Application for Employment
POSITION APPLIED FOR: EXPECTED SALARY:
EARLIEST STARTING
NOTICE REQUIRED:
DATE:
PERSONAL DETAILS
Full Name NRIC No
(In Capital Letter) Passport No
NRIC Colour
Permanent Address Date of Birth
Place of Birth
Mailing Address
Nationality
Race Religion
Phone No (H): (O): (HP):
Email address
EPF No. SOCSO No.
Income Tax No.
Do you have a What is your means of
driving license? transportation to work?
Marital Status No. Of Children
Name of Spouse Spouse’s Occupation
Name/Address of
Spouse’s Company
FAMILY DETAILS
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Contact
Sex Age
Name Relationship
Emergency Contact
Contact
Name Sex Age Relationship
ACADEMIC & PROFESSIONAL QUALIFICATIONS
Year
Name of School/College/University Highest Qualification Received Grade
From To
Knowledge Of Language/Dialects
Language Written Spoken
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EMPLOYMENT HISTORY: (start with present or last position)
Name/Address of
Position Employment Dates Salary Reason of leaving
Employer
Start:
FROM: TO:
Final:
Start:
FROM: TO:
Final:
Start:
FROM: TO:
Final:
Reference Contact (Previous Company)
Contact
Name Occupation Company Name
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I, _____________________________ HEREBY DECLARE THAT ALL THE PARTICULARS, HEREINBEFORE STATED BY ME ARE
TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT I WILL BE SUBJECTED TO
DISQUALIFICATION OR IMMEDIATE DISMISSAL IF THE PARTICULARS STATED BY ME HEREIN ARE UNTRUE.
I AM WILLING TO SIGN A NON DISCLOSURE AGREEMENT AND AN ETHICS STANDARD AGREEMENT, IF EMPLOYED.
SIGNATURE: ______________________________ DATE: ___________________
NAME: ___________________________________
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Confidential Page 5
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