Contoh

Employment Application Form Page Number:

Date of release:

CONFIDENTIALITY: The information provided in this form will be treated in the
strictest confidence and will not be revealed to any outside party without the
permission of the applicant.

POSITION APPLIED FOR
JAWATAN YANG DIPOHON:

A.PERSONAL INFORMATION/MAKLUMAT PERIBADI

FULL NAME (AS IN IC) :
NAMA PENUH (SEPERTI DI KAD PENGENALAN)

ADDRESS :
ALAMAT :

TEL NO : NRIC NO :
NO TEL NO KAD PENGENALAN

DATE OF BIRTH : AGE :
DATE OF BIRTH UMUR

PLACE OF BIRTH : NATIONALITY :
TEMPAT LAHIR WARGANEGARA

RACE : RELIGION :
BANGSA AGAMA

MARITAL STATUS : SEX :
TARAF PERKAHWINAN JANTINA

VALID DRIVING LICENCE: CLASS :
LESEN MEMANDU KELAS

EPF NO : SOCSO NO :
NO KWSP NO SOCSO

INCOME TAX NO : PASSPORT NO :
NO CUKAI PENDAPATAN NO PASPORT

HEIGHT : WEIGHT :
TINGGI BERAT

HEALTH CONDITION ANY SERIOUS ILLNESS
TAHAP KESIHATAN LAIN-LAIN PENYAKIT SERIUS

B.FAMILY INFORMATION/ MAKLUMAT KELUARGA

SPOUSE NAME: SPOUSE NRIC NO.:
NAMA PENUH SUAMI/ISTERI:
NO KAD PENGENALAN
SUAMI/ISTERI

NO OF CHILDREN : SPOUSE OCCUPATION:
BILANGAN ANAK PEKERJAAN SUAMI/ISTERI

SPOUSE EMPLOYER ADDRESS:
ALAMAT MAJIKAN SUAMI/ISTERI

C.EDUCATION BACKGROUND/LATAR BELAKANG PENDIDIKAN

SCHOOL/COLLAGE/UNIVERSI QUALIFICATIONS/CERTIFICATION YEAR GRADUATED
TY KELAYAKAN TAHUN GRADUASI

SEKOLAH/KOLEJ/UNIVERSITY

D.OTHER TRAINING / LAIN-LAIN KURSUS

TYPE OF COURSE INSTITUTION QUALIFICATIONS YEAR
NAMA KURSUS INSTITUT KELAYAKAN TAHUN

E. LANGUAGES AND DIALECTS / BAHASA PERTUTURAN/DIALECT
(Please indicate as Slight / Fair / Fluent)

LANGUAGE SPEAK READ WRITE
(BAHASA) (PERTUTURAN) (BACAAN) (PENULISAN)
1.
2
3.
4.

F.EMPLOYMENT HISTORY /SEJARAH PEKERJAAN
(Start with your present (or last) employer. Bermula dari majikan sekarang (atau terakhir) bekerja

COMPANY NAME : TEL NO. :
NAMA SYARIKAT NO TEL

NATURE OF BUSINESS :
JENIS PERNIAGAAN

POSITION HELD : FROM : TO :
JAWATAN DARI HINGGA

STARTING SALARY : LAST SALARY :
GAJI PERMULAAN GAJI AKHIR

REASON FOR LEAVING :
SEBAB BERHENTI KERJA

COMPANY NAME : TEL NO. : TO :
NAMA SYARIKAT NO TEL HINGGA

NATURE OF BUSINESS : FROM : OCCUPATION
JENIS PERNIAGAAN DARI PEKERJAAN
LAST SALARY :
POSITION HELD : GAJI AKHIR
JAWATAN

STARTING SALARY :
GAJI PERMULAAN

REASON FOR LEAVING :
SEBAB BERHENTI KERJA

G.REFERENCES/ RUJUKAN

NAME ADDRESS/CONTACT PERIOD KNOWN
NAMA NO TEMPOH

1. ALAMAT/ NO TEL PERKENALAN

2. EARLIEST
AVAILABLE DATE
3. (Tarikh mula kerja)

REMUNERATION
EXPECTED/

Gaji yang diminta

I declare that the information provided above is true and complete in all aspects. I understand that any
misrepresentation or omission of information may be considered sufficient for withdrawal of an offer or
subsequent dismissal from employment.

Saya mengaku bahawa maklumat-maklumat dan keterangan yang telah saya berikan dalam borang ini adalah
benar dan betul. Sekiranya Syarikat mendapati keterangan tersebut adalah palsu, maka Syarikat berhak
menamatkan perkhidmatan saya.

Signature : _____________________________________
Tandatangan

Name : _____________________________________
Nama

Date : _______________________________________
Tarikh

H. FOR OFFICE USE
Interview By :

Status Successful / KIV / Reject Salary Propose
Designation
Verified by Date start Work

Approved by