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EMPLOYMENT APPLICATION FORM 1 Please read through the application form CAREFULLY and complete it in BLOCK LETTERS. 2 Attach one copy of Photograph to this application. 3 Please attach copies of relevant certificate / testimonials to this form. Originals are to be produced at the interview.
POSITION APPLIED FOR
A.
(State in order of preference)
B.
PERSONAL PARTICULARS Name:
Race:
Chinese Characters: (if applicable) Address:
Nationality: Religion: Gender:
Telephone
Residence:
Marital Status:
Office:
N.R.I.C. No.:
Mobile:
Date of Birth:
Height:
Weight:
Place of Birth:
Passport No:
Passport Type:
Driving Licence No:
Licence Class (es):
E.P.F. No.:
Socso:
Income Tax Ref. No.:
PARTICULARS OF SPOUSE & PARENTS Relationship Particulars
SPOUSE
FATHER
MOTH
Name Address Citizenship Occupation
Name & Tel No. of Employer (if any)
PARTICULARS OF CHILDREN NAME
GENDER
AGE
CITIZENSHIP
OCCUPATIONS & EMP NAME OF SCHO
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Page 3 of 10 ACADEMIC QUALIFICATIONS Name of Schools / Colleges / Universities
Location
Did you graduate? If yes, graduation Degree received date?
Year From
To Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
OTHER RELEVANT CREDENTIALS (Other credentials / licences / professional affiliations which are relevant to the job for which you are applying)
RELEVANT SKILLS Please list technical / clerical / trade / computer / accounting / shorthand, etc. skills relevant to this position. Include your level of proficiency for the skills mentioned.
LANGUAGE SKILLS LANGUAGE / DIALECTS
Reading / Comprehension Skills
1
2
3
EXTRA-CURRICULAR ACTIVITIES
HOBBIES & RECREATIONAL ACTIVITIES
4
5
1
1 = Poor 4 = Good Writing Skills 2 3 4
2 = Fair 5 = Superior
Speaking 5
1
Page 4 of 10 CAREER HISTORY
(Start with the most recent position)
(1) Name of Employer
Type of Industry
Name of HR Manager:
Employer's address
Tel No:
Contact these references: At any time Only if I'm a finalist cand Reporting to
Dates Employed FROM: / mo yr Starting Salary per month
Position Held TO:
/ mo yr Final Salary per month
Commission
Primary Duties
Allowance Reason for change
(2) Name of Employer
Type of Industry
Name of HR Manager:
Employer's address
Tel No:
Contact these references: At any time Only if I'm a finalist cand Reporting to
Dates Employed FROM: / mo yr Starting Salary per month
Position Held TO:
/ mo yr Final Salary per month
Commission
Primary Duties
Allowance Reason for change
(3) Name of Employer
Type of Industry
Name of HR Manager:
Employer's address
Tel No:
Contact these references: At any time Only if I'm a finalist cand Reporting to
Dates Employed FROM: / mo yr Starting Salary per month
Position Held TO:
/ mo yr Final Salary per month
Commission
Primary Duties
Allowance Reason for change
(4) Name of Employer
Type of Industry
Name of HR Manager:
Employer's address
Tel No:
Contact these references: At any time Only if I'm a finalist cand Reporting to
Dates Employed FROM: / mo yr Starting Salary per month Primary Duties
Position Held TO:
/ mo yr Final Salary per month
Commission
Allowance Reason for change
Page 5 of 10 CHARACTER REFERENCE (1) Name
Relationship
Address
Occupation
Tel No.
Years Known
Contact this reference: At any time Only if I'm a finalist candidate
(2) Name
Relationship
Address
Occupation
Tel No.
Years Known
Contact this reference: At any time Only if I'm a finalist candidate
PREVIOUS APPLICATION Have you previously applied for employment with Comfori Sdn Bhd
Yes
If Yes, please state position applied for, and date of application.
GENERAL Do you suffer from any financial embarrassment? If Yes, please give details:
Yes
Do you have any criminal convictions? If Yes, please give details:
Yes
Have you been hospitalized in the last 2 years? If Yes, please give details:
Yes
How many days were you on Medical Leave (M.C.) last year?
What is your EXPECTED SALARY for the position applied?
Are you related to anyone in Comfori Sdn Bhd? If yes, please state: NAME
RELATIONSHIP
DEPARTMENT
DECLARATION I hereby declare that the information on this application and its supporting documents are accurate and complete to the best of my knowledge. I understand that any false declaration may result in the termination of my service by the Company subsequently.
Date of Application
Applicant's Signature
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MOTHER
OCCUPATIONS & EMPLOYER / NAME OF SCHOOL
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Page 8 of 10 Degree received
Major
3 = Average
2
Speaking Skills 3 4
5
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e of HR Manager:
act these references: At any time Only if I'm a finalist candidate Reporting to
Bonus
son for change
e of HR Manager:
act these references: At any time Only if I'm a finalist candidate Reporting to
Bonus
son for change
e of HR Manager:
act these references: At any time Only if I'm a finalist candidate Reporting to
Bonus
son for change
e of HR Manager:
act these references: At any time Only if I'm a finalist candidate Reporting to
son for change
Bonus
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alist candidate
alist candidate
No
No
No
No
ARY for the position
POSITION HELD