Form B - Staff Particulars (PTT)

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Doc No : TR-02

Rev : 01
STAFF PARTICULARS Page : 1 of 1
Effective Date : 01-06-2017

STAFF PARTICULARS
Name : …IBRAHIM BIN KHALIB……. Staff No : …………………………………….

Home Address : …… NO 2153, KG KUBANG BUJUK, JALAN HADAPAN ASRAMA


SEK.MEN.KEB.BELARA MANIR, 21200 KUALA TERENGGANU ………………….
……………………………………. Tel : ……018-3947345……….

Designation : …DRIVER LORRY…………. Date Joined : ……06/2/2022………….

Date of Birth : ……28 MAY 1993………. Sex : …………MALE………….

NRIC No: (Old) : ……………………………………. (New) : ……930528-11-5641….

Race : ……….MALAY……………… Religion : …ISLAMIC……………….

Marital Status : Single / Married / Divorced / Widow

Is your Spouse Working : ………NO………. Spouse's Name : FATIN NOR SHAHIRAH


BINIT ZAINALABIDIN….
Spouse's I /C No : …930211-11-5424………. Spouse's Contact No : …010-2344052…….

Spouse's Occupation : ……HOUSE WIFE…… Spouse's Income Tax No. : ………………………….

Name & Address of Spouse's Employees : ………………………-…………………………………………

No. of Children Below 18 : ………………………………………-…………………………………………


Years
No. of Children Above 18 years Who Are Studying Full Time : ………………-……………………

Income Tax No : ……………………………………. Branch : …………………………………….

EPF No : …………
20849809…………………………
.
Socso Member : Yes / Socso No : …………………………………….
No

Name & Address of Bank :AMBANK & RAUB BRANCH, JALAN LIPIS BANDAR RAUB PERDANA, 27600,
RAUB, PAHANG.
…………………………………………………………………………………………………………………………..

Bank Account No : ………


8881037058856……………………………………………………………………………………
…….

Personal Email Address (For Payslip & E-Leave Application) :…cheibrahim1993@gmail.com………

Name & Address of Previous Employer


: MENTA CONSTRUCTION SDN.BHD
CENTRAL SPINNE ROAD(CSR), PAKEJ RAUB KE BENTONG, PAHANG
SEKSYEN 5A
22/01/2022
……………………………… ………………………………
Signature Date

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