H.

General (Am)
1. How did you come to know of our Company and the vacancy?
Bagaimana anda mengetahui Syarikat kami mempunyai kekosongan jawatan?
/ Advertisement
Pengiklanan
Personal Refference
Rujukan Sendiri
Employment Agencies
Agensi pekerjaan
2. Do you have relative or friends working in Shopper360 Group of Companies?
If YES, please state name and relationship : Application Form for Employment
Adakah anda mempunyai kawan / saudara yang bekerja di Syarikat Shopper360 Group?
Yes
/ No

Ya Tidak Permohonan Jawatan

Jika YA, sila nyatakan nama dan hubungan.
3. Are you willing to travel? Yes
/
No retail asistant
Position applied for : ____________________________________________________
Bolehkah anda bekerja di luar daerah? Ya Tidak Jawatan dipohon
Photo
4. Have you been dismissed or suspended from any position? Company : ____________________________________________________________________
Syarikat Gambar
If YES, state details :
Pernahkan anda digantung atau diberhentikan dari mana - mana pekerjaan?
Yes

Ya
/ No

Tidak Date of commencement : ____________________________________________________________________

Jika YA, sila jelaskan Tarikh mula bekerja
5. Have you ever been charged and/or convicted in any Court of Law? A. Personal Particulars (Butiran Diri)
If YES, please elaborate : Yes No Name as per I.C. : Muhammad Haikal Ridzuan Date of Birth : EPF No:
Pernahkan anda terlibat atau dikenakan tindakan Undang - Undang Mahkamah? Ya
/ Tidak Name mengikut K/P Tarikh Lahir
27/7/2004 No KWSP
Bin Mahfut
Jika YA, sila huraikan
040727-10-0675
NRIC No : SOCSO No:
6. Do you have active interest in any business or family business? Name preferred to be addressed : Haikal
_________________________________
No Kad Pengenalan No SOCSO

If YES, please give details and position holding : Citizenship : Income Tax No
Adakah anda aktif menceburkan diri dimana - mana perniagaan, termasuk perniagaan keluarga
Yes
Ya
/ No
Tidak
Name panggilan
Chinese Name (If Applicable) : __________________________ Warganegara
Malaysia
No Cukai pendapatan
Jika YA, sila beri maklumat dan jawatan yang dipegang. Nama Cina (jika perlu) Gender : Female Male
7. Have you had any serious illness or injury/currently suffering from any serious illness? Jantina Perempuan / Lelaki
If YES, please state exact details : Yes No
Pernahkan anda menghidap/atau sekarang menghidap penyakit serius atau kecederaan parah? Ya / Tidak
Jika YA, sila beri maklumat lengkap. Permanent Address : Maritial Status : Single Married
I. Referees (Rujukan) Alamat tetap Status perkahwinan / Bujang Kahwin
List two referees who are not relatives (Senaraikan dua orang yang bukan dari ahli keluarga) no 17 lot 6260 batu 2 kg jawa Widowed Divorced
Name Occupation Company's Name Phone Years Known 41000 klang selangor Balu Bercerai
Nama Pekerjaan Nama Majikan No. Telefon Tahun Kenal Do you have a valid car / motorcycle license?
Adakah anda mempunyai lesen kenderaan yang sah?

muhd amirul 0172346675 2015 / Yes No

Correspondence Address : Ya Tidak
Alamat surat menyurat If yes, please state type (e.g. B1, B2, D, etc):
K. Declaration (Pengesahan) no 17 lot 6260 batu 2 kg jawa Jika ya, sila nyatakan jenis (cth: B1, B2, D, lain-lain)

I hereby declare that the above information is true and accurate and that no pertinent details have been withheld. I fully understand 41000 klang selangor
and accept that if at anytime after engagement that it is found any information given is incorrect or incomplete or untrue, the 67368610
License No : ____________________________
Company has the absolute right to terminate my employment without notice or compensation No Lesen

Saya, dengan ini mengesahkan bahawa segala maklumat di atas adalah benar dan tepat serta tiada maklumat penting yang dilindungi. Saya Expiry Date : _______________________________________ 22/8/2025
memahami dan menerima sepenuhnya bahawa jika bila - bila masa setelah diambil bekerja dan didapati segala maklumat yang diberikan Tarikh Tamat Tempoh

tidak benar, pihak Syarikat berhak memberhentikan saya serta merta tanpa sebarang notis. Tel (House) : Tel (Office) :
No. telefon (Rumah) No. (Pejabat)

Mobile phone : Email address :

No. telefon bimbit Alamat email

22/9/2023 (Bahasa)
Signature of Applicant Date Written Spoken
Tandatangan pemohon Tarikh Languages / Dialects Excellent Good Fair Excellent Good Fair
Cemerlang Baik Sederhana Cemerlang Baik Sederhana
Bahasa Malaysia / /
English Language / Bahasa Inggeris / /
Please enclose: Sila lampirkan:
1. Photocopies of detailed Professional, University, College, STPM, SPM 1. Salinan sijil Professional, University, College, STPM, SPM
Other Language / Dialects
2. Photocopies of school leaving certificates and testimonials 2. Salinan sijil berhenti sekolah atau testimoni
3. Photocopies of other references 3. Salinan sebarang rujukan _________________________________________
4. Photocopy of I/C. and Driving License 4. Salinan Kad Pengenalan dan Lesen Memandu _________________________________________
5. Photocopy of latest pay slip & EA 5. Salinan penyata gaji terkini & EA _________________________________________
C. Family Details (Butiran Keluarga) G. Working Experience (Pengalaman kerja)
Please provide details of your parents, spouse & children (sila nyatakan butiran ibubapa, pasangan dan anak) Dates Basic Salary
Name Relationship Date of birth Occupation Name of employer Tarikh Name of Gaji Tetap
Nama
Last Position Held Reason For Leaving
Hubungan Tarikh lahir Pekerjaan Nama majikan Employer Starting Last Drawn
From To Jawatan Akhir Sebab Untuk Berhenti
Nama Majikan
normala bt mahfut kakak 5/12/1997 kilang Dari Hingga Mula Akhir

suhara bt ibu bakar ibu 27/12 28/2

7/4/1966 tidak bekerja picker 1600 accident
abang 8/4/1994 tidak bekerja 22 23 1700
rizal bin mahfut
mahfut bin ahmad ayah 7/10/1972 kontraktor

Emergency contact Name: Tel.No: Address:

Orang yang perlu diberitahu sewaktu Nama No.Telefon Alamat
kecemasan

D. Educational Background (Latar Belakang Pendidikan) Details of Current or Last Position (Butiran Jawatan Semasa atau Terdahulu)
Education Examinations Grade Year completed Name of school/Institute Main Job Responsibilities
Pendidikan Peperiksaan Gred Tahun Tamat Nama sekolah / Institut Tugas - Tugas Utama
Highest Secondary
Achievement
Pendidikan Menengah spm sekolah
Tertinggi sijil spm 2022 menengah No. of staff reporting to you - Direct :
Tertiary Jumlah pekerja di bawah arahan anda - Langsung
Tertiari kebangsaan Reporting to: -Indirect :
Melapor kepada -Tidak langsung
Professional kg jawa
Profesional Please specify type of Allowances / Incentives / Commissions currently received. Please attach a copy of your latest pay slip
(Sila nyatakan jenis elaun / insentif / komisyen terkini yang diterima. Sila lampirkan salinan penyata gaji terkini.)
1. Basic Salary elaun kehadiran rm
4. Other Allowance (Please Specify):
Others
lain-lain
(Gaji Tetap)
1500 100
(Lain - Lain Elaun. Sila Nyatakan)

2. Contractual Bonus
(Quantum):
elaun kedatangan
E. Computer Literacy (Pengetahuan Komputer) (Bonus Tetap - Bulan) rm 100
5. Other Incentives (Commission) Average Per
Month (Lain - Lain Insentif / Komisyen
MS Word MS Powerpoint Adobe Photoshop 3. Performance Bonus - Purata Sebulan)
(Quantum)
MS Excel MS Access MS Outlook /Exchange (Bonus Prestasi - Bulan)

/ Others, please specify : tiada

Expected Salary : 1500
RM ____________________________
(Gaji yang dimohon)

F. Interests / Activities (Minat / Aktiviti)

Sports / Games Membership of Club, Society etc Positions of Responsibility Held
Sukan / Permainan Ahli Kelab, Kemasyarakatan, dll Jawatan Tanggungjawab dipegang

School
Sekolah
bola sepak polis tiada
University/College
Universiti/Kolej

Present
Terkini