Pelita Akademi Sdn. Bhd. Private & Confidential
EMPLOYMENT APPLICATION POSITION APPLIED : Personal Details Fu ll Na me
:
I C No.
:
Address
:
Telephone
:
(Hse) (Off)
Sex
:
Birth Date
:
Age
:
Race
:
Nationality
:
Marital Status No. of Children
: :
(if any) Are you willing to relocate to another city / town ?
Yes
No
Are you willing to work shifts ?
Yes
No
Education / Qualifications Year
School / Institution
Qualification
Any Other Training / Skills / Professional Qualifications
Employment History (Start with current / most recent employment) From
To
Employer
Position Page 1 of 3
Last Drawn Salary
Reason for Leaving
Salary Details Current Salary :
RM
Expected Salary :
RM
Language Proficiency (Please tick the appropriate space)
Spoken LANGUAGES
Fair
Good
Written Fluent
Fair
Good
Fluent
Family details (spouse, children, details of immediate family or parents, brothers and sisters) Name
Age
Occupation
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Other Activities - Sports / Hobbies / Interests Sports Hobbies
Interests
Others
Referees (Other than relatives) Name Occupation Relationship Telephone
: : : :
Name Occupation Relationship Telephone
: : : :
Other Information
Period of Notice: Are you or have you suffered from mental illness, Cancer, Aids, Tuberculosis or any other illness or disablement.
Yes
No
Have you ever used or are you addicted to any narcotics or illegal substances?
Yes
No
Have you ever been convicted of a felony (other than traffic offenses)?
Yes
No
Do you have any relatives either directly or through marriage currently working in PASB? If Yes, please state the name of the person
Yes
No
Have you ever apply for any post in PASB previously?
Yes
No No
Have you ever been employed by PASB or any of PASB group of companies?
Yes
No
If yes, please state which department/group of companies Declaration I declare that the above information is, to the best of my knowledge, true and if after engagement it is found that I have made a false declaration on the form, the company reserves the right to terminate my services without any compensation.
Signature Date :
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