treatments to control and/or prevent painful attacks.
• Evaluating new therapies. A number of new therapies have shown promise in recent studies including biologic agents that block a chemical called tumor necrosis factor. This chemical is believed to play a role in the inflammation of gout.
• Discovering the role of foods. Gout is the one form of arthritis for which there is proof that specific foods worsen the symptoms. Now, research is suggesting that certain foods may also prevent gout. In one study scientists found that a high intake of low-fat dairy products reduces the risk of gout in men by half. The reason for this protective effect is not yet known. Another study examining the effects of vitamin C on uric acid suggests that it may be beneficial in the prevention and management of gout and other diseases that are associated with uric acid production.
• Searching for new treatment approaches. Scientists are also studying the contributions of different types of cells that participate in both the acute and chronic joint manifestations of gout. The specific goals of this research are to better understand how urate crystals activate white blood cells called neutrophils, leading to acute gout attacks; how urate crystals affect the immune system, leading to chronic gout; and how urate crystals interact with bone cells in a way that causes debilitating bone lesions among people with chronic gout. The hope is that a better understanding of the various inflammatory reactions that occur in gout will provide innovative clues for treatment.
• Examining how genetics and environmental factors can affect hyperuricemia. Researchers are studying different populations in which gout is prevalent to determine how certain genes and environmental factors may affect blood levels of uric acid, which can leak out and crystallize in the joint, leading to gout.

More information on research is available from the following resources:

• ClinicalTrials.gov offers up-to-date information for locating federally and privately supported clinical trials for a wide range of diseases and conditions.
• NIH RePORTER is an electronic tool that allows users to search a repository of both intramural and extramural NIH-funded research projects from the past 25 years and access publications (since 1985) and patents resulting from NIH funding.
• PubMed is a free service of the U.S. National Library of Medicine that lets you search millions of journal citations and abstracts in the fields of medicine, nursing, dentistry, veterinary medicine, the health care system, and preclinical sciences.

Where Can People Find More Information About Gout?

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Information Clearinghouse
National Institutes of Health

1 AMS Circle
Bethesda, MD 20892-3675
Phone: 301-495-4484
Toll Free: 877-22-NIAMS (877-226-4267)
TTY: 301-565-2966
Fax: 301-718-6366
Email: NIAMSinfo@mail.nih.gov
Website: http://www.niams.nih.gov

Other Resources

American College of Rheumatology

Website: http://www.rheumatology.org

Arthritis Foundation

Website: http://www.arthritis.org

Key Words

Corticosteroids. Powerful anti-inflammatory hormones made naturally in the body or man-made for use as medicine. Injections of corticosteroid drugs are sometimes used to treat inflammation in the shoulder, knee, and other joints.

Diuretics. A type of medication that promotes the formation and output of urine. Diuretics are prescribed to treat the accumulation of excess fluid in bodily tissues that can result from diseases of the kidneys, liver, lungs, or heart. They may also be used to treat high blood pressure or glaucoma, a condition in which pressure builds up inside the eye.

Hemolytic anemia. A form of anemia (deficiency of red blood cells) caused by the destruction of the cells rather than the body’s inability to produce them in adequate numbers.

Hyperuricemia. The presence of elevated levels of uric acid in the blood.

Hypothyroidism. A condition in which the thyroid gland (the gland that makes and stores hormones that regulate heart rate, blood pressure, body temperature, and the rate at which food is converted to energy) is underactive. Without treatment, this condition can result in fatigue, weight gain, other serious medical problems, and even death.

NSAIDs. A class of medications, available over the counter or with a prescription, that ease pain and inflammation.

Podagra. Gout in the big toe.

Pseudogout. A condition often mistaken for gout that results from the deposit of calcium phosphate crystals (not uric acid crystals as in gout) in the joints and other tissues. This condition is also called chondrocalcinosis.

Psoriasis. An autoimmune disease characterized by a red scaly rash that is often located over the surfaces of the elbows, knees, and scalp, and around or in the ears, navel, genitals, or buttocks. Approximately 10 to 15 percent of people with psoriasis develop an associated arthritis referred to as psoriatic arthritis.

Purines. Found in the DNA and RNA within the nuclei of cells, purines are part of all human tissue and are found in many foods, especially those high in protein.

Synovial fluid. The slippery fluid produced by the synovium (joint lining) to lubricate the joints.

Tophi. Nodular masses of uric acid crystals that sometimes form in the soft tissue of people with chronic gout. Although tophi are most common around the fingers, elbows, and big toe, they can occur in virtually any part of the body. (The singular is tophus.)

Uric acid. A substance that results from the breakdown of purines, which are part of all human tissue and are found in many foods.

Acknowledgments

The NIAMS gratefully acknowledges the assistance of the following individuals in the preparation and review of the original version of this booklet: Barbara Mittleman, M.D., and Bernadette Tyree, Ph.D., NIAMS, NIH; John H. Klippel, M.D., Arthritis Foundation, Atlanta; Roland W. Moskowitz, M.D., University Hospitals of Cleveland; and Lawrence Ryan, M.D., Medical College of Wisconsin in Milwaukee.

The mission of the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), a part of the Department of Health and Human Services’ National Institutes of Health (NIH), is to support research into the causes, treatment, and prevention of arthritis and musculoskeletal and skin diseases; the training of basic and clinical scientists to carry out this research; and the dissemination of information on research progress in these diseases. The National Institute of Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse is a public service sponsored by the NIAMS that provides health information and information sources. Additional information can be found on the NIAMS Website at www.niams.nih.gov.