Reset Form cH < Ta 7 Bea Employment Application Form Ra ‘Kindly complete the form in CAPITAL LETTERS. Please ensure all nformation given ts updated and correc. *Tick (7) whichever epplicable Position Applied BONCASSYRANCE SPECIALIST ow did you know about this vacancy? * Advertisement Diretorea oy recruitment agency owners: sn Deeo Havo you attended any interview() or have been reterred for any positions within AMBank Group inthe last 12 months? [aves Pease sate tne poston ANCASSYRAN CE SPECALICT LIN Have you been represented by a recruitment agency fora postion in AmBank Group inthe las 12 months? * es: Name of recratmant agency No ane ete mss Gender* prmALe See ce b (County) MALAY 9)A (as per NRIC) KAMPING PELET , my him 3 jae (osie) 11~21972334 [com SAEPT a sppiStat Pur AY PINANG Costcode) 1Y00 [EmallAdéress ny. sharrQamahmood- gmail.com EY” macay [ase oy | ‘O/PLOMA IN WIT DYNGYN DIPLOMA | INVESTMENT ANALYS|S TERENGGANY. INVESTMENT sie DEGREE 1H BYSINESS WITH. KoTA BACHELOR DEGREE _ADAWNISTRATION CHENS) BHARY KEL TINANCE 256] INANCE Sere , TE ce =COUcCIOR HIGH GIN cxt Group {ai2 i @exlgrosp-dom RHE aANe | 218/200] cyRRINT| amacoo | Coe Anca hafiese . qi¢z LOOKING FOR JM OTOMOBIL INb- Bho Yanoo eam ~ [ALES ADUSOR _|/2)/2/2019] 1ase/seul_Kmisoo | ‘new expen NEE GoCd0 OFFICE STATE] *Z901-13q @ [Ontn ENTRS ERD oF INTARNG HP OTA AnARY , KEL. | PEPRESO -gOv-MY| ADIN INTERN| 24/302 2/e/20)_AMJoo | “Se Ss0N Sign:ach <7 AmBanki/ Employment Application Form Basic Salary | Contribution (Other Payments ‘Benefits EPE (Employer) (11%) [Bors alomances et) Rmaqoo | therPension Scheme: (0-8 %) | INCENTIVE (ea Company caret) tee are | specie Say awears, | peeve Rmae00 Cena IF Yes, please state period of your Bond and Benefactor Institution Immediate family members working in AmBank Group (ifany) ‘Are you bound by any Bond or scholarship to serve the governmentstatutory andlor other bodies? * Relationship S Co.Dept = Name Relationship a CouDept: Name - Relationship CouDept. 2 Company Name $¢s0, OLE SATE KSTA | Company Name 5. @TeMoBIL SON-BHD 5 Meant ompany Address c £3, RYRA\ TRI 4 1GI0 ampany Across F804 G59 GERSVEN SR, tn nora] COTM PHASL. GEN AE2- BURANG FeNMPY , 1eI00 aa BERK Oa ak Pay Gaeseanive Contact Number 9ja- CRYS|O Contact Number 811 90706010 Email Address. I4pI1Sq Dperkese gov. my | Emall Adcress hafiese -9182 Dytheo.com By checking al the Boxes, I hereby Gear / confirm / agree / undertake to all he items listed above Che mAN Mood. NRIC No: 4 405.06-03 -S340 ires AmBanlk [aAank Group, weal you py and ve {0 protect your pearl lforaton in compliance wih the Personal Data Protection At 2030. The Dupose of ns Priacy Nate ito ing to your SStelon our paces reig to the election Drocestng and dscosure of pesoal oration For the purposes ofthis rae ete, plese note ‘+ “AmBank croup refers to AMS Holdings Beas ane al ts dec and nde Subse, icing. Bu ated Aarant (i) Berhad Amen em Berhad, Sminvesment sank Bead. Amie Beas, And Marapeent an ha futures San Bh famcarsServees Sema angen Sead sr ket Teall eo + "ersonal formation” fers 10. ny Inormation whey relates crt oF Inde you anafor your testo ‘th Ta nermatin ray nc your Gerais of your acount), the ype. of rues andlor save ibis to ah Such ote necessary information earn Yours and your vasaeson) ncn Senso Peron rmaton 1+ "Senstve Personal informations to pols oprons,elgouz bls te Souse Of Persona information; The pesonl information that we cole and roc bout ou sures ro 2 rman rove by ou anlor ‘eleva tha parties inte cour of YOU Spina ors postion with sand + Ieermatin grove y you, eleven third ary intormaton sures, or formation ‘thers geertes upon ou beng ire and inthe couse of your ealoymer wth ‘hatind of Peso information We Calets Specteay, you may be sted 10. provide Information relevant to your applation andlor Srloymert wih us ining But not hte to Your ame, adress. tlepone numterr, ea ores, sate ard alce of bth, natonaty, (ever, ‘martal status, anguger spoken ‘tues inrttuton send, ides obtined, frwoyment story, reconmendatork ere ‘pon, meal hater, Bane aco mums, ‘Enguiies: PRIVACY NOTICE Wor Employees & Job Applicants) umaer, arber®" ease et erargeey fentatinormaton, nme, tthe ang oer ‘eas of yor family members and dependents [ere recvam, ew. You may aio be regres partcpate in vdeo ltenews whch may Be ‘equred oa prof our ab apucaon proces ‘foerston grated ding the couse ot yout employment wth bank Grvp, cing at limited, your employee erifeston number Atparment. employment berets, cmpenston nd. inary wth Ambank Gro, toring sd erate, Busines expen ante Ci, Prfrmance appraisal, worlace depute Felton, computer IeatPeaton codes and Desswor CCT snags, bore acest codes, ‘econ conmumiatons with stat, buses pares suppers autores and casters xeemens etre in with Amar Gru, a Sch other itormation a2 requred “by eur repustor nary How we Use Your Paina information: Morne fn eo, veda Td iy are be + econ ond +) Ginmrsning wih our toners noe + eaeneree nego { Sromancmontonr mooyes berets Matin cng pape + readea rd monn ete turn penny Dengertaron raonet prea) pda, 2 sls “+ mallomat yang iberban lh ada, saber 1 penursan ite data teseamata Fepach eres Sumber Manus anda. Wind Imaionat pak Kets Yrg bern, atau 1 renyedston on meant an tempat timers, acsanansenstian toh Bagh Sikora setae Yr lve se jean Anta kemucshan an esdanneadsan tetera yang tera, Rak acs {taj tnde arb belay dan sparing site trnhn Seat sas erga ita Ptingignh tempo petevon and dengan tar ran dimen dan procingundeg. Dan Pevba 2010, ‘nde ‘Analah ans Maklumat_Perbadl yank Komi + umuctsan ing eran leh engl ‘Semalan enna noire ‘ame Selatan on i Not Pik nahin era sel do Sear usin, anda mungsn dita ork Se ee mats bo somata Noten sabsane selon ‘mertertan makumat™ berkatan ngs) femula stan brian inane umpusn Semaronan ands. canta pehr an ade a Srna aanlatau dengan aeaoa ca ‘am anda mat, mba elton, lament, Sexaat ya per am munakin mendedahion ‘anton {arth dan teeta kewaranegoren ere, raldumat pera anda kepcs ak ht 08 Saus penahwian, taken petra, ea Pertanvaan: ‘Sebarang pertanyaan berhuburg Nots Piva (Kakangan dan Pemohon Kerja in boleh buat kepada Talent Acquistion, Group Human Resources ‘Maling Address = Level 38, Menara AmBank, No 8 Jalan Yap Kwan Seng, 50850 Kuala Lumpur ENalAddress talent acquition@ambankgroup.comFa SCREENING CONSENT FORM aD PEGE) - BACKGROUND SCREENING CI Unereby declare /confim / agree / undertake (as applicable) that 4. (9am pot an uncischarged bankrupt; i) have no pending or threatened bankruptey proceedings against me; and (i) have ver been adjucicated bankrupt 2._ I: (9 do not have any pending criminal proceedings against me; i) ave never been convicted within or outside Malaysia of any ‘offence, in particular but no limited to: any acts involving fraud, cshonesty oc for cansumplion or possession of prohibited drugs oF money iaundering or terrorism financing or uniawful activites; and (i) am curently aot Involved in any activity related to maney laundering or teroism financing or other unlawful activites 3._| have not had any disciplinary proceedings taken against me nor have | been suspended or being issued with a prohibition ‘order for any reason, In paricular but not limited to, acts involving fraud, dishonesty, financial market misconduct, incuding breaches of the Code of Conduct for Malaysia Wholesale Financial Markets and canavention of section 141 of tho FSA and ‘section 153 of the IFSA, or, the consumption or possession of prohibited drugs, by any of my previous employers, nor have | resigned from any of my previous employments to avoid disciplinary proceedings or dismissal for any reason, Including fraud, sdishonesty, financial market misconduct or, the consumption or possession of prohibited drugs. 4. There is no judgment debt obtained against me whichis unsatisfied in whole orn part. [7] 5. | have not engaged in a business practice which is deceit, oppressive or which otherwise reflect discredit on my method of ‘conducting business or engaged in or associated witha business practice or otherwise conducting in such a way a8 fo cast doubt ‘on my competence and soundness of judgment. 6. Ido not manage or undertake any business or hold poston as a proprietor / partner / rector in any business / agency / frm / ‘company / entity, in particular, any business related to fancial senices and insurance. 7] 7. \ conten that () have made ful correct and true disclosure o all materials facts and information in this Application Form: and (li nave net concealed or omitted any material facts or information inthis Application Form. Z] 8 | neroby authorize: () the relevant AmBank Group company to disclose my personal data to person(s) specified by me inthis ‘Application Form as my supervisors) o° referees and entities listed by me as my employers forthe purpose of conducting relevant Inquires to verfy the Information provides by me in tis Application Form, and (i) the said person(s) oF entities to disclose all information related to my employment with them, including, but not limited to, the nature and duration of my employment, the ‘quality of my werk performance, my conduct during the employment wth them, 88 well as my character an personaly Z] 2. | hereby authorize: (i) the relevant AmBank Group company to make enquiry into my previous employment records which Covers all farmer employers in the period of seven years up to the date of the applicaton for employment, and (i) all my formar ‘employers in the period of seven years up to the date of the application for employment, to dsciose my employment history, Including the facts and detals of any intrmal disciplinary proceodings | have boon subjected to, irespective of whether such lscipinary proceedings have been concluded, or Iniiate after | have left the employment Z] 10.1 hereby authorize: () the relevant AmBank Group company to make enquity into my current employment record with my ‘current employer, and (i) my current employer to disclose my employment history, including the facs and deals of any Internal dlscipinary proceedings | have been subjected to. However, tis enquiry can only be made after I have completed the necessary ‘employment processes and have expressly accepted the offer made by the relevant AmBank Group company” 11. | neraby authorize: () the relevant AmBank Group company to disclose my personal data, where relevant, to the Financial ‘Markets Association of Malaysia (FMAM) for enquiry on any fhancal market misconduc, including disciplinary proceedings under the Asian Insitute of Chartered Bankers (AICB)FMAM Joint Discipinary Scheme, and for eereening against the Secures ‘Commission Malaysia's published enforcement actons: and (i) FMAM to disclose onthe facis and deta of any case of financial ‘market misconduct, including disciplinary proceecings under tho Asian lnstitulo of Chartered Bankers (AICB)-FMAM Joint Disciplinary Scheme, irespectve of whether such proceedings have been concluded as at the dete of the fnancalinttution's welt inquiry with the FMAM. [7] 12! hereby authorize: () relevant AmBank Group company to conduct crit reference checks with any credit reporting agencies; (i disclosure of my personal data tothe credit reporting agencies to conduct credit reference checks; and (i) relevant AmBank ‘Group company to receive my credit report rom the credit reporting agencies. Z| 13. Where | had provided personal data related to third parties inthis Application Form, I confi that | have obtained ther consent ‘or are otherwise enti to provide their personal data forthe purpose of this employment application. 14. The AmBank Group reserves the right to deal wth such information received from all my former employers and current v ‘employer as it deems proper. | hereby confirm that | have consented for AmBank Group to use the information dbtaned from my former employers and current employer forthe purpose of his employment 16.1 the event | am selected for employment win relevant AmBank Group company, | expliity consent to the dsclosure of Sensitive personal data related to my health to the relevant AmBank Group company by medical practitioners) appointed by ‘AmBank Group. 16.1 hereby undertake to update relevant AmBank Group company In writing in the event of any change in the personal data provided by me in this Applicaton Form. 17.1 nave road AmBank Group's Privacy Notice for Employaes-Job Applicants, a copy of which has been provided to me and ‘agree that my personal data can be processed by relevant AmBank Group company or Venowox Sdn. Bh (858858-M) for the ‘Purpose of considering me for employment and in the event my application is net successful, fr relevant AmBank Group company AngFife SCREENING CONSENT FORM top) Am Hae - BACKGROUND SCREENING CED [7] 12.1 knowingly and voluntary release al former and current employers, references, and AmBank Group from any and all labity sing from ther giving or receiving information about my employment history, my acacemic credentials or qualifcaions, and my Sulablily for employment with AmBank Group.” ‘AmBank Group had relied on the information obtained in the enquiries made from the previous and current employers and ‘relevant disclosures made by the financial bodies and/or information provided by me to consider me for employment. fully lunderstand that if any of the declaration, confirmation, material facts or information given by me In this Application Form are found to be incomplete, incorrect, or untrue, | will not be considered for employment or if | have been selected for employment bby the relevant AmBank Group company, | will be subjected to dismissal, without notice. By checking al the boxes, | hereby deciare / confim / agree / undertake to al the items listed above, By leaving any or all boxes unchecked, | am unable to declare / confirm / agree / undertake fo any oral he items listed above, cu to the following reasons: in, 19 £9]. 2028 ‘bbulcANTs SigNATURE i Name: Pil N4R SHaqQA BINT) CHE MAH Mood NRIC: 999506 -03-$3]0 HnAy, —— nace <7 SCREENING CONSENT FORM - BNM aay To whom it may concern, 1_SIT_NYR SHATIGA BINT cht mapmood 990506 -03 $370 ae) TRICK) hereby 2. authorize AmBank Group company to make an inquiry into my previous employment records which covers all current ‘and former employers in the period of seven (7) years up to the date of the application for employment and, where relevant, the Financial Markets Association of Malaysia (FMAM), b. authorize all my current and former employers in the period of seven (7) years up to the date of the application for employment, to disclose my employment history, including the facts and details of any internal disciplinary proceedings which | have been subject to, irrespective of whether such disciplinary proceedings have been Concluded, or initiated after I left employment. where relevant, authorizes the FMAM to disclose the facts and details of any case of financial market misconduct, which | have been subject to, including disciplinary proceedings under the Asian Institute of Chartered Bankers (AICB)-FMAM Joint Disciplinary Scheme, irrespective of whether such proceedings have been concluded as at the date of the financial institution's writen inquiry with the FMAM: and release my current and former employers and, where relevant, the FMAM, from any contractual obligations which limit, in any way, their ability to disclose the information required under BNM's policy document, ‘Can we contact your currant employer immediately No {(F'No", your current employer wil be contacted upon your acceptance of the Otfer oF Employment) Signature Abin Full Name 28 per NRIC / Passport SITL_NNE SHaf@a oo cae masimeon NRIC/ Passport Number 420506 -02-532 jo Date: IY fos J2023 ‘SCFBNM2022 v1 Page tofReetrom QD 4) STATUTORY DECLARATION FORM Ra 1ST AYR SHAHQA BT! CHE maymeod 910506 -03 -534 Nore) (RIC do hereby solemnly and sincerely declare, as follows @ —_|_do not have any past criminal convictions under any written law relating to companies, financial services, capital ‘markets, prevention of money laundering or terrorism financing, and for offences involving dishonesty or fraud under any written law, whether in or outside Malaysia. I donot have any pending criminal investigations, inquiries or criminal charges or any other criminal proceedings against ‘me, under any written law relating to companies, financial services, capital markets, prevention of money laundering or terrorism financing, and for offences involving dishonesty or fraud under any writen law, whether in or outside Malaysia & 1 have been employed as a dealer or broker as defined in the Code of Conduct for Malaysia Wholesale Financial Markets. The details of my current and former employer(s) in the period of 7 (seven) years prior to the date of the application for ‘employment with AmBank Group, are as follows: Current ART TIME CRUE sim sremeen oon. bio, (AMT cop chadher) Re sej7 Ag 282 I + | have made this solemn declaration conscientiously believing the same to be true, and by virtue ofthe provisions of the: Statutory Declarations Act 1960, ‘Subsoribed and solemnly affirmed and declared by Se) ne seeaS eA Set ZS CASE RS 1 Alan HULUPASAR, 17500 TANAH MERAH, tren SSCA %-\eean 15 FEB 2023 on day of SDF2002 1DECLARATION OF CONSENT. 1, SIT_AYR SHAFIGA BINTI CHE _aicno, 190896 -03-5390 : MATMOO a a__MAAY SIAN citizen of full age, residing at__KEL ANT AN. declare as follows: - 1. Lamaware of, and make this declaration pursuant to, inter alia the provisions of the Bank Negara Malaysia Code of Conduct for Malaysia Wholesale Financial Markets issued on 13 April 2017 and tthe Bank Negara Malaysia Employee Screening Guidetines issued on 9 March 2018. 2 thereby authorize to: 2.1 make an inquiry into my previous employment records which cover all current and former employers for a period of up to seven (7) years preceding the date of my application for employment; and 22 make an inquiry with the Persatuan Pasaran Kewangan Malaysia (ACI — Financial Markets Association of Malaysia) ("FMAM") as to whether | have been involved in any case of financial market misconduct, including breaches of the Code of Conduct for Malaysia Wholesale Financial Markets and contraventions of section 141 of the Financial Services Act 2013 and section 153 of the Islamic Financial Services Act 2013, irrespective of whether an investigation into the financial market misconduct, If any, has been concluded. 3. Lalso authorize: ~ 3.1 my current and/or former employers, for a period of up to seven years preceding the date of my application for employment, to disclose my employment history to including the facts and details of any internal disciplinary proceedings | have been subjected to, irrespective of whether such disciplinary proceedings have been concluded, or initiated after | left employment with the said current and/or former employers: and 3.2 the FMAM, to disclose relevant facts and details of any case of financial market misconduct | have been subjected to, if any, to including discipinary proceedings under the Asian Institute of Chartered Bankers (AICB) — FMAM Joint Disciplinary Scheme, irespective of whether such proceedings have been concluded as atthe date of written inquiry withthe FMAM; and DOFMAM2022 v1 Page 1 of24. authorize the Employer and the FMAM to process my personal data and where necessary, release such personal data to other parties as the Employer and the FMAM may at their absolute discretion deem fit in order to comply with their legal obligations, whether statutory, regulatory, contractual or otherwise. 5. hereby release my current and/or former employers and, where relevant, the FMAM, from any contractual obligations which limit, in any way, their ability to disclose the information required ‘under certain policies and/or guidelines and/or otherwise. 6. I hereby release the FMAM from any and all liability for any loss or damage which might directly or indirectly arise as a result ofthe disclosure my personal data or any information maintained by the FMAM, in good faith and in compliance with its legal obligations, whether statutory, regulatory, contractual or otherwise. Signature Wind Applicant'sName giTI_NYR SHATIGA BINT CHE MAH mood 70S 06 - 03 ~53 fo NAIC DoFMAM20z2 v1 Page2 of 2