CONFIDENTIAL

APPLICATION FOR EMPLOYMENT PHOTOGRAPH

PRODUCTION SUPERVISOR
Position Applied for: _______________________________________________________________

1. PERSONAL PARTICULARS
Full Name as per NRIC Chinese Character (if any)
(IN BLOCK LETTERS)
VARATHA RAJU A/L SUBRAMANIAM
Correspondence Address Contact No: 019-7269276

NO 24 JALAN SEDENG, TAMAN SEDENG 85000 SEGAMAT JOHOR Mobile: 019-7269276

Permanent Address
Office:
NO 24 JALAN SEDENG, TAMAN SEDENG 85000 SEGAMAT JOHOR
Date of Birth Age Place of Birth Nationality
House:
29 MARCH 1993 29 KUALA PILAH MALAYSIAN

Race Gender Hsb Religion Email

INDIA / Male Female HINDHU s.raju131@yahoo.com

Marital Status Date of Marriage NRIC/Passport No

/ Single Married Divorcee Widow/Widower - 930329-05-5359

2. FAMILY DETAILS
Spouse & Children Details
Name Age Relationship Occupation Name of Company/School
Spouse

Parents & Siblings Details

Name Age Relationship Occupation Name of Company/School
VELLACHAMY A/L N KARUPIAH 60 Father RETIRED -

LECHUMI A/P RAMASAMY 57 Mother HOUSE WIFE -

3. EDUCATION & PROFESSIONAL QUALIFICATION
Year
Name of School/College/University Qualification & Subject Obtained Grade/CGPA
From To
SEKOLAH TINGGI SEGAMAT 2006 2010 SIJIL PELAJARAN MALAYSIA 1A,3B ,2C

POLETECNIC MUADZAM SHAH 2014 2016 DIPLOMA 2.90

PROFESSIONAL MEMBERSHIP

Name of Professional Body or Institution Type of Membership Date of Admission

4. PRESENT AND PREVIOUS EMPLOYMENT

From To Basic Salary Reason for
Name of Company Position Held Fringe Benefits
Month/Year Month/Year Start Final Leaving
GOT OFFER FROM
GREAT VISION TRAVEL 20/04/17 TRAVEL -
16/11/16 1500.00 1500.00 MY INTERN
AGENCY COORDINATOR
COMPANY

FLEXTRONICS SHAH MANUFACTURING MY FATHER

24/04/17 08/11/22 2897.00 3177.00 -
ALAM PTP ENGINEER HEALTH ISSUE

Yes / No
Have you ever been terminated/dismissed/suspended from the service of any employer?

If yes, please give details ________________________________________________________

5. REFEREES (Previous Superiors)

Name Company Occupation Contact No. Years Known

CHONG YING HONG FLEXTRONICS SHAH ALAM PTP ENGINEERING MANAGER 019-7532847 5 YEARS

Can we make references to your employment records with your previous employers/companies? / Yes No

If no, please give reasons ________________________________________________________

 6. GENERAL DETAILS
a) Are you suffering from any physical disabilities or have ever been seriously Yes / No
ill?
b) Are you currently pregnant? Yes / No

c) Have you ever been convicted for a criminal offence, declared bankrupt, Yes / No
revoked of professional practicing license/certificate and/or charged in
court? If yes, please state offence and date of conviction and discharge.
d) Do you have any relatives or friends working in IOI or its subsidiaries? Yes / No
If so, please state name and relationship.
e) Do you have any active interest in any business undertaking, including family Yes / No
business, political involvement or any part-time jobs?
f) Any relatives involved directly or indirectly in similar company’s business? Yes / No

g) Are you holding any responsible positions in a club, institution or Yes / No

association?
h) What is the status of your Covid-19 vaccination? / Yes No FULLY VACCINATED
(i) If you are fully vaccinated, kindly provide a print screen/print copy of
the Digital Certificate to confirm your Covid-19 vaccination.
(ii) If you are not vaccinated or not fully vaccinated, kindly provide the
reason (reason based on medical grounds, health or any other reasons
must be certified by a certified medical practitioner).

*** Kindly note that both the Employer and Employee are obliged to
comply with the Occupational Health and Safety Act 1994.
i) What are your spoken languages?
ENGLISH,MELAYU,BAHASA TAMIL AND TELUGU
j) What are your written languages?
ENGLISH,MELAYU,BAHASA TAMIL

k) What type of computer program or software application are you literate? EXCEL,WORD,POWER POINT

l) Do you possess a car or motorcycle?

CAR

m) What are your leisure interests? WATCHING SCIENCE FICTION MOVIES

AND PLAY BADMINTON
n) How do you find this employment opportunity?
MY FUTURE JOBS WEBSITE
E.g. Newspaper/Online/Recruitment Agency/IOI Website/Others
o) If you were offered employment, when can you commence work?
IMMEDIATE

p) Expected Salary
RM 3200.00

7. PERSON TO CONTACT IN CASE OF EMERGENCY

Name Relationship
SARAVANAN A/L SUBRAMANIAM BROTHER
Address Telephone No
NO 24 JALAN SEDENG,TAMAN SEDENG,85000 SEGAMAT JOHOR 018-8749276

9. DECLARATION & CONSENT

I hereby declare that the information and personal data provided by me in the Application for Employment Form, including any
accompanying document(s) are true, correct and complete in every aspect. I fully understand and accept that, if at any time after my
employment with the Company, it is found that I have given false and misleading information in the Application for Employment Form,
the Company has the right to forthwith terminate my employment.
For the purpose of the Personal Data Protection Act 2010, I hereby give my consent to the Company to process all or any of my personal
data and information for any purpose related to or in connection with this employment application and if required, to disclose or transfer
such data to any company within the IOI Properties Group for the purpose of processing such data, which may be located outside
Malaysia. “IOI Group” means IOI Corporation Berhad, IOI Properties Group Berhad and any of their subsidiaries.

14 MARCH 2023
___________________________________ ____________________
Signature of Applicant Date
 FOR OFFICE USE ONLY

Interviewed by Panel:

1) Name: _____________________________________ Date: ________________

Comments/Remarks:

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2) Name: _____________________________________ Date: ________________

Comments/Remarks:

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STATUS (please tick) SELECTED KIV REJECTED

Replacement of/New Position

Position Offered/Job Grade

Company/Department

Cost Centre

Reports To

Salary Offered (RM)

Commencement Date

Recommended by Hiring Manager

Signature: Name: Date:

Approved by Immediate Superior

Signature: Name: Date:

Approved by Divisional Head

Signature: Name: Date:

FOR HUMAN RESOURCE DEPARTMENT USE ONLY

Years of Salary Offered
Qualification Position Offered/Job Grade Approved by
Experience (RM)