JOB APPLICATION FORM
Please read this application THOROUGHLY and complete it HONESTLY.
IMPORTANT NOTICE:
i. This form is to be completed before interview session.
ii. Do not leave any item blank. If it is not applicable to you, please indicate “N/A.” Please affix latest
iii. Please attach a copy of your IC or passport showing all relevant details passport size
iv. Please attach photocopies of all your educational certificates & present the original certificates photo here
during interview
The Company is an equal opportunity employer and will not discriminate against an employee or applicant
for employment in any manner prohibited by law.
Position Applied:
Executive
Service
Customer
Section A: Personal Details
Name as per NRIC
Suburamuniam
Raj
Samuel
Address Postcode
Selangor
Cheras,
43200
Suntex,
Taman
City,
You
Persiaran
Jalan
vista,
You
VA-15-06
43200
NRIC / Passport no. Mobile Number Marital Status
☐
✔ Single ☐Married ☐Divorced ☐Widowed
900429145995
2904
14-257
+60
Date of Birth (DD/MM/YYYYY) Place of Birth E-mail Address
20/04/1990
Perseketuan
Wilayah
Gender Nationality Smoker Own Transport
☐
✔ Yes ☐No ☐
✔ Yes ☐ No
Male
Malaysian
Race Religion
Indian
Christian
Section B: Education
Year Highest Qualification Obtained
School/College/University
From To (Master/Degree/Diploma/STPM/SPM)
ACS
Methodist
SMK
2000
2007
SPM
OTHER TRAINING / PROFESSIONAL QUALIFICATION
Type of Courses Institution Duration Qualification
Page 1 of 4
CONFIDENTIAL
JOB APPLICATION FORM
Please read this application THOROUGHLY and complete it HONESTLY.
Section C: Skills
Please (√) accordingly to your level of expertise.
PROFESSIONAL SKILLS / KNOWLEDGE
Computer software package(s)
Office
Microsoft
Beginner Advance Expert
â
Spoken Written Read
Language proficiency
Good Fair Poor Good Fair Poor Good Fair Poor
English
â
â
â
melayu
Bahasa
â
â
â
Mandarin
â
â
â
Section D: Employment History
Period
Company Position Basic Salary Reason for Leaving
From To
Salary Expectation (RM) Date of Availability
Immediately
Section E: References (Former employer, colleague, lecturer, advisor or supervisor)
Name Contact number Occupation Years known
Page 2 of 4
CONFIDENTIAL
JOB APPLICATION FORM
Please read this application THOROUGHLY and complete it HONESTLY.
Section F: Other Information
1. Do you have friends / relatives working in Telecontinent? ☐Yes ☐No
✔
If yes, please state their names & relationship
2. Have you been in employment with Telecontinent before? ☐Yes ☐No
✔
If yes, please specify Project/ Department
Section G: Declaration
1. Are you currently pregnant? ☐Yes ☐No
✔
If yes, please specify how many months
2. Have you ever suffered or currently suffering from serious illness? ☐Yes ☐No
✔
If yes, please specify
3. Have you ever taken drugs / are currently taking drugs? ☐Yes ☐No
✔
If yes, please specify
4. Have you ever been found guilty by any COURT OF LAW ☐Yes ☐No
✔
either in Malaysia or outside of Malaysia?
If yes, please state details
5. Do you have poor performance conduct in the last 3 years ☐Yes ☐No
✔
or dismissed or any employment case with your previous/current employment?
If yes, please state conduct
6. Have you been declared bankrupt or charged under BANKRUPTCY ACT?
☐Yes ☐No
✔
7. Are you willing to work on flexible shift patterns? (Eg. Morning, Afternoon & Night shift)
☐Yes
✔ ☐No
8. Are you willing to be relocated?
☐Yes
✔ ☐No
Page 3 of 4
CONFIDENTIAL
JOB APPLICATION FORM
Please read this application THOROUGHLY and complete it HONESTLY.
Section H: Declaration
I declare that all above information is true and complete and I am liable to disciplinary action conducted against
me for falsifying or not declaring any of the above information required. I understand that my employment is
subjected to my passing the medical examination (if required) conducted by Telecontinent Sdn Bhd. False or
inaccurate information given will render any subsequent employment contract null and void.
______________________ _________________
Raj
Samuel
20/06/2021
Signature of Applicant Date
Section I: For HR use only
Documents checklist:
☐ Passport sized photograph
☐ Photocopy of Identification Card (IC)
☐ Resume/CV
☐ Photocopy of relevant academic/professional certificates each (SPM & above)
Remarks
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Verified By HR;
___________________________
Date:
Page 4 of 4
CONFIDENTIAL
