RICH TEA

Address: Lot 636, Jalan Trusan, 98850 Lawas, Sarawak.

Email: richtealawas@gmail.com | Contact No.: +60162272922

EMPLOYMENT APPLICATION FORM

VACANCY APPLIED : Tearista / Baker / Kitchen Helper / Supervisor
BRANCH : Lawas / Beaufort
DATE AVAILABLE FOR WORK:
EXPECTED SALARY :

A) PERSONAL INFORMATION
NAME : IC NO.:

CURRENT ADDRESS : TEL NO:

E-MAIL:
DATE OF BIRTH: EPF NO :
CITIZENSHIP : SOCSO NO :
HEIGHT (CM) : AGE : INCOME TAX :
WEIGHT (KG) : GENDER :

RACE : RELIGION : DRIVING LICENSE:

STATUS :
NUMBER OF CHILDREN:

B) EDUCATION BACKGROUND
YEAR YEAR
EDUCATION SCHOOL RESULTS
(FROM) (TO)
PRIMARY SCHOOL
SECONDARY SCHOOL

COLLEGE

UNIVERSITY

OTHER INSTITUTION

C) LANGUAGE SKILLS (PLEASE RATE YOUR SKILL LEVEL (FROM 1 TO 5)

1 = DON’T KNOW, 2 = NOT FLUENT, 3 = MODERATE, 4 = FLUENT, 5 = VERY FLUENT
LANGUAGE SPEAKING READING UNDERSTANDING
ENGLISH
MALAY
CHINESE
OTHER :

D) WORKING EXPERIENCE
YEARS OF
COMPANY / SALARY
DESIGNATION SERVICE REASON OF LEAVING
DEPARTMENT/ BRANCH (RM)
FROM TO

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 RICH TEA
Address: Lot 636, Jalan Trusan, 98850 Lawas, Sarawak.
Email: richtealawas@gmail.com | Contact No.: +60162272922

E) REFERENCE
NAME: NAME:
ADDRESS : ADDRESS :

DESIGNATION / : DESIGNATION / :
RELATIONSHIP RELATIONSHIP
TEL NO : TEL NO :

F) HEALTH / PHYSICAL INFORMATION

YE
QUESTION NO EXPLANATION
S
disability information (if any) Body parts, eyesight,
hearing
Are you a heavy smoker / vaper?
Do you require glasses to see?
Do you use any breathing aids?
Do you have any allergies?
Are you taking any medication as prescribed by a doctor?
Have you ever been imprisoned for criminal reasons or
other social problems?

G) PERSONAL CHARACTERISTICS
Choose 12 of the characteristics that describe you the best. Place the character that suits you the most from 1 to 15.
Organised Competitive Do not like Get right to the
Confident Good Talker Reliable Likes to lead
Workplace (Wants to win) conflict points
Good team Decisive (Quick Precise & detail
Energetic Understanding Good listener Enthusiastic Patient
player decision maker) oriented
Following Cautious in Structure &
Likes Challenges Very logical Perfectionist Friendly Calm
rules making decision systematic
Versatile
(Adapt to Urgency (Takes
Always ask Easy to get See big picture, Quick thinker,
various Sociable immediate Optimistic
questions along don't like detail work quickly
situation with actions)
ease)

1. _______________________ 5. _______________________ 9. _______________________

2. _______________________ 6. _______________________ 10. _______________________

3. _______________________ 7. _______________________ 11. _______________________

4. _______________________ 8. _______________________ 12. _______________________

H) ACKNOWLEDGEMENT AND AUTHORIZATION

( ) I CERTIFY THAT ALL INFORMATION ARE TRUE AND COMPLETE. SIGNATURE

I AUTHORIZE INVESTIGATION OF ALL STATEMENT CONTAINED IN

THIS APPLICATION OF EMPLOYMENT IF NECESSARY FOR
( ) _________________________________
EMPLOYMENT DECISION. NAME :
DATE :
Please mark “” in the brackets.

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