PLEASE

MISC MARITIME SERVICES SDN. BHD. ATTACH MOST

RECENT
(MMS) PHOTO
[PASSPORT
SIZE]
APPLICATION FOR EMPLOYMENT
REMINDER TO APPLICANTS
1. Only one copy of the form is to be forwarded to the Human Resources Management Division.
Application must be completed in own hand writing. Application for more than one position must be completed in
different forms for each position. A certificated true copy for each certificated or any relevant document must also
be included as proof that the applicant has the academic qualification or any other qualification.
2. Applications who are successfully short-listed for interviews will be notified at a later date. Original relevant
documents and their copies will required at the interview as proofs of qualifications.
3. Any claims on coasts of transportation or any other expenses related with the application or the interview made by
the applicants will not be entertained by MMS.

Name of Position Applied [Capital Letter] E-mail Address

Full Name as Passport / IC [Capital Letter] Race Religion

Address [Permanent]

Date of Birth Place of Birth Telephone No. [Home/Mobile]

Marital Status [Single/Married/Divorced] Gender

Nationality No. Of Children [If any]

Passport/ IC No. Place of issue Date of Issue/Expiry

EPF No. [For Malaysian Only] Income Tax No. [For Malaysian Only] SOCSO No. [For Malaysian Only]

Details of :
FATHER MOTHER HUSBAND/WIFE

Name: ………………………. Name: …………………………… Name: ………………………….

Occupation: …………………… Occupation: ………………………. Occupation: ……………………….

Employer: ……………………….. Employer: ………………………… Employer: ………………………

Details of Siblings:
NAME OCCUPATION EMPLOYER

1) …………………………….. 1) ………………………… 1) ………………………………

2) …………………………….. 2) ………………………… 2) ………………………………
3) …………………………….. 3) ………………………… 3) ………………………………
4) …………………………….. 4) …………………………. 4) ………………………………
5) ……………………………. 5) ………………………… 5) ………………………………

Languages Spoken [Please Tick] Written [ Please tick]

1. …………………….......... 1). Basic Intermediate Advance 1). Basic Intermediate Advance

2. ………………………….. 2). Basic Intermediate Advance 2). Basic Intermediate Advance

3. ………………………….. 3). Basic Intermediate Advance 3). Basic Intermediate Advance

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 EDUCATION DETAILS

Date of
Qualification Program Institution Results
Completion
PhD

Master

Degree

Diploma

SPM/O Level

Are you a scholarship/loan holder from the Government, any statutory body or the organizations? Yes/No

If yes, specify the name of the organization ………………………………………………………………………………………

Are you bound under a contract to work with the government, ant statutory body or other organizations? Yes/No

If yes, specify the name of the organization ………………………………………………………………………………………

WORK EXPERIENCE

Can we contact your current employer? Yes No

Name and address of previous Position held Duration Salary

employer [ if applicable ]
Basic Salary [Per month]
………………………………….. ……………….. Month Years
RM: ……………………
………………………………….. ……………….. From : Other Allowances:

………………………………….. Until : RM: ……………………

………………………………….. Reason for leaving :

Indicate your job description and responsibilities.

…………………………………………………………………………………………………………………………………....

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………....

……………………………………………………………………………………………………………………………………

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 OTHER INFORMATION

a) Have you been offered an employment/employed by PETRONAS/ MISC and/or its group of companies?

Yes No Name of Company [if yes] ………………………………………………….

b) The earliest date to report for duty……………………………………………………………………………………...

c)

Current Basic Salary Expected Salary

d) Name of person to contact in case of emergency ……………………………………………………………………...

Address……………………………………………………………………….Phone No……………………………..

e) Please provide us with two (2) referrals:

Name Position/Company Contact Number

I hereby declare that the information I have provided is true. I agree to give MMS the authority to investigate any doubtful
information I have provided, if I am considered for a position in MMS. I understand that false statement or purposely omitted
information in that is reasonable enough for MMS to withdraw the offer of employment or even dismissal. I also understand
that any employment herewith is subjected to passing the pre-employment medical examination and that I am certified FIT for
employment.

Date……………………………….. Signature of Applicant…………………………………

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I hereby declare that:

a) I have never been convicted of any criminal offense and / or been declare bankrupt in
any country.

b) I have never directly or indirectly involved in the usage / sale / addiction of drugs.

c) The particulars in this form are true.

Date: …………………. Signature of Applicant: ………………………………

FOR OFFICE USE

Our Reference No:-

Data Received:-

Application Result:- Successful/Unsuccessful for Interview

Date of Interview:-

Interview Result: Successful/Unsuccessful

Others:-

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