The great experience

(Please attach photocopies of your I.C., degree, diploma, STPM/SPM certificates, transcript, 3 months pay slip and resume)

STAFF PARTICULAR FORM

Position Applied

Salary Expected

PHOTO

A. PERSONAL INFORMATION
Full Name
:
(As shown on I/C)
Present Address
:

Permanent Address
(if different from
above)

Email Address

Home Phone No.

Hand Phone No. :

New IC No.

Old IC No. :

Birth Date

Birth Place :

Age

Gender:

Race :

Religion :

Nationality :

Passport Number (if applicable)

Bank Account Number:

Bank Account Name:

Expiry date: DD/MM/YYYY

EPF No. :

Contribute to SOCSO?
SOCSO No:

YES / NO

Income Tax No. :

Branch:

B. FAMILY PARTICULARS
Marital Status:

Name of Spouse:

Birth Date:

New IC No:

Passport Number (if applicable)

Occupation:

Old IC No:
Name & Address of Employer:

Expiry date: DD/MM/YYYY

Childrens Name

1)
2)
3)

Income Tax No. :

Branch:

Birth Date

Gender

Birth cert/My Kid No

Name of
School/College/University/etc.
(if applicable)

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4)
5)
Name of Father :

Age _________ Years Old

Occupation :

Name of Mother :

Age _________ Years Old

Occupation :

Name of Brother/Sister

Age

Occupations

Gender

1)
2)
3)
4)
5)
C. EDUCATIONAL BACKGROUND
Name of School/Collage/University/etc.

Language Proficiency
(Please tick where relevant)

Written
Good

From

Fair

To

Poor

Qualification

Spoken
Good

Fair

Poor

Bahasa Malaysia
English
Others (Please specify)

D.

PROFESSIONAL CERTIFICATIONS/TRAINING DETAILS Workshop/Courses/Seminars/Conferences

(Please attached related certificates where possible)

Professional Certification/Training Programme/s Title

E. WORKING EXPERIENCE
Company Name & Address & Phone
No.

Last Job Title

Institution (where applicable)

Gross
Salary

Fixed
Allowances

From

Year

To

Reason for
Leaving

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Have you ever been dismissed / terminated from any job?

F. GENERAL INFORMATION
i. Is this your first application to this Company or its
associated company? If so specify which one.

No

No

Yes, specify _______________

Yes, specify

ii. Do you have a criminal record which is of relevance to the job you are applying for? (If yes, please specify)
____________________________________________________________________________________________________________________
iii. Are you currently being investigated in connection with a crime, which is of relevance to the job you are applying for?
(If yes, please specify)
____________________________________________________________________________________________________________________
iv. Is/Are there any criminal proceeding/s pending in connection with a crime, which is of relevance to the job you are
applying for? (If yes, please specify)
____________________________________________________________________________________________________________________
v. How did you come to know about this job vacancy?
___________________________________________________________________________________________________________________
vi. Are you willing to travel?

No

Yes

vii. Do you have family members/relatives working in this

Company?

No

Yes, specify _________________

viii. Date on which you able to join our company:

xi. Give details of any bond or obligation to serve the government or any other body :
__________________________________________________________________________________________________________________
xii. Hobbies, Interest, Recreational Activities :
xiii. Member of Societies, Club, Organization,
etc. :

xiv. Emergency Contact - Name :

Relationship:
Telephone No. :

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Address. :

Additional information in support of your application :

________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
G. REFERENCE (Please give names of 2 references not related to you)
Name
Title
Relationship

Companys Name/Email & Phone

Name

Companys Name/Email & Phone

Title

Relationship

Please review your application. Answer all pertinent questions completely. A completed application is necessary to qualify
for employment.

I declare that the information given above is correct and true to the best of my belief and knowledge. I understand and
accept if at any time after employment, false declaration is found on the above, the Company has the absolute right to
terminate my employment without notice or compensation.

______________________________________
Signature of applicant
Name:

Date : __________________________________

FOR OFFICE USE ONLY

The great experience

Interviewer

Date

Result
KIV

Initial
Reject

Hire

Proposed Commencement Date: ____________________________

Proposed Job Title: ____________________________________

Proposed Job Grade: __________________

Candidates Expected Salary: RM_______________________

Concurred by

__________________________
Name :
Position:
Date :

PERSONAL FOLDER CHECKLIST

I.C. Copy

Offer Letter

Education Certs

Marriage Cert / Birth Certs

References

Resume

Pay slip

YTD Figures
(for income tax)

BEI / Picture & English Test

Approval note