APPLICATION FORM

STRICTLY PRIVATE & CONFIDENTIAL

POSITION APPLIED

AFFIX
RECENT
PHOTOGRAPH
272-5-1, Wisma Mutiara Genting, Jalan Ayeh Jerneh Off (Passport Size)
Jalan Genting Klang, 53200, Kuala Lumpur.

1 | HKY/APPLICATION FORM/2021-01
 A. PERSONAL PARTICULARS

Full Name MUHAMMAD ALIFF BIN SALIM

Present Address BLOK 12-7 PERUMAHAN AWAM KOS

RENDAH SUNGAI KERAK 21600
MARANG, TERENGGANU

Permanent Residence BLOK 12-7 PERUMAHAN AWAM KOS

RENDAH SUNGAI KERAK 21600
MARANG, TERENGGANU

Telephone Number (Home) Handphone No. 019-9486599

Date of Birth 06/02/2000 Age 23 Sex MALE

Place of Birth HOSPITAL SULTANAH NUR ZAHIRAH Marital Status SINGLE

Nationality MALAYSIA Religion ISLAM Race MELAYU

Height (cm) 167 Weight (kg) 98

Identification Card No. 000206-11-0599 Passport No.

EPF No. SOCSO No. Income Tax No.

Driving License No. 58276091 Date Obtained

Driving License Class B2, D Date of Expiry


Have you had your driving license revoked by the police/ RTD/ Court? If NO
YES
your answer is YES, please state date :

Have you ever been convicted of a criminal offence?

YES NO

Physical Disability (if any)

Are you presently suffering from any dangerous/ infectious diseases YES NO

or having any drug/ alcohol related addictions?

Have you ever been ospitalized for any operation or other reasons ? YES NO

Please Check ( √ ) where applicable

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 B. FAMILY PARTICULARS

Full Name
SALIM BIN JUSOH
(Spouse/ Next-Of-Kin )

Occupation PEMBANTU OPERASI Relationship BAPA

Name & Address of Employer KOMPLEKS LEMBAGA KEMAJUAN IKAN MALAYSIA

MARANG

No. Name of Children Age Sex

1 MUHAMMAD FIRDAUS BIN SALIM 25 MALE

2 MUHAMMAD ALIFF BIN SALIM 23 MALE

3 BATRISYIA BINTI SALIM 17 FEMALE

C. ACADEMIC BACKGROUND

Year Qualification
Type School/ College/ University
From To
(Discipline
Secondary SEKOLAH MENENGAH KEBANGSAAN 2013 2017
School TENGKU LELA SEGARA
College INSTITUT LATIHAN PERINDUSTRIAN 2018 2020
KUALA TERENGGANU
University ADVANCED TECHNOLOGY TRAINING 2021 2021
CENTER (ADTEC) KEMAMAN

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 D. LANGUAGE PROFICIENCY
Please check ( √ ) where appropriate

Language Written Spoken Read

Good Fair Poor Good Fair Poor Good Fair Poor
Bahasa Malaysia   
English   
Mandarin   
Tamil   
Others (please specify )   

E. SPECIAL SKILLS
COMPUTER SKILLS
Other Computer Skills General Computer Skills
List below other computer skill that you have which may include Software Very Fair No
knowledge of software not listed in the next columm, Good Skills
Microsoft Word 
or computer programming, computer repairing and engineering
Microsoft Excel 
skills. Also state level of competency of each skill.
Microsoft Access 
Microsoft Outlook 
Powerpoint 
AutoCad
Version : 2021 

Version :
Version :
3D Studio Max/Viz 
Adobe Photoshop 
mark appropriate box with an 'X' to indicate your level of competency for each of the software listed
OTHER OFFICE SKILLS
Typing Accounting
Speed Knowledge
Shorthand Accounting
Speed Level
To be filled only by secretarial/ clerical/ admin/ acounting applicants. To be filled by accounting applicants

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 F. CAREER HISTORY
Company's Name Type Of Period Employed Designation Starting Last Drawing Reason For
Industry From To And Nature Salary Salary Leaving
Mth Yr Mth Yr Of Work (RM) (RM)
MJ PERFECT 1 30 HAVING
SUPPLIES AND JANU 2022 JUN 2022 PORTER 20 20 SURGERY
SERVICES ARY

G. PRESENT EMPLOYMENT
Company's Name BEST EXPRESS KUALA TERENGGANU

Address LOT PT4109, JALAN SULTAN ZAINAL ABIDIN, 20000 KUALA TERENGGANU,
TERENGGANU
Type of Industry DELIVERY PARCEL No. of Employees RANDOM
Date Joined 19 APRIL 2023 Date Left
Position Joined RIDER Position Left
Reporting To Reporting To 010-5157346 (Admin)
Starting Salary (RM) 1.50 on one item Last Drawn Salary (RM)
Key Duties

Reason for Leaving

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 H. PRESENT SALARY & BENEFITS
Present Basic Salary (RM) Bonus Month
Commission % Commission (RM)
Allowances 1 RM :
(if any) 2 RM :
3 RM :
4 RM :
5 RM :
6 RM :
Does your company provide Staff Retirement Benefit ? YES NO
If YES, How much ? % EPF - Employer Contribution %
Others benefits (Please Specify )
ie. Company Trip
Training
Study Sponsorship

If offered employment, Notice period to resign Expected Salary

when can you join us? Min. Salary to Consider

I. REFERENCES
Referees Who Could Testify To Your Character And Work Experience.

No Name Company/ Occupation Contact No. Years Known

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 J. DECLARATION

Ihereby certify that the information given in this application is true and correct and that it shall form as part of any subsequent contract of e
I understand and shall accept full liability for any action undertaken by the company,which may include immediate dismissal.

02 APRIL 2023
Date : Signature :

For Office Use

Remark

Final Date of Final

Interview Yes No Interview

Application Reason
Approved? Yes No
Salary
Date to Start Work Benefit

Position
Status Confirmed Reject

Interviewed By Signature
(Director)
Signature

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