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0% found this document useful (0 votes)
27 views5 pagesKain Anduh
Uploaded by
zulaikhanuramieraCopyright
© © All Rights Reserved
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FORM TITLE EMPLOYMENT APPLICATION FORM “ns
FORMREFNO | BERMAZMRUTAF-o2 [REVNO | 1 Ww
EFFECTIVE DATE | 1" JANUARY 2022 PAGENO | 1 mazoa
POSITION APPLIED FOR: ASSISTANT 40m An)
How did you know about this vacancy? (Tick where applicable)
|Toontnejoo sonst L_owssaper L_Jecutment Agncy LClretrate & others: SASHEN
PERSONAL PARTICULARS
FULL RANE (STV AS & CABAL LETTERS) WIG Saga OAT
NUR AmUPRA SULALKHA OT Papel EE
FERRET ADDRESS SRO EAR ATE
NONETAUM TE EEAQANG Bama , (tie Bate Cauel
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SORE SPODENCE AODRESS ae
OREO ERT TARTACSTATIS SORTED
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5 FEaRUADY 2000 maseeo a
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FORGE OF BRT puta paca RETO a
ican Gets
TATION Sa ROORESS in
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SOTCT HS oA TSSS Ti WARIO DY WOIEATE
Spouses cETALS ver
House
HANOPONE awe
ae NEW
Contacto
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ocursion
expvovere
CHILDRENS PARTICUCARS
a wate OF
No wae cenoeR | AGE | OGcUPATION | coucVAMEOr
1 [ier Annas Reams cana [ramet | aa
5 | matsinas Sanit esr [nomee | 98
2 [muusamne onvier pursut|mme | te
‘e [ tue wamn arseeam tosees| ranma |W ae
PARENTS DETALE
TATERSNARE Fae meat eM MOTHERS WANE Saae A-BAT
Contact: 06 343408 Contact soe 292552
coupes Ceca: neve Pte
Cent Enployer Curent rape FORM TITLE EMPLOYMENT APPLICATION FORM
os
FORMREF NO | BERMAZ/HR/TAVF-02 RevNo | 1 WwW)
EFFECTIVE DATE | 1" JANUARY 2022 Paceno | 3 imazDe
TMER INFORMATION:
CURRENT MONTHLY BASIC [EXPECTED MONTHLY
SALARY Ral teo 160 ASIC SALARY Ru 2000/00
(CURRENT) OTTER PERKS &
BENEFTTS (ec PETROL,
"TELEPHONE, MEDICAL,
INSURANCE COVERAGE,
BONUS, CAR. ETC)
AVAILABILITY To COMMENCE eon
UTY Gries)
Younis POSSESS AVALID Vaaeae
POSSESS OWN TRANSPORT? Cavctreycle | DRIVING LICENCE
PROFESSIONAL REFEREES (lase pro wo (2) non-ltedrferoes)
ome uta coental enone
Hot Faatbeno clk dig 2u3a [nintta maamidGoiwou ecoge | 4 vean®
[ADDITIONAL INFORMATION
|. Haveyousverbeen comcedforacriminaoflenceby cour olawin any county? Yes/No
on plone bors
IL Have you been dered a bank? yes last elaborate; Yee /No
1. Have you everbeendsmissed or suspended rom any employment? yes ease Yes Ne
clove
Wv._Doyeusuterromanyphyelcldesbty, chon amen, handlespormajortiness? i Yee No_
yoo ploaao lorata
\. Doycuhaveanystingsrlavescrttendsworingatour Bemaz GroupotCompanies | Yes/No
tices or branches? yee, plese labora, =
Panne. ‘ Bie
W.Doyouhve any etictons on raveing yes eae elaborate Yes/No FORM TITLE EMPLOYMENT APPLICATION FORM
FORMREF NO | BERMAZ/HR/TAVF-02
REVNO
EFFECTIVE DATE | 1* JANUARY 2022
yee, ploate elaborate
vi. Do you by any way have tnking (0.9, Directorship, sharoholder, oto) with a compeiitor? | Yes/No
Wii. Are youa member of any Clubs / Memberships? I'yes, please provide details Yes/No
|x Whatare your interests and hobbies?
TRRUELIN
Yes/No
x. Ate you curently pregnant? (for female only)
Yes /No
covin-t9 VACCINATION
This resource is intended for Human Resource Deparment record. The questions listed below ae related tothe
CONIC immunization,
1. Have you ever recaived a dose of COVID-T9 vaccine?
+ tyes, which vaccine product id you receive?
Copter [easvazeneca [=}Sinovac [others
‘Yes/No
2. Have you recived a compte Covid-19 vein sees?
+ fyes, lease compete the infomation below fora doses ofvacine eosved.
L DateotFretDoce = 151071908)
i. Dateof Second Dose : oF Ler (303e
Daloot tireDoee : Bitte 3034
“Plesso atach the Copy of Digital Certificate (Covd-19 Vaccination)
Yes/No
3. you answered "NO" for questons 1 & 2, please staid your Covi -19 status below.
(rennet
Registered in MySejahtea Apps & pending date of vaccination
Not register in MySejagera Apps & nol interested to take vaccination
Flotmes: tease spit the ets) [Form me
EMPLOYMENT APPLICATION FORM
FORMREFNO | BERMAZIHRITA/F-02
REVNO
| EFFECTIVE DATE | 1" JANUARY 2022
PAGE NO
DECLARATION