APPLICATION FOR EMPLOYMENT

PERSONAL PARTICULARS
Full Name Gender Male Passport No. / NRIC No. Old New Contact No. Home Office Race Religion Marital Status Valid International Passport
Yes

Position Applied:

Female Date of Birth

Day Month Year Age

Nationality

Recent Photograph

Place of Birth (town/state) Mobile

Email Address

Office Use Driving Licence No Yes No Class(es)

FAMILY DATA Name Spouse: Father: Mother: Siblings 1 2 3 4 5 6 7 Children 1 2 3 4 5 6 7 M F Sex Birth date Occupation Name of Employer

Correspondence Address

Permanent Address (if different from above)

Tel

CS-R/AFE/002/10/Rev 1

EMPLOYMENT DATA
(Please provide on separate sheets of paper brief description of the principal tasks and responsibilities of each job held)

Office Use

Period (Month & Year) From To Name of Employer Present Employer Nature of Business Position Held Last Drawn Salary

Other Benefits / Allowances Reason for Leaving

CS-R/AFE/002/10/Rev 1

EDUCATIONAL DATA
(Attach photocopy of all relevant certificates and documents)

ACTIVITIES
Sports / Social / Cultural, etc. Membership of Clubs / Societies, etc.

Office Use

From

To

Secondary School

Highest Qualification Attained

College / University / Institute

Highest Qualification Attained

Membership of Professional Institute

Membership Status

At Present

Courses Currently Pursued

Expected Completion Date

LANGUAGES
(Please tick where applicable) Fluent Bahasa Malaysia English Chinese Tamil Others (please specify) 1 2 Spoken Fair Poor Fluent Written Fair Poor 1 2

HOBBIES
3 4

SPORTS
3 4

CS-R/AFE/002/10/Rev 1

REFERENCES
(List TWO referees who are not your relatives) Name Occupation Employer Relationship Tel. / Mobile Period of Acquaintance (No. of years) (No. of years)

Office Use

QUESTIONNAIRE
If your answers is YES, please indicate reasons and details. Have you ever been detained, charged or convicted in any court of law? Are you related to, or known to, existing employees of this company? Are you currently engaged in any personal business or part-time employment? Have you ever been discharged or dismissed from any previous employment? Are you suffering from any physical disability or illness that requires you to be on medication or consultation for a prolonged period? Do you have any problem traveling overseas or applying for passport? Have you ever been declared bankrupts and prohibited to open a a bank account by any financial institution? Do you have any objection to any reference being made to your previous employers? CURRENT COMPENSATION PACKAGE Monthly basic salary: Other Benefits: House: Petrol: Bonus : Salary slip enclosed: Yes No I certify that all information given in this Application are true and correct and agree that the Company has the right to terminate my been made on this Application. YES NO Remarks

Phone:

Transport:

Others:

Expected Salary:

Notice required:

Earlist available date:

Signature

Date

CS-R/AFE/002/10/Rev 1