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  • BNM GP6

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    ashikin10
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    This document contains a declaration form for a job application. It asks the applicant questions about their credit history and facilities with banks, any court judgments against them, business involvements, bankruptcies, criminal history, medical history, previous employment terminations, current directorships, and consent for a background check. The applicant must select yes or no answers for each question and sign to declare that all information provided is true and correct, and that any false information could result in disciplinary action including dismissal.

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    This document contains a declaration form for a job application. It asks the applicant questions about their credit history and facilities with banks, any court judgments against them, business involvements, bankruptcies, criminal history, medical history, previous employment terminations, current directorships, and consent for a background check. The applicant must select yes or no answers for each question and sign to declare that all information provided is true and correct, and that any false information could result in disciplinary action including dismissal.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    566 views1 page

    BNM GP6

    Uploaded by

    ashikin10
    This document contains a declaration form for a job application. It asks the applicant questions about their credit history and facilities with banks, any court judgments against them, business involvements, bankruptcies, criminal history, medical history, previous employment terminations, current directorships, and consent for a background check. The applicant must select yes or no answers for each question and sign to declare that all information provided is true and correct, and that any false information could result in disciplinary action including dismissal.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    DECLARATION COMPLIANCE TO BAFIA SECTION 62 / BNM GP6

    DO YOU OR YOUR FAMILY MEMBERS (FATHER, MOTHER, SPOUSE AND / OR CHILDREN) HAVE ANY CREDIT FACILITIES (LOANS, CREDIT CARDS, OVERDRAFT) OR ANY OTHER FACILITIES WITH CIMB BANK (FORMERLY BUMIPUTRA-COMMERCE BANK BERHAD OR SOUTHERN BANK BERHAD)?

    YES (PLEASE INDICATE BELOW) NAME RELATIONSHIP TYPE OF CREDIT FACILITIES

    NO TOTAL AMOUNT AMOUNT OUTSTANDING

    PLEASE TICK
    NO 1 DETAILS

    THE APPROPRIATE BOX.


    SELECTION YES NO REMARKS

    DO YOU HAVE ANY BORROWINGS FROM OTHER FINANCIAL INSTITUTIONS APART FROM THOSE DECLARED ABOVE?

    HAS ANY COURT JUDGMENT BEEN MADE ORDERING YOU TO PAY A DEBT TO AN INDIVIDUAL OR A COMPANY?

    YES

    NO

    HAVE YOU ANY INVOLVEMENT EITHER DIRECTLY OR INDIRECTLY IN ANY BUSINESS UNDERTAKINGS?

    YES

    NO

    ARE YOU A GUARANTOR FOR ANY INDIVIDUAL / COMPANY FOR ANY LOAN TAKEN?

    YES

    NO

    HAS ANY BANKRUPTCY ACTION EVER BEEN TAKEN AGAINST YOU?

    YES

    NO

    HAVE YOU EVER BEEN ARRESTED, INDICTED OR SUMMONED INTO COURT AS A DEFENDANT IN A CRIMINAL PROCEEDING OR CONVICTED, FINED OR IMPRISONED FOR ANY CRIMINAL BREACH OF TRUST? HAVE YOU EVER RECEIVED PROLONGED MEDICAL TREATMENT?

    YES

    NO

    YES

    NO

    HAVE YOU EVER SUFFERED FROM ANY MENTAL ILLNESS?

    YES

    NO

    HAVE YOU EVER BEEN TERMINATED / DISMISSED FROM ANY POSITION OF EMPLOYMENT?

    YES

    NO

    10

    ARE YOU CURRENTLY SERVING AS A DIRECTOR OF ANY COMPANY AND / OR ANY NON-PROFIT ORGANISATION?

    YES

    NO

    11

    I HEREBY PROVIDE CONSENT TO THE BANK TO DO A FINANCIAL BACKGROUND CHECK & OTHER RELATED CHECKS THROUGH MEANS AVAILABLE TO THE BANK.

    YES

    NO

    I HEREBY DECLARE THAT THE INFORMATION GIVEN BY ME IN THIS EMPLOYMENT APPLICATION FORM IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT I HAVE NOT WITHHELD ANY RELEVANT PARTICULARS. THIS DECLARATION SHALL, IF I AM EMPLOYED BY THE BANK, BE PART OF MY CONTRACT OF SERVICE. I ACCEPT THAT IF ANY OF THE INFORMATION GIVEN BY ME IN THIS APPLICATION IS IN ANY WAY FALSE OR INCORRECT, THE BANK SHALL HAVE THE RIGHTS TO TAKE APPROPRIATE DISCIPLINARY ACTION WHICH MAY INCLUDE DISMISSAL. I ALSO UNDERSTAND THAT THE OFFER OF EMPLOYMENT IS SUBJECT TO PASSING A PRE-EMPLOYMENT MEDICAL EXAMINATION.

    FULL NAME DATE

    : : SIGNATURE

    GHR/MPR-05/2007 v2 4/4

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