FAIRVIEW INTERNATIONAL SCHOOL

JOB APPLICATION FORM

http://www.fairview.edu.my/

Application No : Application Date :

Section 1 Program / Teaching Level / Subject

Name (as per NRIC / : Hairi Faizal Bin Sulaiman Other Names, if any :
Passport)
Post Applied : IT Support Executive I would like to teach at the :
I would like to teach / work on : I would like to teach at the, :
the following subjects / area Fairview Campus
Other Subjects preference : Highest Academic :
Qualification
Expected Renumeration in : RM3,500 Expected Commencing Date : November 2022
RM
Notice period required, if : 1 Month Job Title :
selected

Section 2 Personal Particulars

Identification Type : MyCard Identification No : 870901-06-5485

Previous Identification No.(If : Date Of Birth : 1 September 1987
Any)
Age / Gender : 35 / Male Marital Status : Single
No of Child : Nationality : Malaysian
Religion : Islam Race : Malay
Tax file No : Branch :
Husband's Tax file (If : EPF No : 18398970
Applicable), Branch
SOCSO No : 870901065485

Contact Details (NB: All communication by the school to the correspondence address last received shall constitute due
service.)

Address 1 : Lot 2405 Address 2 : Kampung Bechah Tendong

City : Pasir Mas Zipcode : 17030
Country : Malaysia State : Pasir Mas
Contact No : 60199112634 Additional Contact No :
Email : hairi.faizal.sulaiman@gmail.com

Contact Person / Address in Case of Emergency

Name : Sulaiman Bin Salihuddin Relationship : Father

Address 1 : No 3, Lrg Sg Isap Jaya 18 Address 2 : Perkampung Sg Isap
City : Pahang Zipcode : 25150
Country : Malaysia State : Kuantan
Contact No : 601128419635 Additional Contact No :
Email :
Curricular Activities, Games, Hobbies, Sports and :
Recreations.(Include affiliation with NGOs, political and
religious organisations. State name of activities, organisations,
held & duration and other relevant information)

Languages / Dialects( Level of Proficiency Good / Fair / Poor)

Language Dialects Spoken Read Written

English Fair Good Good
Mandarin Poor Poor Poor
Malay Good Good Good

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 FAIRVIEW INTERNATIONAL SCHOOL
JOB APPLICATION FORM
http://www.fairview.edu.my/
Language Dialects Spoken Read Written

Section 3 Health Condition & Family Particulars

Height (cm) : 167 Weight (KG) : 63

(Do you suffer from - Indicate 'Yes' or 'No' against each condition) NB : Without prejudice to other remedies available,
the school will not bear the cost or any treatment of any disability, illness or condition known to the applicant but not
declared in this application form.

Alcoholism : No Asthma : No
Cancer / Leukemia : No Diabetes : No
Dadah Addiction : No High Blood pressure : No
Shoulder Injury / Pain : No Back ache / Related Problem : No
ShoulderDeafness / Hearing : No Speech Handicap : No
Problem
Colour blindness / Visual : No Throat Problem : No
Handicap
Tuberculosis : No HIV / Aids : No
Kidney Problem : No Liver Problem : No
Migraine : No Psychiatric condition : No
Hepatitis A : No Hepatitis B : No
Please describe below any other disabilities / illness / condition :
that may affect your contractual obligations.

Please respond 'yes' or 'no' to each of the following statements

I am a regular smoker : No
I have never been charged : No I was never adjudicated a : No
nor convicted of any criminal bankrupt nor subject to any
offence such proceedings

Family Particulars (NB : failure to provide any of the particular means you have agreed to waive certain service benefits
e.g. Compassionate leave)

Relationship Name (as in NRIC) Age(D.O.B) Occupation Contact No

Father Sulaiman Bin Salihuddin 68 Retired 601128419635
Mother Rashidah Bt Abd Rahman 65 Retired 601129384487
Spouse
Child 1
Child 2
Child 3
Child 4

Section 4 Education Background

Secondary Education

Secondary Education Sekolah Menengah Teknik Pengkalan Chepa

From / To 2004 / 2005 SPM / "O" Level Grade SPM

Subject 1 Bahasa Melayu Result 1 3B
Subject 2 Bahasa Inggeris Result 2 4B

Subject 3 Matematik Result 3 4B

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 FAIRVIEW INTERNATIONAL SCHOOL
JOB APPLICATION FORM
http://www.fairview.edu.my/
Subject 4 Lukisan Kejuruteraan Result 4 1A
Subject 5 English for Science & Technology Result 5 4B

Subject 6 Sejarah Result 6 5C

Subject 7 Pendidikan Islam Result 7 5C

Pre-University / College Education

Pre-University / College
From / To / STPM / "A" Level Grade
Subject 1 Result 1
Subject 2 Result 2
Subject 3 Result 3
Subject 4 Result 4
Subject 5 Result 5
Subject 6 Result 6
Subject 7 Result 7

Tertiary Education

Tertiary Education : International College of Automotive (DRB-Hicom University)

From : 2010 To : 2013
Degree Received with College : Diploma in Vehicle Inspection Degree Received with College :
Name Name
Degree Received with College : Degree Received with College :
Name Name

Other

Other Education :
From / To : / Qualification / Award :
Grade : Scholarship, Honours & :
Awards

Section 5 Employment History & References

Employment History (In reverse chronological order, starting with current job)

Job Title Period Duration Last Pay Reporting Reason for Brief Job Employer
(From - To) Month To Leaving Description Address
(RM.)
July 2021 till Career Manage security and B1-6-1, Midfields
ICT Technician 2800 Square West 57100
Present Advancement network system
Kuala Lumpur
Manage staff IT No.3A-M Jalan Hentian 1A,
IT Technician Dec 2019 - Mac 2021 2300 Staff Reduction equipments
43000 Kajang
Selangor Darul Ehsan
Not Balance 8, Jalan PJU 7/6, Mutiara
Car Inspector Mac - Nov 2019 6000 Life and Work Inspect vehicle Damansara, 47800 Petaling Jaya,
Selangor

Fleet Examiner Mac 2018 - Feb 2019 2000 End of contract Inspect vehicle 50, Jalan Dungun, Bukit
Damansara, 50490 Kuala Lumpur
2, Jalan Usahawan U1/8,
Vehicle Examiner Oct 2013 - Feb 2018 1800 Better offer Inspect vehicle Seksyen U1, 40150 Shah Alam,
Selangor

References(Please provide 3 referees in preference order, relatives and in-laws excluded, the applicant is deemed to
obtain referees' prior consent)

Referee Years Known Phone Email Fax Occupation Employment

Name Address

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 FAIRVIEW INTERNATIONAL SCHOOL
JOB APPLICATION FORM
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Section 6 Additional Information & Source and Previous Applications

Additional Information

Please state information that you consider important and : Current work very similar
helpful in assessing your suitability for this application

What has motivated you to apply for this role?* : I'm seeking career advancement and also more challenging work

Background information in support of application - you should : I am a quick learn person who like to challenge myself
explain your reasons for applying for this post with Fairview
and outline the key professional and personal attributes, skills
and experience you have which are relevant to this post (this
may include aspects of your non-paid work experience or
voluntary activities).*

Source and Previous Applications

I come to know about this vacancy through Newspaper, : Fairview website

Employment Agency, Friends / Relatives, My own initiative,
Fairview staff (Name)
I had previously applied for employment with the company :
before. If your response is affirmative, indicate date/s and
position applied for

SECTION 7 Declaration Statement

I declare that the information provided herein is true and complete in all aspects. I understand and agree
that if the Company were to subsequently discover any misrepresentation or omission of information
herein, this shall be sufficient and proper cause for the school to withdraw any offer of employment to me
or, if I am by then already employed by the Company, to terminate my employment without notice and
without any compensation in lieu.
I hereby give my irrevocable consent to the Company to perform periodical random checks from time to
time to verify the particulars given herein.
I understand and agree that any offer of employment by the Company is valid and binding on the
Company only if such offer in writing and upon such terms and conditions as may stipulated in such
written offer, notwithstanding anything to contrary howsoever arising previously.
I further understand and agree that any offer of employment by the Company is subject to me having first
passed a pre-employment medical examination as may be determined by the Company. I hereby give my
irrevocable and unreserved consent for the Company to have access to, and for the doctor to submit to
the Company, medical report on me in respect of this pre-employment medical examination. This consent
shall extend to all medical treatment received by me during the course of my employment with the
Company.

For more information, Contact:

Fairview International School, (An IB World School)

4178, Jalan 1/27D, Section 6, 53300 Wangsa Maju.
Kuala Lumpur. Tel: 603 41420888
www.fairview.edu.my

Signature : Date : 15-09-2022

Name : Hairi Faizal Bin Sulaiman

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