SILVERLAKE

SYMMETRY AT VWORK

JOB APPLICATION FORM

Position Applied for : Intern

1) How did you come to know of this vacancy?
Online Job Portal Employment Agency
Newspaper Career Fair

Friends or Relatives from Silverlake Others (please specify)

2) Have you attended any interview with Silverlake Group? Yes No

When? (Month/Year) N/A

lIf yes, please state for what position?
N/A
3) Have you been previously employed by Silverlake Group? If yes, please answer the following : -
Name of Company under Silverlake Group: NZA
Last position held in Silverlake Group: N/A
Please state the period - From : N/A to
NJA

A. PERSONAL PARTICULARS
Full Name (as per NRIC) Ayaan Ahmed Xhan
Correspondence Address 1o, galan Dutamas Cempaka chankak Kiar Surya,
bo480

Permanent Address Same as corespondence Addese.

Tel No.: Residence : O3 624 R48 Office: N/A HP: olo2300457

Email Address: ayaan Xhanpoutloo com
(PassPor t )aIRHT NG. (Now) JO3So3Z4 (old) NLA_ Age 16
Date of Birth
(ddmmyry) 1/12/loob Gender: Male |Female
Place of Birth Ne Delhi Religion: Blam
Nationality Indian Race
Pathan race
E.P.F. No.: NJA SOCSO No.
NA
Income Tax No. : NJA International Passport : Yes No

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B. FAMILY DETAILS

Marital status: Single Married Others (please specify)

If married, please complete the followings
Spouse's Name: N/A NRIC No. : N/A
Is spouse working? Yes No Spouse's Inc.Tax No. : NA
Spouse's Occupation: NZA
Name of Company N/A
No, of Children:
NZA
FAMILY BACKGROUND (Parents, Brothers,Sisters &Children)
No. Name Relationship Occupation Company
1 Xhawar Rhan Father Director B.brimm peuer sdu, Bhd.
2Kausar Khan Mother Home maker N/A

C. PERSONAL HISTORY
Have you ever been convicted / charged ofa criminal offence? Yes No
If yes, please state type of offence : when:

Do you have any unsettled court matters? Yes VNo

If yes, please state type of case : when:
Have you been declared bankrupt? Yes No

Do you have medical problem which require regular medical attention? Yes
If yes,please specify type of illness:
Do you have any physical disability or chronic ailment? Yes No
If yes, please specify:
vi. If you are a female, are you currently pregnant? Yes
INo
vi Do youhave relatives or friends working in Silverlake Group of Companies? Yes No
If yes, please indicate Name : Relationship:

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SYMMETRY ATWORK

D. EDUCATION
School, Colleges and Universities attended.
Month |Year
School Name Qualification Achieved (Results)
From To
University
N/A
College
N/A

School
Garden Interneiona) scheol o6/1o os/251 4* tade l6cSE Extanded Msths
|Pending resu|ks (8 OLerel subje.ts)
E. LANGUAGES & DIALECTS (Proficiency: Best = 10, Worst = 1)
Spoken Written

English (Brikisk) |1o

English
Urdu Vrdu
Sfanish Spani's h (Spain) 9

chinese Chinese (simgli fied

Man dari n)
F. EMPLOYMENT RECORD
Please indicate the details of previous employment.
Month Year Last Drawn Salary (RM)
Name of Company Position Held
From To Basic Bonus Fixed Allw.

Non e

i Briefly describe the work you are performing in your current job or if you are unemployed, please describe the
work you have done in your previous job.

No prior work experilace

ii State the reason why you are leaving your current employment or if youare currently unemployed, please state
the reason for leaving your previous employment.

No currentpriorjob
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SYMME TRY ATWORK

G. PERSONAL REFERENCES
List down two (2) personal referees. Referees should NOT be members of your family or relatives.
Name Occupation Years Known Tel No. I Handphone No.

H. IF YOUARE SELECTED
Are you willing to travel? No
If offer employment, when willyou be able to commence?
If Yes,
Lcal
JMne 2o23
JOverseas JBoth
ii Please indicate minimum expected salary. RM 1

I. DECLARATION
I hereby declare that all the above information given are true, correct and to the best of my knowledge.
The Company reserves the right to terminate my service without notice or compensation at any time should
the company discover that any of the above information was untrue or incorrect.

Name: Ayeon Ahmed han Important Note to Applicant:

PLEASE KEEP THE COMPLETED JOB APPLICATION
Signature FORM WITH YOU AND PASS IT TO THE INTERVIEWER
Date: OR HR STAFF DIRECTLY.
o6/o6/2e23
For Office Use (To Be Completed by Hiring Manager)
Name of Final Interviewer

Proposed Basic Salary: RM Imth Approved Basic Salary (HR to fill) : RM Imth

Date of Commencement
Permanent JContract : Months

Position IJob Title Rank:

Reporting to Company:
Division Head: Department:
(Name & Position)
Request Requisition No. : RQ
Hiring Manager, Approved by, New Replacement
Resigned staff details : -
Name:
|Sign : |Sign Job title:
Name : Name Date Left :
Salary
Documents to be attached for generating the Employment Leter of Offer:
Interview Evaluation Form Latest Payslip Source:
Resume Test result
Certificates (from SPM onwards) Authorized email / RQ from AAMS

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JOB APPLICANT'S PRIVACY INFORMATION NOTICE

Please be informed that this privacy information notice (PIN) forms an integral part of your job
application with Silverlake Group of Companies (hereinafter referred as 'Silverlake').
Silverlake respects your privacy and is committed to protecting your personal information in
accordance with Personal Data Protection Act 2010 (including any and all amendments and
modifications thereto).
and
The purpose of the PIN is to create awareness in you with regards to Silverlake's rules
regulations pertaining to the collection, processing, retention and disclosure of your personal
information that is related to job applications.
"Personal Information" herein refers to your personal information provided to Silverlake by the job
applicant and/or authorised third parties relating directly or indirectly to an identified or identifiable
job applicant.

Acceptance And Consent Pertaining to Personal Information

Upon reading the PIN fully and carefully, please indicate your acceptance of Silverlake's
collection, use, prOcessing, disclosure and retention of your Personal Information.

By submitting your job application to Silverlake, you hereby expressly consent to Silverlake
processing your Personal Infornmation for the following purposes:
evaluating your suitability for the position(s) applied for;
assess your capabilities and qualifications for the position(s) applied for;
conduct reference and/or background checks on you;
generaladministrative and record keeping purposes;
risk management and securitypurposes;
comply with any applicable lawor regulation;
for any other purposes as may be required by the Law.

PROVISION OF PERSONAL INFORMATION

In making a job application to Silverlake, you may be requested to provide your employment
related information toSilverlake, including but not limitedto name, contact information, nationality,
gender, marital status, CV, resume, cover letter, educational institutions attended and grades
obtained, employment history, willingness to relocate, current and expected salary, awards and
professional memberships, emergency contact information, information related to references,
referrals, referees, etc.

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 SILVERLAIE
SYMMETRY AT WORY

Disclosure By Silverlake Group of Companies

Silverlake may disclose your Personal Information to:

Selected service providers or consultants appointed by Silverlake; and

Other members within the Silverlake Group of Companies or subsidiaries with common
directors.

Where Silverlake discloses your Personal Information to third parties, Silverlake will ensure that
those third parties are bound by and in compliance of Silverlake's Group Policy on the Personal
Data Protection Act 2010, or equivalent, personalpractices and policies relating to the collection,
use, processing and retention of your Personal Information.

Further, should you:

wish to limit the processing of certain aspects of your and/or another person's personal
information;
wish to exercise your right to seek access to and/or to correct your Personal Information
retained by Silverlake;
have any questions or issues regarding your personal information or have any
complaints regarding the unauthorised use, disclosure or transmission of your Personal
Information,

Please do not hesitate to write in officially to the Head of Human Resources.

However, please be guided that in certain circumstances, your rights may be restricted pursuant
to the Personal Data Protection Act 2010.

Silverlake reserves the right to amend the PIN at any time, subject to its discretion, in order to
adress future developments of Silverlake and/or changes in the privacy laws of Malaysia.

(Qas5port)
I Auaan Ahmed haa (NRHG: UO3So324 ) have read and
fully Ynderstand allthe contents of Privacy Information Notice (PIN) contained herein. Ihereby
agree and accept the rules and regulations of Silverlake Group of Companies relating to the
collection, processing., use,retention and disclosure of my personal information in relation to my
job application/s.

June do23
Signature Date

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