JTS CHECKS SDN BHD

JTS CHECKS SDN BHD 1157487-M

Unit 3-3-5, Level 3, Tower3, UOA Business Park, Jalan Pengaturcara U1/51A, Kawasan Perindustrian Temasya, 40150, Shah Alam, Malaysia
T: +603 5022 0899 F: +603 5022 0886 Email: checks@jtschecks.com Website: www.jtschecks.com

CANDIDATE’S CERTIFICATE AND RELEASE

I, _________________________________, NRIC No. / Passport: ________________________ hereby grant consent to JTS CHECKS
SDN BHD (1157487-M), an employment screening company to conduct the following for background screening as part of the
recruitment process of JTS CHECKS SDN BHD client with whom I am seeking employment opportunities with. I hereby consent JTS
CHECKS SDN BHD to release the Report, which consists the screening results to the Client.

All information provided by me in support of my application for employment is true and correct to the best of my knowledge. I
understand that misrepresentation or omission will constitute sufficient ground for rejection or for subsequent dismissal if I am hired.

I hereby consent and authorize any former employer, school, person, firm, corporation, consumer or credit reporting agency, or
government agency to answer any and all questions and to release or provide any information within their knowledge or record, and
I agree to hold any or all of them blameless and free of any liability for releasing any truthful information that is within their knowledge
or records. I also agree to hold the Company blameless and free of any liability for using any information received from such parties
in making an employment decision regarding me.

The company is hereby authorized to release to any other firm or person with whom I may seek employment, any and all information
concerning my employment or application and I agree to hold the company blameless and free of any liability for releasing any such
information.

The company may conduct credit/trade check, CCRIS and DCHEQUE checks on us and where applicable with CTOS at any time for as
long as I/we have a trade relationship with you or where any dues remain unpaid and outstanding with you, for any one or more of
the following purposes.

ACKNOWLEDGEMENT AND RELEASE

I acknowledge receipt of this letter. I release your company and its employees and agents from all liability relating to your obtaining
and use of such information solely and only for the purpose of being evaluated for a recruitment position. I authorize all companies,
schools, organizations and other persons to provide such information to you and your agents and release them from all liability for
doing do so.

Candidate’s Signature Date

Candidate’s Name (typed or printed) NRIC / PASSPORT NO:

_________________________________________
Mobile No

Important Note: JTS CHECKS shall endeavor to ensure that all of its Pre-Employment Screening Information is accurate. JTS CHECKS however gives
no warranties and makes no representations with respect to the accuracy, currency, or completeness of its Pre Screening Information.