EMPLOYMENT APPLICANT FORM

All information given in this form will be considered confidential and trented with discretion.

Position for which you are applying:____________________________________________________________

Income expected RM_________________ permonth (basic and comission only)

How did you come to know this vacancy :_______________________________________________________

BRIEF PERSONAL HISTORY

Name in full - Miss/Mrs/Mr:_______________________ I/C No:_____________________________________

Home address:______________________________________________________________________________

Home:______________________________ Hp No:_________________________________________________

Date of birth:________________________ Place of birth:___________________________________________

Nationality:_________________________ Marital Status:__________________________________________

Height:_____________________________ Religion:_______________________________________________

EDUCATION:

Name of School/College/University Certificate, Diploma, Degree Year Obtained

KNOWLEDGE OF LANGUAGES

Languages & Dialects you speak Languages you write

1 3 1 3
2 4 2 4

REFERENCE

Name Occupation Telephone

1
2
3
Name:______________________________ Post applied:___________________________________________

PARTICULARS FOR PRESENT EMPLOYMENT

Name of Present Employer:___________________________________________________________________

Present Position:____________________________________________________________________________

Present salary per month (inclusive of all allowance) RM_________________________________________

When can you start work if are offered the job:__________________________________________________

EMPLOYMENT HISTORY (PAST)

Employer Name Position Last Salary Reason of Leaving

Other Detail

YES NO
1 Have you any physical/mental disability?
2 Have you ever been convicted in the court of law in any country?
3 Are you a member of any social club or professional association?
4 Have you any relatives working with us?
5 Do you own any transport?

I declare that the information giving above is truw to the best of my knowledge

_________________________________ _________________________
Signature of Applicant Date