Recruitment form
1. Please write in block letters. Tick (√) in appropriate boxes. 2. No space should be left blank. If it is not applicable, write ‘NA’ or ‘NIL’ 3. Copies of certificates or testimonials should be attached to the form. 4. Please attach photograph in space provided. POSITION APPLIED FOR: _________________________	Please affix photograph
How did you come to know of this vacancy: ☐ Website ☐ Employee ☐ Friend ☐ Recruitment Consultant ☐ Others (Please Specify)_______________
1) PERSONAL DETAILS
Full Name
Identity No.	Date of Birth
Sex	☐ Male ☐ Female	Age
Marital Status	☐ Single ☐ Married ☐Separate ☐ Others (Please Specify) _________________
Passport No.	Place of Birth
Nationality	Citizenship
Tel No. (H)	Tel No. (HP)
Correspondence Address
Postcode	Town / State
Permanent Address
Postcode	Town / State
Email
Kuala Lumpur Office	Jakarta Office
EPF No.	JAMSOSTEK (BPJS) No.
SOCSO
I/Tax No.	TAX 21 No.
2) Health
Physical Disabilities / Allergies (If any)
Major illness suffered since birth
Surgery (If any)
3) Family Details (For married applicant, please provide details of spouse and children/ For single applicant, immediate family member)
Name	Relation	Age	Occupation	Employer
4) Education / Training (Please attach relevant copies of documents)
A) EDUCATION
Educational Institute	Date	Highest Qualification Achieved	Grade
From	To
B) OTHER TRAINING ATTENDED
5) OTHERS
A) LANGUAGES
Language	Proficiency	Rate Proficiency 1. Excellent 2. Good 3. Fair
Written	Spoken
Bahasa Malaysia
English - Technical
English - Non-Technical
B) HOBBIES, SPORTS, MEMBERSHIP OF SOCIATIES
6) EMPLOYMENT HISTORY
A) PAST EMPLOYMENT RECORD (List recent job first)
Name of Employer	Position	Date	Salary	Reason for Leaving
Joined	Left
B) PRESENT EMPLOYMENT RECORD
Present Employer	Date Joined
Nature of Business	No. of Employees
Address
Commencing Position	Basic Salary & Allowance
Current Position *	Basic Salary & Allowance
Key Responsibilities
*If you have held your present position for less than a year, please describe your previous position
Reason(s) for wanting to leave
Notice Period Required

DECLARATION BY CANDIDATE

Expected Salary and Benefits
Restriction on Travel (Please specify, if yes)
Give full details of any Legal Convictions (eg. Have you ever been declared bankrupt)
If there is any additional information that you wish to give to assist your application, you may do so and if space is insufficient, please use additional paper.
Character Referees - Please provide names of two persons (Non Related)
Name: Company: Position: Tel No.: Nature of Relationship/ Years known:	Name: Company: Position: Tel No.: Nature of Relationship/ Years known:
I certify that all the information submitted by me on this application is true and complete. I fully understand and accept that if at any time after engagement it is found that a false declaration has been intentionally and/or unintentionally made in this form or any information that has been witheld on purpose, the employer has the absolute right to terminate my employment forthwith. In consideration of my employment, I agree to conform to the Company's rules and regulations, and I agree that my employment and compensation can be terminated with or without cause, and with or without notice, at any time, at either my or the Company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without notice, at any time by the Company. I understand that no company representative, other than it's Director, and then only when in wrong and signed by the Director, has any authority to enter into any Agreement for Employment for any specific period of time, or to make any Agreement contrary to the foregoing.
______________________________ Name	_______________________________ Signature	_______________________________ Date