速 馬 市 場(馬)有 限 公 司 (1152753-V)
BEXPRESS MARKETING (M) SDN.BHD. (1152753-V)
No: 20, Jalan Anggerik Mokara 31/59, Kota Kemuning, 40460 Shah Alam, Selangor Darul Ehsan.
Tel: +603-5121 0022/ +603-5121 0020 Fax: +603- 5525 8305/ +603-5121 0026
E-mail:
[email protected] Outlet Promoters Application Form Date:
Position Applying For: Outlet Name & Location:
Expected Wages: RM /(day/hour)
Event/ Job Period: -
1) Applicant Information*
Name Sex
(Name) (Jantina)
IC No. Age Date of Birth
(No. Kad Pengenalan) (Umur) (Tarikh Kelahiran)
Marital Status Religion Nationality
(Taraf Perkahwinan) (Agama) (Kewarganegaraan)
Residential Address
(Alamat Rumah)
Mobile No. Bank Account No.
(No. Telefon Bimbit) (No. Akaun Bank)
2) Family Record & Emergency Contact*
Relationship Name Occupation Contact No.
3) Education *
School / College / University From To Qualification
Preferred Language : Mandarin English Bahasa Melayu Others
4) Employment History*
Last Promoter Job Present Promoter Job
Name of Company
Type Of Business/ Products
Accepted Wages
Event/ Job period
速 馬 市 場(馬)有 限 公 司 (1152753-V)
BEXPRESS MARKETING (M) SDN.BHD. (1152753-V)
No: 20, Jalan Anggerik Mokara 31/59, Kota Kemuning, 40460 Shah Alam, Selangor Darul Ehsan.
Tel: +603-5121 0022/ +603-5121 0020 Fax: +603- 5525 8305/ +603-5121 0026
E-mail:
[email protected]5) OTHER DETAILS*
1) Have you ever been convicted by any Court of Law? Yes No
If “Yes”, please provide details: .…………………………………………………………………………………..
2) Do you have any case(s) pending before a Court of Law? Yes No
If “Yes”, please provide details: .…………………………………………………………………………………..
3) Own Transport available: Yes No
6) HEALTH DETAILS*
Any health or medical condition that requires the attention ?
Have you received minimum 2 shots of Covid-19 vaccines? Yes No
Are you fully vaccinated (after 14-days)? Yes No
**[Please provide vaccination proof (Cert. or screenshot)]
Any symptoms showing signs of Covid-19 positive? Yes No
7) DECLARATION *
I declare that the information I have given on this form is correct and I understand that failure to
complete the form fully and accurately could result in an incorrect assessment of salary, and / or
exclusion from shortlisting, or may, in the event of employment, result in disciplinary action or dismissal.
Signature Date
For Office Use only: Selected / Rejected
Date of Interview Interview by Confirmed Wages
per day/hour
Confirmed Job Period:
Approved by:
Signature Date