EMPLOYMENT APPLICATION

Position Applied
Part 1 : Personal Particulars (please select from drop-down list where applicable)
Name as per NRIC Wong Hwee Yin
Nationality Malaysian Passport
Date of Birth (dd-MMM-yyyy) 18-Feb-1994 Gender
Marital Status Single Race
BB 303, Jln Pinggiran 3/1, Pinggiran Batu Caves
Correspondence
Address

City Batu Caves, Selangor Country

Home Phone No -
Email Address hywong2180@gmail.com
Part 2 : Emergency Contact
Name Wong Siew Meng
Relationship Father Marriage Date :
Part 3 : Family Details (Spouse & Dependents)
Name Date of Birth

Part 4 : Education Background/Professional Qualification

Qualification Field of Study

SPM/ O Level SPM SMK Taman Selayang

STPM/A Level/Foundation/UEC STPM SMJK Chong Hwa
Bachelor Degree Banking (Major), Finance (Minor) University Utara Malaysia

Part 5 : Employment History

From To
Name of Company Position
(dd-mmm-yyyy) (dd-mmm-yyyy)
Public Mutual Berhad BDE 13-Aug-2018 Present

Part 6 : General Information

Do you have any relatives who are staff / agents of any Allianz company in Malaysia? If yes, please provide the following

Name Relationship

Are you or your spouse, children or relatives engaged in any other insurance company(ies) either as a full/part time emp
an insurance agent?

If yes, please specify

Are you or your spouse, children or relatives engaged in any other business(es) on a full-time / part-time basis?

If yes, please specify

Have you been convicted in a court of law in any country?

Have you been dismissed or suspended from the service of any employer?

Have you been or are suffering from any physical disability, impairment, disease, serious illness or on medication?

Have you ever been declared bankrupt?

Are you heavily indebted? (exceed 50% of basic salary)

Do you have any other sources of income besides your salary?

How did you know about this job vacancy?

Part 7 : If application is successful

Expected monthly salary RM4,800
Date able to commence duty (dd-mmm-yyyy) 1-Mar-2023
Part 8 : Data Privacy

I have fully read and understood this Data Privacy Notice. I hereby confirm that I give explicit consent, in accorda
myself and any family members, dependants, beneficiaries, trustees, personal representatives, nominees, assignees or o
its Group to collect, use, disclose, transfer, share or otherwise process my Personal Data and the Personal Data of the ot
confirm that where I have provided Personal Data about the other persons, I have obtained the consent of the individua
Sensitive Personal Data. I also confirm that I have brought the Data Privacy Notice to the attention of the other persons
and/or its Group to deal with their Personal Data in accordance with the declaration above.

Part 9 : Declaration
 I, hereby declare as follows :

a) that all the above information given by me are correct and true;

b) I understand that as part of the Company's requirement to determine the suitability of an applicant for the position a
relevant background checks on me as and when deemed necessary and that such checks include but would not be limite
declare that I consent to the same being conducted; and

c) that if I am employed, any false information given may render me liable to dismissal. This declaration shall, if I am em
between the Company and myself.

d) the Company shall use all information given by me in accordance with the Personal Data Protection Act 2010 and the

e) that I will observe confidentiality over documents given to me by the Company including the Employee Handbook and
for any reason whatsoever without the written consent of the Head of Human Resources Division of the Company.

Part 10 : Reference (Immediate Superior)

1st Referee
Name of Referee(s)
Cheah Ui Lee, Willy
Name of Employer/ Company Public Mutual Berhad
Occupation Manager
Relationship Internship's Immediate Superior
Years Knows 4
Contact No 03-2025 5607
Email Address ulcheah@publicmutual.com.my
Acknowledged by Applicant (by keying-in name and NRIC no)
Name Wong Hwee Yin
New NRIC (without '-') 940218146580
Date 1/12/2022
ENT APPLICATION FORM

New NRIC (without '-') 940218-14-6580

Female Religion Buddhism
Chinese Total Year of Working 4

Malaysia Postcode 68100

Handphone No 60123963931

Handphone No 60123049232

New NRIC Relationship Working / Not Tax Relief Child? Y/N

Working / Schooling

To/Target
From
Institute Completion
(yyyymm) (yyyymm)

SMK Taman Selayang Jan 2007 Dec 2011

SMJK Chong Hwa May 2012 Dec 2013
University Utara Malaysia Sep 2014 Sep 2018

Company HR Email Company Contact

Last Drawn Salary Reason for Leaving
Address No.
hrd@publicmutual.co
4,119 03-2022 6800
m.my
please provide the following details :

Relationship New NRIC (without "-")

ither as a full/part time employee or

e / part-time basis?

ess or on medication?

Sourced by Allianz

e explicit consent, in accordance with the provisions of the Personal Data Protection Act 2010, on behalf of
es, nominees, assignees or other persons (collectively referred to as “other persons”), to the Company and/or
the Personal Data of the other persons including Sensitive Personal Data for the abovementioned purposes. I
the consent of the individual(s) concerned to enable the Company to use their Personal Data, including any
ention of the other persons who have confirmed that they understand, agree and authorize the Company
 applicant for the position applied for, the Company reserves the right at its absolute discretion to conduct the
lude but would not be limited to checks on credit worthiness, bankruptcy and criminal convictions. I further

declaration shall, if I am employed by the Company, constitute an integral part of any contract of service

Protection Act 2010 and the Company’s strict internal policy.

he Employee Handbook and will not copy or forward such documents physically or digitally to any 3rd party
vision of the Company.

eferee 2nd Referee

Others