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RECRUITMENT Application Form Peter Chong & Co.
Personal
Surname Mr/Mrs/Misw/Ms Place of Birth
Others Names Date of Birth Age
Home Address VIE No.
Marital Status
Children (or other dependants)
Postoode ‘Nationality
Telephone Business: Race
Home (can you be contacted YES/NO)
Mobile:
For which position Preferred Religion
are you applying Location KLIPG
‘Are you prepared Period of notice Do you havea current
To travel/te-locate requires driving lieence?
Current state of health if you have! had any serious illness pl
se provide details) Do you own a ear?
Da you smoke?
Disabilities EPP
Soesa
Education & Training (include schools, polytechnics, universitics & special courses)
Tevel of Proficiency
Anclude exam grades,
Name of Establishment Qualifications class of degre) Dates
Others Interest_Give details of active participation in:
Sport
Religion
Palities
Club & Societies
others Membership of Professional Org a
Tasttatton oF state
and grade of membership
Date ofexamination | Date Admitted
Number oFattemprs
at each sitting
Employment History Current (or most scent) position
Name and Address of employer
Current position
Date oflast promotion
(Current Salary
ate of last review
Nature of employers business Others benefits
‘and number employed
‘Reasons for wishing toleave Notive period
Date of Employment From To
Employment prior to position above (in reverse chronological order)
From Te
Month/Year | Month/Year
Firm, nature of DUSneSR,
location and number of employees Job Title
Reasons | Leaving
forleaving | salar Family Data
Name Age Relation Occupation
References (exclude relations)
Name Company Position ‘Telephone
Personal
War
Others Information
1. | For female, are you pregnant? Ifyes, how many months? YES/NO
2. | Will you ta
physical Examination YESINO
Have you ever been charged, detained or convicted in @ court of laws in or others countries
(other than minor traffic offence)?
YES/NO
4. | Can we call our previous employment? YESINO
s. | Can we call your references? YES/NO
6. | What is your expected salary per month?
How long is your resignation notice or earliest starting date? t Declaration
| hereby certify thatthe information contained in this application and given during the interview process whether orally or in
‘writing, is true to the best of my knowledge and belief, | understand that any misrepresentation or omission of fact as sated
co implied, may result inthe denial of employment or in termination without notice if | am hired.
agreed that, if am hired, I will be required to abide by all rules, policies and procedures of the Company and the
Company has the right at any time and without notice to modify these rules, policies and procedues.
Signature of Application
Date
