APPLICATION FOR EMPLOYMENT
Position Applied For:
PERSONAL DATA
Full Name: NRIC No.:
Residential Address:
Affix recent
Passport size
photograph
Tel No (HP): Email:
Date of Birth: Gender: (non-returnable)
Place of Birth: Race:
Nationality: Marital Status:
FAMILY BACKGROUND
Spouse Name: Spouse NRIC No.:
Spouse Occupation: Name of Employer:
Name of Children Gender Age
Father's Name: Occupation:
Mother's Name: Occupation:
EMERGENCY CONTACT
Name: Relationship:
Tel No.:
Address:
EDUCATION BACKGROUND
Year Certificate / Diploma / Degree / Professional
Name of School / Institution / University CGPA / Grade
Attained Qualification Attained
LANGUAGE PROFICIENCY (Good / Fair / Poor) COMPUTER LITERACY
Language Read Written Spoken Computer Knowledge
English MS Word Elementary / Intermediate / Advanced
Mandarin MS Excel Elementary / Intermediate / Advanced
Bahasa Malaysia PowerPoint Elementary / Intermediate / Advanced
Others: Elementary / Intermediate / Advanced
EMPLOYMENT HISTORY
Present Employer’s Name: Year:
Position Held:
Current Basic Salary (RM):
Allowance / Incentive / Commission payable, if any:
Total Monthly Earnings (Inclusive of allowance):
Past Employment
Year Name of Employer Position Held Last Drawn Salary (RM) Reason for Leaving
ADDITIONAL INFORMATION
How soon can you start work if offered employment?:
Period of notice required : Expected Salary: RM
Do you own a car? (Yes/No) If Yes, Please state type of vehicle & plate no.:
May we make inquiries about you from present employers? (Yes/No)
If yes, please provide us company info as below:
HR/Superior Name: Office Telephone No:
REFERENCES
List at least two (2) referees (other than your relatives) that the company has right to approach them prior to our consent
Full Name Occupation Relationship Telephone No.
General Information
1) Have you ever been convicted of criminal offence? If Yes, for what criminal offence and when?
(If Yes, please state in details below) YES/NO
2) Have you ever defaulted in repayment of any loans/credit facilities granted to you?
(If Yes, please state in details below) YES/NO
3) Have you ever been dismissed from any employment?
(If Yes, please state reasons) YES/NO
PERSONAL MEDICAL INFORMATION
1) Describe your health:
2) Have you ever been restricted in the participation of any work or sport for medical reasons?
3) Are you pregnant? (For Female applicant only)
DECLARATION
I declare that the particulars as mentioned above are true and correct. Should any false declaration be found after I am
employed, I hereby agree that the company reserves the right to terminate my service without any prior notice and
compensation.
Applicant’s Signature
Date :
FOR OFFICE USE ONLY
Interviewed By :
Comments :
Status : Successful / KIV / Reject
Position Offered : Department :
Salary : Commencement Date :
Approved by :
Name :
Designation :
Date :
Remark :
