INARI AMERTRON BERHAD GROUP OF COMPANIES

Corresponding Address: Plot 51, Sungai Hilir Keluang Empat, Phase 4, Bayan Lepas Free Industrial Zone, 11900 Bayan Lepas, Pulau Pinang.
Tel: +604-645 6618 Fax: +604-646 0618 Website: www.inari-amertron.com

INARI TECHNOLOGY SDN BHD INARI INTEGRATED SYSTEMS SDN BHD

INARI SEMICONDUCTOR LABS SDN BHD SIMFONI BISTARI SDN BHD

EMPLOYMENT APPLICATION FORM

POSITION APPLIED:
(JAWATAN DIPOHON)

PERSONAL DETAILS (BUTIR-BUTIR PERIBADI)

FULL NAME : CONTACT NO:

(NAMA PENUH) (NOMBOR TELEFON)

PRESENT ADDRESS :
(ALAMAT KINI)

PERMANENT ADDRESS:
(ALAMAT TETAP)

I/C NO (NEW) : E-MAIL:

(NOMBOR KAD PENGENALAN BARU) (EMEL)

I/C NO (OLD) :
(NOMBOR KAD PENGENALAN LAMA)

EDUCATIONAL QUALIFICATION (LATAR BELAKANG PENDIDIKAN)

SCHOOL / INSTITUTION / UNIVERSITY GRADE YEAR (TAHUN)

HIGHEST STANDARD PASSED
(NAMA SEKOLAH/KOLEJ/UNIVERSITI) ACHIEVED FROM TO
(KELULUSAN TERTINGGI)
(PENCAPAIAN (DARI) (KE)

DO YOU HAVE ANY FRIENDS/RELATIVES WORKING IN INARI? YES NO

(ADAKAH ANDA MENPUNYAI KAWAN/SAUDARA/BEKERJA DI INARI?)

IF YES (JIKA YA): DEPT (JABATAN):

(PLEASE STATE YOUR FRIEND / RELATIVE NAME)
(SILA NYATAKAN NAMA KAWAN/SAUDARA)

LANGUAGES CAPABILITY 1 2 3 4 5
(KEUPAYAAN BAHASA) Weak(lemah) Strong(kuat) (Please tick if relevant)

Spoken Skill (Kemahiran Pertuturan) Written Skill (Kemahiran Bertulis)

1 2 3 4 5 1 2 3 4 5
Bahasa Malaysia Bahasa Malaysia
English English
Mandarin Mandarin
Others : Others :
(lain-lain) (lain-lain)

Rev : 02 Document No : RC-1674

Page 1 of 2
EMPLOYMENT HISTORY (SEJARAH PEKERJAAN)

YEARS OF LAST DRAWN

COMPANY NAME POSITION
No SERVICE (BASIC SALARY)
(NAMA SYARIKAT) (JAWATAN)
(TAHUN BEKERJA) GAJI POKOK
FROM TO
(DARI) (KE)
1.
Reason for Leaving (Sebab Berhenti) :
2.
Reason for Leaving (Sebab Berhenti) :
3.

Reason for Leaving (Sebab Berhenti):

4.
Reason for Leaving : (Sebab Berhenti):

OTHER DETAILS (Please tick if relevant) YES NO

1) ARE YOU ABLE TO WORK SHIFT?

(ADAKAH ANDA BOLEH BEKERJA SYIF)

2) IS THIS YOUR FIRST APPLICATION TO THIS COMPANY?

(ADAKAH INI KALI PERTAMA ANDA MEMOHON DI SYARIKAT INI?)

REFEREE (OTHER THAN RELATIVES)

RUJUKAN (SELAIN DARI SAUDARA)

NAME (NAMA): OCCUPATION (PEKERJAAN):

CONTACT: RELATIO NSHIP:
(NOMBOR TELEFON) (HUBUNGAN)

IF SUCCESSFUL, WHAT IS YOUR COMMENCEMENT DATE?

(SEKIRANYA BERJAYA, BILAKAH TARIKH DIJANGKA BEKERJA?)

WHAT IS YOUR EXPECTED SALARY: NOTICE PERIOD :

(BERAPA GAJI DIPOHON) (TEMPOH NOTIS)

DECLARATION (PENGAKUAN / KENYATAAN)

I HEREBY CERTIFY THAT ALL THE PARTICULARS GIVEN IN THIS APPLICATION FOR EMPLOYMENT ARE THE BEST OF MY
KNOWLEDGE / BELIEF AND IT IS TRUE AND CORRECT. I AGREE AND ACCEPT IF THIS DECLARATION OR ANY PART OF THIS
INFORMATION IS FOUND FALSE OR INCORRECT, THE COMPANY RESERVES THE RIGHT TO TERMINATE MY SERVICE
WITHOUT NOTICE OR COMPENSATION.

SAYA MENGAKU BAHAWA SEMUA MAKLUMAT YANG DIBERIKAN DI DALAM PEMOHONAN INI ADALAH BENAR DAN TEPAT
SEPANJANG PENGETAHUAN SAYA. SAYA BERSETUJU DAN TERIMA JIKA AKUAN INI ATAU MANA-MANA BAHAGIAN MAKLUMAT
INI DIDAPATI PALSU ATAU TIDAK BETUL, SYARIKAT BERHAK UNTUK MENAMATKAN PERKHIDMATAN SAYA TANPA SEBARANG
NOTIS ATAU PAMPASAN.

SIGNATURE OF APPLICANT: DATE:

(TANDATANGAN PEMOHON) (TARIKH)

Interviewed By:
(DITEMUDUGA OLEH)

Rev : 02 Document No : RC-1674

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