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EMPLOYMENT APPLICATION FORM

1 Please read through the application form CAREFULLY and complete it in BLOCK LETTERS.
2 Attach one copy of Photograph to this application.
3 Please attach copies of relevant certificate / testimonials to this form. Originals are to be produced at the interview.

POSITION APPLIED FOR A.

(State in order of preference) B.

PERSONAL PARTICULARS
Name: Race:

Chinese Characters: Nationality:

(if applicable)
Address: Religion:

Gender:

Residence: Marital Status:

Telephone Office: N.R.I.C. No.:

Mobile: Date of Birth:

Height: Weight: Place of Birth:

Passport No: Passport Type:

Driving Licence No: Licence Class (es):

E.P.F. No.: Socso:

Income Tax Ref. No.:

PARTICULARS OF SPOUSE & PARENTS

Relationship
SPOUSE FATHER MOTH
Particulars
Name

Address

Citizenship

Occupation
Name & Tel No.

of Employer (if any)

PARTICULARS OF CHILDREN
OCCUPATIONS & EMP
NAME GENDER AGE CITIZENSHIP
NAME OF SCHO
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ACADEMIC QUALIFICATIONS
Name of Schools / Colleges / Universities Location Year Did you graduate? If yes, graduation Degree received
date?
From To
Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

OTHER RELEVANT CREDENTIALS

(Other credentials / licences / professional affiliations which are relevant to the job for which you are applying)

RELEVANT SKILLS
Please list technical / clerical / trade / computer / accounting / shorthand, etc. skills relevant to this position.
Include your level of proficiency for the skills mentioned.

1 = Poor 2 = Fair
LANGUAGE SKILLS 4 = Good 5 = Superior
LANGUAGE / DIALECTS Reading / Comprehension Skills Writing Skills Speaking
1 2 3 4 5 1 2 3 4 5 1

EXTRA-CURRICULAR ACTIVITIES

HOBBIES & RECREATIONAL ACTIVITIES

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CAREER HISTORY (Start with the most recent position)
(1) Name of Employer Type of Industry Name of HR Manager:

Employer's address Tel No: Contact these references:

At any time
Only if I'm a finalist cand
Dates Employed Position Held Reporting to
FROM: / TO: /
mo yr mo yr
Starting Salary per month Final Salary per month Commission Allowance

Primary Duties Reason for change

(2) Name of Employer Type of Industry Name of HR Manager:

Employer's address Tel No: Contact these references:

At any time
Only if I'm a finalist cand
Dates Employed Position Held Reporting to
FROM: / TO: /
mo yr mo yr
Starting Salary per month Final Salary per month Commission Allowance

Primary Duties Reason for change

(3) Name of Employer Type of Industry Name of HR Manager:

Employer's address Tel No: Contact these references:

At any time
Only if I'm a finalist cand
Dates Employed Position Held Reporting to
FROM: / TO: /
mo yr mo yr
Starting Salary per month Final Salary per month Commission Allowance

Primary Duties Reason for change

(4) Name of Employer Type of Industry Name of HR Manager:

Employer's address Tel No: Contact these references:

At any time
Only if I'm a finalist cand
Dates Employed Position Held Reporting to
FROM: / TO: /
mo yr mo yr
Starting Salary per month Final Salary per month Commission Allowance

Primary Duties Reason for change

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CHARACTER REFERENCE
(1) Name Relationship

Address Occupation

Tel No. Years Known Contact this reference:

At any time
Only if I'm a finalist candidate

(2) Name Relationship

Address Occupation

Tel No. Years Known Contact this reference:

At any time
Only if I'm a finalist candidate

PREVIOUS APPLICATION
Have you previously applied for employment with Comfori Sdn Bhd Yes

If Yes, please state position applied for, and date of application.

GENERAL
Do you suffer from any financial embarrassment? Yes
If Yes, please give details:

Do you have any criminal convictions? Yes

If Yes, please give details:

Have you been hospitalized in the last 2 years? Yes

If Yes, please give details:

How many days were you on Medical Leave (M.C.) What is your EXPECTED SALARY for the position
last year? applied?

Are you related to anyone in Comfori Sdn Bhd?

If yes, please state:
NAME RELATIONSHIP DEPARTMENT

DECLARATION
I hereby declare that the information on this application and its supporting documents are accurate and complete to the best
of my knowledge. I understand that any false declaration may result in the termination of my service by the Company
subsequently.

Date of Application Applicant's Signature

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MOTHER

OCCUPATIONS & EMPLOYER /

NAME OF SCHOOL
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Degree received Major

3 = Average

Speaking Skills
2 3 4 5
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e of HR Manager:

act these references:

At any time
Only if I'm a finalist candidate
Reporting to

Bonus

son for change

e of HR Manager:

act these references:

At any time
Only if I'm a finalist candidate
Reporting to

Bonus

son for change

e of HR Manager:

act these references:

At any time
Only if I'm a finalist candidate
Reporting to

Bonus

son for change

e of HR Manager:

act these references:

At any time
Only if I'm a finalist candidate
Reporting to

Bonus

son for change

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alist candidate

alist candidate

No

No

No

No

ARY for the position

POSITION HELD