CONFIDENTIAL

SULIT

APPLICATION FOR EMPLOYMENT

PERMOHONAN UNTUK JAWATAN KOSONG

NAME OF APPLICANT : ALIFFANUR BINTI ALAM

NAMA PEMOHON

POSITION APPLIED FOR :

HR MANAGER
JAWATAN YANG DIPOHON

HOW DID YOU COME TO KNOW OF THIS VACANCY?

BAGAIMANA ANDA MENDAPAT TAHU MENGENAI JAWATAN KOSONG INI?

NEWS PAPER EMPLOYMENT AGENCY EMPLOYEE WALK-IN

AKHBAR AGENSI PERJAWATAN KAKITANGAN TEMUDUGA TERBUKA
INDEED
OTHER (PLEASE SPECIFY):………………………………………………………………………………………………………………………………
/
LAIN-LAIN (SILA NYATAKAN)

NOTE/NOTA

1. Please write in block letters. Tick () boxes are appropriate.

Sila gunakan huruf besar. Tandakan () di petak yang berkenaan.

2. Copies of certificate or testimonials should be attached to the form.

Salinan sijil atau surat akuan hendaklah dilampirkan bersama borang.

3. The originals should be brought to the interview.

Sijil asal hendaklah dibawa bersama menghadiri temuduga.

4. Please use additional paper if the space provide is insufficient.

Sila gunakan kertas berasingan jika ruangan ini tidak mencukupi

5. Information given by applicants will be treated as STRICTLY CONFIDENTIAL.

Keterangan yang diberikan oleh pemohon akan dilayan secara SULIT
 Affix recent photograph
(Please write name on reserve)

Letakan gambar terbaru

(Sila catitkan nama anda di
belakang gambar)

1. PERSONAL PARTICULARS
BUTIR-BUTIR PERIBADI

Full Name : ALIFFANUR BINTI ALAM

Nama Penuh

Correcpondence Address : BLOK D-T07-U10, SUBPRENIT 15-7, PRESINT 15,

Alamat Surat Menyurat 62050 PUTRAJAYA

Residential Address : 799, JALAN TTJ 2/11, TAMAN TUANKU JAAFAR

Alamat Surat Menyurat 71450 SUNGAI GADUT, NEGERI SEMBILAN

Date of Birth : 27/10/1983 Place of Birth : W.P KUALA LUMPUR Identity Card No : 831027-14-6382
Tarikh Lahir Tempat Lahir No. Kad Pengenalan

Nationality : MALAYSIA Marital Status : MARRIED Tel No. (House/Rumah) :

Warganegara Taraf Perkhawinan (Handphone/Bimbit) 011-11794364

Sex : Religion : Age : 38

FEMALE ISLAM
Jantina Agama Umur
Driving License: Email Address:
Lesen Memandu B2, D Alamat E-mel: faymouse83@gmail.com

2. FAMILY PARTICULARS
BUTIR – BUTIR KELUARGA

Relation/Hubungan Name/Nama Age/Umur

MOHAMAD RAIYHAN 28
Spouse/Suami atau Isteri ……………………………………………… …………………………. …………………….

Children/Anak ……………………………………………… ………………………….. …………………….

AUNI AZRA BATRISYIA 15
1. ……………………………………………… …………………………... …………………….
MUHAMMAD NAEL HAKIMY 13
2. ……………………………………………… …………………………… …………………….
NUR HANA DAFINAH 4
3. ………………………………………………. …………………………… …………………….
NUR MUHAMMAD HARITH 2
4. ……………………………………………… …………………………… …………………….

5. ……………………………………………… …………………………… …………………….

6. ……………………………………………… …………………………… …………………….

SPOUSE’S OCCUPATION & EMPLOYER : BEKERJA SENDIRI
PEKERJAAN & MAJIKAN SUAMI/ISTERI

Relation / Hubungan Name/Nama Date of Birth/Tarikh Lahir Age/Umur

ALAM BIN SUHUT 67

Father/Bapa ……………………………….. …………………………
22/01/1954
……………..
Mother/Ibu 11/11/1956
………………………………..
THALATHIAH BT MOHAMED ………………………… ……………..
65

Brother/Sister 35
ALSHAHRIM 20/02/1986
Adik Beradik 1. ……………………………. ………………………… …………….
34
2. …………………………….
ALMUNIRAH …………………………
16/03/1987
…………….
ALZULHELMI 19/05/1988 33
3. ……………………………. ………………………… …………….
19/10/1990
4. …………………………….
ALFADZILAH ………………………… …………….
31

5. ……………………………. ………………………… …………….

6. ……………………………. …………………………. ……………..

3. LANGUAGE / DIALECTS
BAHASA / LOGHAT PROFICIENCY/KEMAHIRAN

WRITTEN* SPOKEN *  Please indicate proficiency :

MENULIS* PERTUTURAN* * Sila catitkan tahap kemahiran

1 1
BAHASA MALAYSIA/BAHASA MALAYSIA ____________________ _________________ 1 = Excellent
Amat Baik

2 3
ENGLISH/BAHASA INGGERIS ____________________ _________________ 2 = Good
Baik

3 = Fair
________________________ _____________________ _________________ Sederhana

________________________ _____________________ _________________

4. EDUCATION Note : Please attach copies of relevant certificates
PELAJARAN Note : Sila lampirkan sijil-sijil yang berkenaan

DATE/TARIKH HIGEST QUALIFICATION OBTAINED RESULT

EDUCATIONAL INSTITUTIONS TARAF PENCAPAIAN TERTINGGI KEPUTUSAN
PUSAT PENGAJIAN YANG DIPEROLEHI
FROM TO
DARI HINGGA

PRIMARY SCHOOL :
SEKOLAH RENDAH 1994 1995 UPSR 4A
S K TEMIANG,N SEMBILAN

SECONDARY SCHOOL :
SEKOLAH MENENGAH

SMRA ULU JEMPOL, N.SEMBILAN 1998 1998 PMR 2A 4B 2C

SMK BATU KIKIR, N. SEMBILAN 2000 2000 SPM (PENSIJILAN TERBUKA) LULUS

COLLEGE/UNIVERSITY
(Include Business/Trade School)
KOLEJ UNIVERSITI (Termasuk Institut Vokasional)

UNIVERSITI UTARA MALAYSIA 2015 2020 BACHELOR OF PUBLIC MANAGEMENT 3.13

OTHER TRAINING ATTENDED :

LATIHAN LAIN YANG DIHADIRI

SHRM 2015 2019 HRM-CERTIFIED PROFESSIONAL

Scholarship :
Biasiswa

Other Achievement :
Pencapaian Lain

Other Skill (i.e Computer, typing)

Lain-lain kemahiran (cth : Computer, Menaip)

HR YSYTEM= PAYFLEX, HR2000, INFOTECH

MS OFFICE= WORD, EXCEL, MS POWERPOINT
5. EMPLOYMENT HISTORY Note : List most recent job first
REKOD PEKERJAAN TERDAHULU Note : Senaraikan pekerjaan terbaru dahulu

Name of Employer & Position Date/Tarikh Salary at/Gaji Reason(s) for leaving
Nama Majikan & Jawatan Sebab-sebab Meninggalkan
pekerjaan
Joined Left Start Finish
Mula Berhenti Mula Berhenti

JPB TIMBER VENTURE 06/2020 02/2020 4000 4500 SYKT TAMAT KONTRAK
DENGAN JABATAN HUTAN.
HR ADMIN MANAGER
TIADA KONTRAK, SYKT
ON-HOLD

01/2020 05/2020 1200 1200 MCO

PUMAR SOLAR POWER SDN BHD

BUSINESS DEVELOPMENT OFFICER CUM

ADMIN ASSISTANT

PERMATA ASLI SDN BHD 03/2009 12/2018 SYKT TUTUP PERNIAGAAN.

1800 5000
HR ADMIN MANAGER PEMILIK MENINGGAL DUNIA,
SAKIT JANTUNG

TAMAT KONTRAK
PERPUSTAKAAN NEGARA MALAYSIA
01/2006 12/2008 1300 2200
LIBRARY ASSISTANT

DERAYA CORP(M) SDN BHD 11/2000 12/2005 1200 2000 MENDAPAT TAWARAN
CLERK CUM ADMIN ASSISTANT KERJA KERAJAAN
6. DETAILS IF FRINGE BENEFITS IN CURRENT EMPLOYMENT
MAKLUMAT TERPERINCI MENGENAI FAEDAH YANG DITERIMA DARI MAJIKAN SEKARANG

ELAUN TRAVELLING(TRANSPORT) RM400

ELAUN TELEFON RM100

7. OTHER ACTIVITIES
AKTIVITI-AKTIVITI LAIN

Current membership (Clubs/Professional Bodies) :

Keahlian Sekarang (Kelab/Badan Professional

Active Interest and Hobbies

Kegemarah yang Aktif

8. GENERAL HEALTH
KESIHATAN

YES/YA NO/TIDAK

1. Do you suffer from any serious illnesses?

Adakah anda pernah diseramg penyakit yang serius? _________________ NO
________________

2. Are you on any regular medication and/or under the care of a specialist?
Adakah anda di bawah rawatan dan/atau di bawah pemerhatian pakar perubatan? _________________ NO
________________

3. Any physical disability/handicap?

Adakah anda terdapat kecacatan fizikal? _________________ NO
________________

4. If “yes” on any of the above, please specify

Jika “ya” Sila beri keterangan lanjut : _________________________________________________________________

_________________________________________________________________

_________________________________________________________________
9. OTHER INFORMATION
LAIN-LAIN MAKLUMAT

1. Are you under contract/bond to serve any organization?

Adakah anda masih di bawah kontrak/ikatan untuk bekerja bagi mana-mana organisasi?
NO
________________________________________________________________________________________________________

________________________________________________________________________________________________________

2. Have you applied to this Company previously, if so state date and position(s) applied for :
Adakah anda pernah memohon jawatan kosong di Syarikat ini. Jika pernah nyatakan tarikh dan jawatan yang dipohon :

NO
_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

3. If offered employment, please state :

Jika ditawarkan pekerjaan, sila nyatakan :

a) 06/2021
Period of notice you are required to give present employer : __________________________________________________
Tempoh notis yang perlu diberi kepada majikan sekarang

b) 5000
Basic salary you would expect to earn per month : RM ______________________________________________________
Gaji bulanan yang dipohon

c) ELAUN PENGANGKUTAN, MEDICAL, ELAUN MAKAN

Other benefit expected : _______________________________________________________________________________
Faedah lain yang diharapkan

4. IF YOU GAVE ANY RELATIVE WORKING IN THE THIS COMPANY, PLEASE STATE
JIKA ANDA MEMPUNYAI SAUDARA-MARA YANG BERKERJA DI SYARIKAT INI SILA NYATAKAN :

Name/name
Relationship/Hubungan
Department/Division/Jabatan/Unit

5. Other Information which is important to you and helpful to us :

Maklumat lain yang boleh menyokong permohonan anda
________________________________________________________________________________________________________

________________________________________________________________________________________________________

________________________________________________________________________________________________________

CHARACTER REFEREES Please provide two persons (not related)

RUJUKAN Sila berikan butir-butir mengenai dua orang (Bukan saudara-mara)

Full Name/Nama Penuh Full Name/Nama Penuh

IZMARUL ZULKIFLI ZARINA ABDULLAH

Address/Alamat Tel No. /No. Telefon Address/Alamat Tel No. /No. Telefon
TAMAN HARAPAN KG TERING, DANGI, 014-3965425
010-9871836
N. SEMBILAN

Occupation/Pekerjaan Yrs Known/Bil Tahun Mengenali Occupation/Pekerjaan Yrs Known/Bil Tahun Mengenali

DIRECTOR(JPB TIMBER VENTURE) 5 EX-PA DIRECTOR(PERMATA ASLI) 18

10. GENERAL & MISCELLANEOUS INFORMATIONS
KETERANGAN AM DAN PELBAGAI

1. I *have/have not been dismissed from any employment because of misconduct.

Saya *pernah/tidak pernah diberhentikan kerja kerana salah laku.

2. I *have/have not been arrested and convicted in any court of law or detained under the provision of any written law.
Saya *pernah/tidak pernah ditangkap dan dijatuhkan hukuman di dalam mana-mana mahkamah undang-undang atau ditahan di
bawah apa juga peruntukan undang-undang.

3. I *have/have not suffered any serious illness during the past five (5) years and I *have/do not have any physical handicap, chronic
diseases or other disablement.
Saya *ada/tidak ada mengalami sebarang penyakit teruk didalam jangkamasa lima (5) tahun kebelakangan ini saya *ada/tidak ada
menghadapi apa juga penyakit, kecacatan atau lain-lain ketidakmampuan.

4. I *have/have not been declared a bankrupt and *have/have not any order made against me under the Bankrupt Ordinance.
Saya *pernah/tidak pernah diistiharkan bankrap dan *pernah/tidak pernah dihukum di bawah Ordinan Kebankrapan.

5. Any information herein and additional information that I may represent during the job interview process are correct and genuine.
Apa-apa maklumat di dalam borang ini dan maklumat tambahan yang saya akan nyatakan semasa proses temuduga kerja adalah
tepat dan benar.

*Delete where not necessary

*Potong yang tidak berkenaan

I HEREBY DECLARE THAT THE INFORMATION GIVEN BY ME IN THIS FORM IS CORRECT AND TRUE TO THE BEST
OF MY KNOWLEDGE. I FULLY UNDERSTAND AND ACCEPT THAT IF AT ANY TIME AFTER ENGAGEMENT IT IS FOUND
THAT A FALSE DECLARATION HAS BEEN MADE IN THIS FORM AND DURING THE JOB INTERVIEW PROCESS THE
EMPLOYER HAS THE ABSOLUTE RIGHT TO TERMINATE MY EMPLOYMENT FORTHWITH.
DENGAN INI SAYA MENGESAHKAN BAHAWA SEGALA KETERANGAN YANG TELAH SAYA BERIKAN DI DALAM BORANG INI
ADALAH BENAR DAN BETUL. SAYA FAHAM DAN TERIMA BAHAWA PADA BILA-BILA MASA SELEPAS SAYA DITERIMA
BEKERJA JIKA DIDAPATI SAYA MEMBERIKAN MAKLUMAT PALSU DIDALAM BORANG INI DAN SEMASA PROSES
TEMUDUGA KERJA , PIHAK MAJIKAN MEMPUNYAI HAK MUTLAK MENAMATKAN PERKHIDMATAN SAYA DENGAN SERTA-
MERTA.

aliffanur 11/05/2021
______________________________ _______________________________
SIGNATURE/TANDATANGAN DATE/TARIKH

FOR OFFICE USE ONLY/UNTUK KEGUNAAN PEJABAT SAHAJA

JOB TITLE SALARY GRADE COMMENCEMENT REQUISITION NO.

DATE

COMPANY DIV/DEPT BASE

REMARKS

APPROVED FOR EMPLOYMENT NAME SIGNATURE DATE

DEPT HEAD

HUMAN RESOURCES MANAGER

EXECUTIVE DIRECTOR ADMINISTRATION

MANAGING DIRECTOR