CANDIDATE DATA

PRI VATE & CONFI DENTI AL

POSITION APPLIED:
PERSONAL
FULL NAME (MR/ MRS/ MISS): IC/ PASSPORT NO.:
ADDRESS:
CONTACT NO. (HOME): (OFFICE): (MOBILE):

EMAIL ADDRESS:
DATE OF BIRTH: AGE: DIALECT: GENDER:
MARITAL STATUS: NATIONALITY/ CITIZENSHIP:

EPF NO.: SOCSO NO.:
INCOME TAX NO.: HEIGHT: WEIGHT:
ETHNIC GROUP: RELIGION:
FAMILY
NAME RELATIONSHIP AGE OCCUPATION/ COMPANY
Fathe
M!the
B!the/S"#te
B!the/S"#te
B!the/S"#te
B!the/S"#te
NAME OF SPOUSE: AGE/ ETHNICITY:
OCCUPATION: NO. OF CHILDREN:

EDUCATION
HIGHEST $UALIFICATION
NAME OF INSTITUTION YEAR TO YEAR ATTAINED RESULT
TO
TO
TO
TO
PLEASE ATTACH PHOTOCOPY OF DETAIL RESULTS % CERTIFICATES
COURSES CURRENTLY PURSUING
HIGHEST $UALIFICATION CURRENT
NAME OF INSTITUTION YEAR TO YEAR ATTAINED RESULT
TO
TO
TO
TO
ATTACH
PHOTO
PROFESSIONAL QUALIFICATION
NAME OF ASSOCTIATION / INSTITUTION YEAR OF ADMISSION MEMBERSHIP STATUS
TO
TO
PRESENT EMPLOYMENT
COMPANY:
NATURE OF BUSINESS:
DATE &OINED: DATE LEFT:
INITIAL DESIGNATION: REPORTING TO:
CURRENT DESIGNATION: REPORTING TO:
RESPONSIBILITIES HELD:
REASON FOR CHANGE:
PREVIOUS EMPLOYMENT
COMPANY
DATE
&O
IN
ED
DATE
LE
FT
POSITION
NAME OF
SUPERIOR
%
DESIGNATI
ON
LAST
DR
A
W
N
SA
LA
RY
REASON FOR
LEA'ING
LANGUAGE
(INDLY INDICATE LE'EL OF LANGUAGE PROFICIENCY:
(1)POOR* 2)A'ARAGE* 3)EXCELLENT)
LANGUAGE SPO(EN WRITTEN
CAREER GOALS
STRENGTHS:
WEA(NESSES:
FACTORS FOR EXPLORING THIS POSITION:
COMPENSATION PACKAGE
PRESENT MONTHLY BASIC SALARY:
LAST INCREAMENT AMOUNT % DATE:
BONUS: (FIXED): ('ARIABLE):
OTHER BENEFITS: PROFIT SHARING: SHARE OPTION:
COMMISSION: ALLOWANCE:
EXPECTED SALARY: MONTHLY: RM ANNUALLY: RM
AVAILABILITY
NOTICE RE$UIRED: EARLIEST A'AILABLE DATE:
OTHER INFORMATION
KINDLY INDICATE YES OR NO ON THE FOLLOWINGS:
Ae +!, #,--e"./ -!0 a.+ 1h+#"2a3 4"#a5"3"t+ ! "33.e## that e6,"e# +!, t! 5e !. 0e4"2at"!.
! 2!.#,3tat"!. -! a 1!3!./e4 1e"!47
Ha8e +!, ,.4e/!.e a.+ 0e4"2a3 #,/e+ -! the 3a#t 9 +ea#7
Ha8e +!, e8e 5ee. teate4 -! 4,/ a44"2t"!.7
Ae +!, ,.4e a.+ 2!.ta2t,a3 5!.4 :"th +!, 2,e.t e013!+e7
Ae +!, 2,e.t3+ e./a/e4 ". a.+ 1e#!.a3 5,#".e## ! 1at)t"0e e013!+0e.t7
Ha8e +!, e8e 5ee. 4"#2ha/e4 ! 4"#0"##e4 -!0 a.+ 1e8"!,# e013!+0e.t7
Ha8e +!, e8e 5ee. 4eta".e4* 2ha/e4 ! 2!.8"2te4 ". a.+ 2!,t !- 3a:7
Ae +!, a. ,.4"#2ha/e4 5a.;,1t7
(For female applicant only) Ae +!, 2,e.t3+ 1e/.a.t7
I- +!, e13"e4 <YES= t! a.+ !- the a5!8e* 13ea#e 1!8"4e 4eta"3#.
Ae +!, ". 4e5t7 (P3ea#e #tate 3!a. t+1e# a.4 a0!,.t)
REFERENCES
NAME: (>) COMPANY:
DESIGNATION: CONTACT NO. YEARS (NOWN:
NAME: (?) COMPANY:
DESIGNATION: CONTACT NO. YEARS (NOWN:
NAME: (9) COMPANY:
DESIGNATION: CONTACT NO. YEARS (NOWN:
DECLARATION
I HEREBY DECLARE THAT TO THE BEST OF MY (NOWLEDGE AND BELIEF ALL THE PARTICULARS FURNISHED UNDER
THIS APPLICATION ARE TRUE AND CORRECT.
I FULLY UNDERSTAND AND ACCEPT THAT IF AT ANY TIME AFTER ENGAGEMENT IT IS FOUND THAT A FALSE
DECLARATIONHAS BEEN MADE IN THIS FORM* THE EMPLOYER RESER'ED THE RIGHT TO TERMINATE MY
EMPLOYMENT FORTHWITH.
SIGNATURE DATE
I.-!1! S4. Bh4* B3!2; B9 Le8e3 @* Le"#,e C!00e2e S6,ae* A &a3a. P&S @/A* Peta3"./ &a+a.
Te3: BC9)D@DB BBBB FaE: BC9)D@DB >?99
NAME OF APPLICANT :
PREFERENCE OF JOB FUNCTIONS
P3ea#e ".4"2ate +!, 4e/ee !- 1e-ee.2e 5+ <X= the e3e8a.t 2!3,0. -! ea2h F!5 -,.2t"!. 3"#te4.
NA G N!t A113"2a53e C G N!t I.tee#te4 > G Lea#t I.tee#te4 ? G I.tee#te4 9 G M!#t I.tee#te4
N! &!5 F,.2t"!. De/ee !- Pe-ee.2e
NA C > ? 9
>.
O8ea33 0a.a/e0e.t !- te2h."2a3 % #,11!t #e8"2e# -! :h!3e 2!01a.+.
?. O8ea33 F".a.2"a3 Ma.a/e0e.t % A40"."#tat"!..
9. Ma.a/e #!-t:ae R % D 1!Fe2t -!0 "4ea ".2e1t"!. t!
-".a3 2,#t!0e "013e0e.tat"!..
H. Pat"2"1ate ". the 4e#"/. !- #!-t:ae 1!Fe2t.
I. W"te #!-t:ae #+#te0 (".e. 1!/a00"./ / 2!4"./).
B. D!2,0e.t #!-t:ae #+#te0.
D.
W"te 1!2e4,e 0a.,a3 a.4 e8"e: #+#te0 % 0eth!4#.
@. Pat"2"1ate ". 1e#a3e a2t"8"t"e# J
De0!.#tat"!. % Pe#e.tat"!. t! 1!#1e2t#.
A
W"te #+#te0 1!1!#a3.
>C Ma;et 5a.;"./ #!-t:ae t! 3!2a3 % !8e#ea#
-".a.2"a3 ".#t"t,t"!.#.
>>. Ca33 !. 5a.;e# t! 4"#2,## #+#te0#.
>?. Ta". 2,#t!0e# !. !1eat"!. % a40"."#tat"!. !-
2!01,te"#e4 5a.;"./ #+#te0.
>9. I013e0e.te4 2!01,te"#e4 5a.;"./ #+#te0 ". 3!2a3
a.4 !8e#ea# -".a.2"a3 ".#t"t,t"!.#.
>H. P!8"4e !./!"./ #,11!t t! 2,#t!0e# ".23,4"./
2!.#,3tat"!. a.4 1!53e0 e#!3,t"!..
>I. P!8"4e a48"#!+ #e8"2e# t! -e33!: 2!33ea/,e# a.4
2,#t!0e !. 5a.;"./ 1!2e4,e# a.4 1a2t"2e#.
>B. Te#t :!;"./ a22,a2+ !- 1!/a0# 4e8e3!1e4 5+
-e33!: 2!33ea/,e#.
>D. Ca+ !,t 6,a3"t+ a##,a.2e -,.2t"!. t! e.#,e that #!-t:ae %
4!2,0e.tat"!. 0eet 6,a3"t+ #ta.4a4# 5e-!e 2,#t!0e 4e3"8e+.
>@. I.8!38e ". the #t,4+ % e#ea2h !- .e: #!-t:ae te2h.!3!/+.
>A. I.8e#t"/ate #,"ta5"3"t+ !- a4!1t"./ #1e2"-"2 te2h.!3!/+ -! "013e0e.tat"!.
". 5a.;"./ e.8"!.0e.t.
?C. C!a2h % ta". !the# !. 1!-e##"!.a3 #;"33#.
?>. De8e3!1 1!1e 0eth!4!3!/+ -! #+#te0 4e#"/.* 1!/a00"./ a.4
4!2,0e.tat"!..
??.
Ca+ !,t EDP A,4"t !- S+#te0# "013e0e.te4.
NAME OF APPLICANT :
SKILLS / STRENGTH
P3ea#e ".4"2ate +!, #;"33# a.4 4e/ee !- 1!-"2"e.2+ ". the -!33!:"./ Ta53e.
P!-"2"e.2+: A48a.2e4 G H"/h3+ eE1e"e.2e I.te0e4"ate G Fa0"3"a :"th a33 the 5a#"2 -,.2t"!.#
Be/"..e G &,#t #tate4 ,#"./ ! 3ea."./ the #;"33
S;"33 / Ste./th P!-"2"e.2+