CSC Malaysia Sdn Bhd CSC Private

Ed4/Issue6/Dec08
APPLICATION FOR EMPLOYMENT Page 1 of 5

POSITION APPLIED FOR: Service Desk Analyst Recent

Photo

PERSONAL PARTICULARS (in BLOCK letters)

Full Name (as in NRIC):      

Permanent Address: Mailing/Current Address:

(if differ from Permanent Address)
     
     

Telephone No.:       Date of Birth: (dd/mmm/yyyy)      

Home:      
Nationality:       Sex:
Male
Office:      
Female
Handphone:       Religion:       Age:      

Email:      

NRIC No.:
New:       Old:      
Languages Spoken: (Please X whichever is applicable)

English Mandarin Bahasa Tamil Others (specify)      

Malaysia
Languages Written: (Please X whichever is applicable)

English Chinese Bahasa Tamil Others (specify)        

Malaysia  
Race: (Please X whichever is applicable)

Chinese Malay Indian Others (specify)      

Marital Status: (Please X whichever is applicable)

Single Married Widow/Widower Divorced

EPF No:      
Income Tax No:      

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Bank Account No:      

Bank Name: Maybank

I hereby consent to my monthly salary to be credited to this bank account upon employment.

Means of Transport to Office: (Please X whichever is applicable)

Public Motorcycle Own Car Others (specify)      

Vehicle

EMERGENCY NOTIFICATION
Contact       Contact      
Person: Number:
Relationship:      

Address:      

     

     

FAMILY DETAILS
Name of Spouse as per NRIC (if married):      

Occupation:      

Name of Employer:      

Office Telephone       Number of      

No.: Children:

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Please give details of your family (parents, brothers, sisters and children)
NRIC No DOB Occupation
Full Name as in NRIC Relationship Employer
(only for children)
                                   

                                   

                                   

                                   

                                   

EDUCATION
From To
Educational Institutions Highest Qualification Obtained
(year) (year)
Secondary School
                       
                       
College / University
                       
                       

Professional Qualification / Certification Year

           
           
           

Other extra curriculum (Activities) Position Held

1.            

2.            

3.            

4.            

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Page 4 of 5
EMPLOYMENT HISTORY

CURRENT EMPLOYMENT
Date: From (mm/yyyy) to (mm/yyyy)
Name of Employer :      
           
to
Position Held :      

Reason for Leaving :       Last Drawn Salary : RM      

      Allowances (if any): RM      

PREVIOUS EMPLOYMENT (start from the most recent)

Date: From (mm/yyyy) to (mm/yyyy)
Name of Employer :      
           
to
Position Held :      

Reason for Leaving :       Last Drawn Salary : RM      

      Allowances (if any): RM      

Date: From (mm/yyyy) to (mm/yyyy)

Name of Employer :      
           
to
Position Held :      

Reason for Leaving :       Last Drawn Salary : RM      

      Allowances (if any): RM      

EXPECTED SALARY : RM       PER MONTH

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OTHER INFORMATION
1. Do you have a contractual commitment which would require you to make *
payment to another party if you join us (i.e. bond)? Yes No
*If yes, specify details:

2. Have you ever been dismissed from a job? *

*If yes, specify details: Yes No

3. Do you have any physical defects or major illness? *

*If yes, specify details: Yes No

4. Have you ever been convicted of any crime or subject to any civil or criminal *
litigation, whether past or pending? Yes No
*If yes, specify details:

5. Have you previously applied to CSC? *

*If yes, state office & date: Yes No

6. Have you been declared a bankrupt?

Yes No
7. Please name anyone in CSC that you know (including your relationship to the person).
     
8. Please state the date available if offered employment by our organization.
     

CHARACTER REFEREES : Name two persons (must not be your relatives)

Full Name:       Tel. No.:      

Occupation:       Relationship:       Years known:      

Address:      

Full Name:       Tel. No.:      

Occupation:       Relationship:       Years known:      

Address:      

DECLARATION
I declare that the information provided is true and correct and I have not knowingly omitted any related
information of an adverse nature. I understand that, if employed, false statements on this application
shall be considered sufficient cause for immediate dismissal.

     
Signature of Applicant Date

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