Employment Application Form

Employment Type	Permanent   Temporary   Type is a mandatory field
Position Applied (1)
Position Applied (2)	Position is a mandatory field

Personal Particular
Name as in IC	Name is a mandatory field	Chinese Name
Residential Address	Residential Address is a mandatory field
Mailing Address	Mailing Address is a mandatory field
NRIC	NRIC is a mandatory field	Gender	FEMALEMALE
Date of Birth	Date of Birth is a mandatory field	Nationality	Nationality is a mandatory field
Age	Age is a mandatory field	Place of Birth	Place of Birth is a mandatory field
Height (cm)	Height is a mandatory field	Weight (kg)	Weight is a mandatory field
EPF No.		Socso No.
Email Address		Type of Driving License
Telephone No.	Office At least one contact is required	Home	HP
Religion	Islam Christian Buddhism Others: Please specific religion Religion is a mandatory field
Race	Malay Chinese Iban Others: Please specific race Race is a mandatory field
Marital Status	Single Married Divorced Widowed Others: Please specific marital status Marital Status is a mandatory field
Festival Celebration (Choose ONE festival only)	Gawai Hari Raya Chinese New Year Christmas Others: Please specific festival celebration Festival Celebration is a mandatory field

Activities
Hobbies/ Interest	At least one hobby is required
Sport	At least one sport is required

Education Qualification
School/ Institution/ University/ College/ Others	Year		Course of Study	Certificate/ Diploma/ Degree, etc obtained
	From	To
At least one education qualification is required	19241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024	19241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024
	19241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024	19241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024
	19241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024	19241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024

Incomplete information

Training Course (Attended or presently attending)
1
2

Language & Dialect
Language	Speak	Read	Write
English	Poor   Moderate   Good   This is a mandatory field	Poor   Moderate   Good   This is a mandatory field	Poor   Moderate   Good   This is a mandatory field
Bahasa Malaysia	Poor   Moderate   Good   This is a mandatory field	Poor   Moderate   Good   This is a mandatory field	Poor   Moderate   Good   This is a mandatory field
Mandarin	Poor   Moderate   Good   This is a mandatory field	Poor   Moderate   Good   This is a mandatory field	Poor   Moderate   Good   This is a mandatory field
Dialects	Poor   Moderate   Good   This is a mandatory field	Poor   Moderate   Good   This is a mandatory field	Poor   Moderate   Good   This is a mandatory field

Family Particular
Relationship	Name	Gender	Age	Occupation
---- Spouse Children Father Mother Siblings		FEMALEMALE
---- Spouse Children Father Mother Siblings		FEMALEMALE
---- Spouse Children Father Mother Siblings		FEMALEMALE
---- Spouse Children Father Mother Siblings		FEMALEMALE
---- Spouse Children Father Mother Siblings		FEMALEMALE
---- Spouse Children Father Mother Siblings		FEMALEMALE
---- Spouse Children Father Mother Siblings		FEMALEMALE
---- Spouse Children Father Mother Siblings		FEMALEMALE
---- Spouse Children Father Mother Siblings		FEMALEMALE
---- Spouse Children Father Mother Siblings		FEMALEMALE

Incomplete information

In Case of Emergency
Name	Relationship	Telephone No.
At least one emergency contact is required

Employment History (Start with recent employment)
Company Name	Position Held	From	To	Basic Salary	Reason for Leaving

Incomplete information

Notice of Resignation
When can start work	When can start work is a mandatory field
Expected salary	Expected salary is a mandatory field

References (List 2 referees that are not related to you)
Name	Address	Contact No.	Years Known	Occupation

At least one references is required 2 referees are required
Do you have any objection if reference checks are made from your past & current employers?
Yes No This is a mandatory field

Other Information
1	Are you currently bounded/ bonded by an employment contract?	Yes No This is a mandatory field
2	Ever held any responsible position in a Club, Trade Union or Association? (Please specify): Please specify	Yes No This is a mandatory field
3	Have you ever applied to this company or its subsidiaries (Please specify): Please specify	Yes No This is a mandatory field
4	Any friends or relatives working in this company or its subsidiaries (Please specify): Please specify	Yes No This is a mandatory field
5	Are you ready to work on shift duty & overtime?	Yes No This is a mandatory field
6	Are you prepared to be re-located or transferred?	Yes No This is a mandatory field
7	Do you need accommodation?	Yes No This is a mandatory field
8	Do you need transportation?	Yes No This is a mandatory field
9	Are you currently pregnant? (For female applicants)	Yes No This is a mandatory field
10	Any of the following: - Discharged or asked to resigned by any employer. (Please specify reason): Please specify	Yes No This is a mandatory field
	- Convicted of a criminal offence in court of law. (Please specify reason): Please specify	Yes No This is a mandatory field
	Bankruptcy Drug Addiction Smoking Drinking Alcohol	Yes No This is a mandatory field Yes No This is a mandatory field Yes No This is a mandatory field Yes No This is a mandatory field
11	How do you know about this vacancy? Newspaper Staff or friends introduce (Please specify): Please specify Others (Please specify): Please specify This is a mandatory field

Medical Checklists
Asthma	Allergies (Please specify): Please specify	Diabetes
Epilepsy	Gastric	Gout
Hepatitis B	Heart Attack	High Blood Pressure
HIV/ AIDS	Tuberculosis	Skin Infections
Others (Please specified): Please specify

Attachment

IC	:	Click to close *Mouse-over to enlarge* Please attach NRIC copy
Cover Letter	:	Click to close *Mouse-over to enlarge* Please attach cover letter
Resume	:	Click to close *Mouse-over to enlarge* Please attach resume
Certificate	:	Click to close *Mouse-over to enlarge*
Profile Picture	:	Click to close *Mouse-over to enlarge* Please attach photo

Declaration

Submit