Online Employment Application Form – RAKI CS TAN & RAMANAN

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Online Employment Application

To Be Completed Before Consideration For Employment / Interview

PERSONAL INFORMATION

PERSONAL INFORMATION

Full Name (as NRIC)

Position Applied For

If Internship State Period

How Did You Hear About Us

NRIC No.

Gender MaleFemale

Age

Date of Birth

Nationality

Marital Status SingleMarried SeparatedDivorcedWidowed

Name of Spouse

Spouse's Occupation

Correspondence Address

Mobile Phone

House Phone

Email

FAMILY BACKGROUND

FAMILY BACKGROUND

Father's Name

Father Age

Father Occupation

Mother's Name

Mother Age

MotherOccupation

Brother / Sister Name / Age / Occupation

Children Information Name/ Age

(Preferences State preferred choice 1st to 3rd based on location given))

Kuala Lumpur

Melaka

Johor Bahru

ARE YOU WILLING TO BE TRANSFERRED WITHIN OFFICES? YesNo

HEALTH & MEDICAL BACKGROUND INFORMATION

HEALTH & MEDICAL BACKGROUND INFORMATION

Are you in good state of health now? YesNo

If NO, please provide details

When was your last medical check up? Within 1 year.1-2 years.More than 2 years.

(Result)

COMMUNICATION SKILLS

COMMUNICATION SKILLS

(Rate your skills from 1-5, being weak to strong)

List Down The Language You Know Example Language - Speaking Skill Rate ( ? ) , Reading Skill Rate ( ? ) , Written Skill Rate ( ? ) Example Language - Speaking Skill Rate ( ? ) , Reading Skill Rate ( ? ) , Written Skill Rate ( ? )

COMPUTER LITERACY

COMPUTER LITERACY

(Rate your skills from 1-5, being weak to strong)

Software Example Software Name - Level ( Rate from 1 -5 ) Experience ( ? ) years/months

ACADEMIC BACKGROUND

ACADEMIC BACKGROUND

Secondary Education

Secondary School Name

SPM Grade

(Provide Full Result)

Subject

SPM Result

Bahasa Malaysia

English

Mathematics

Science

Biology

Chemistry

Physics

Accounts

Other Subject Other Subject

Tertiary Education

Course Name/Name of Institution/Year/CGPA Course Name/Name of Institution/Year/CGPA

Professional Membership

Professional Membership Information Professional Body/Membership Number/Year

Student Membership Info Professional Body/Year/Number of Papers Remaining

EXTRA CURRICULAR ACTIVITIES

(Write below)

EXTRA CURRICULAR ACTIVITIES

OUTSTANDING ARCHIEVEMENTS

OUTSTANDING ARCHIEVEMENTS

(Write below)

BRIEF CAREER OBJECTIVES

BRIEF CAREER OBJECTIVES

(Write below & state NOT exceeding 100 words)

EMPLOYMENT HISTORY

EMPLOYMENT HISTORY

EMPLOYMENT HISTORY NAME OF EMPLOYER/PERIOD OF EMPLOYMENT/LAST SALARY (RM)POSITION HELD/REASON FOR LEAVING / REMARKS

OTHER RELEVANT INFORMATION

(Write below & state anything you consider relevant)

REFEREE/ THERE BY GIVE PERMISSION TO CONTACT THE REFEREE

(Please provide two Employment / Character – referees whom we can enquire at will)

REFEREE/ THERE BY GIVE PERMISSION TO CONTACT THE REFEREE Name/Telephone/Relationship

REMUNERATION

(Please indicate your expected remuneration package)

Present Salary + Benefits

Expected Salary + Benefits

If offered employment you will be required to provide evidence of your present remuneration.

AVAILABILITY

If offered employment when are you able to join:

DECLARATION

___________________
(Signature)
(To be signed at time of interview)

I hereby declare that the information given by me in this form is correct and true to the best of my knowledge.

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