BLUE BEAR SDN. BHD.

202201040240 (1485937-u)

MAKLUMAT PERIBADI / PERSONAL PARTICULARS

NAMA : __________________________________

NAME __________________________________

ALAMAT : __________________________________

ADDRESS __________________________________

_____________________________________________ GAMBAR BERSAIZ PASSPOT / PASSPORT

SIZE PHOTO HERE
_____________________________________________

_____________________________________________

_____________________________________________

_____________________________________________

TARIKH LAHIR : _________________________

DATE OF BIRTH

WARGANEGARA : _________________________
NATIONALITY

TARAF PERKAHWINAN : _________________________

MARITAL STATUS

E-MEL : _________________________
E-MAIL

TAHAP KESIHATAN : _________________________

HEALTH STATUS

NO. K.P. : _________________________

NRIC

NO. TEL. (RUMAH / HOME) : ____________________________

TEL. NO. (PEJABAT / OFFICE) : ____________________________

(BIMBIT / MOBILE) : ____________________________

JANTINA : __________________________
GENDER

MAKLUMAT KELUARGA / FAMILY PARTICULARS

 BLUE BEAR SDN. BHD. 202201040240 (1485937-u)

NAMA SUAMI / ISTERI : _____________________________________________________

NAME OF SPOUSE

PEKERJAAN : _____________________________________________________
OCCUPATION

BILANGAN TANGGUNGAN : _____________________________________________________

NO. OF DEPENDENTS

NO. TEL. : _____________________________________________________

TEL. NO.

SYARIKAT : _____________________________________________________
COMPANY

MAKLUMAT PENDIDIKAN / EDUCATION QUALIFICATION

KELULUSAN AKADEMIK / INSTITUSI / MULA / TAMAT KEPUTUSAN /

ACADEMIC QUALIFICATION INSTITUTION FROM / TO RESULT (CGPA)

KELULUSAN KHAS : _____________________________________________________

SPECIAL QUALIFICATION

IKATAN BIASISWA : YA / YES

SCHOLARSHIP BOND : TIDAK / NO

ORGANISASI : ______________________________________________________
ORGANIZATION
 BLUE BEAR SDN. BHD. 202201040240 (1485937-u)

TEMPOH : ______________________________________________________
DURATION

PENGETAHUAN BAHASA / LANGUAGE PROFICIENCY

PERTUTURAN PENULISAN PEMBACAAN NYATAKAN

BAHASA / LANGUAGE
/ SPEECH / WRITING / READING KEBOLEHAN /
BAHASA MELAYU / EVALUATE YOUR
MALAY SKILL
BAHASA INGGERIS /
ENGLISH F FASIH/FLUENT

B BIASA/FAIR

K KURANG/BAD

WARIS ATAU TANGGUNGAN / LIST OF DEPENDENTS

NAMA / NAME NO. K.P / NRIC NO. TEL / TEL NO. ALAMAT / ADDRESS