Job Application Form

Please fill in ALL fields (unless stated otherwise)

Store Location:

Position Applied For:


(A) PERSONAL DETAILS


Name as per IC:

IC NO:
(New IC) or (Old IC)
Permanent Address:


Gender: MaleFemale         Date of Birth:        Place of Birth:

Phone Number:    Handphone       Home

Email:

Nationality:MalaysianPermanent ResidentNon-permanent Resident

Race:MalayChineseIndianOthers

Religion:MuslimBuddhistHinduChristianOthers

Marital Status:       Number of children (if any):    Below 18 Years     Above 18 Years


(B) EDUCATION BACKGROUND

Name of school, college, university
(Starting with the highest level)
Year
(From - To)
Highest qualification achieved Grade Attained

Language Proficiency:

Language Speaking Written
WeakFairGood WeakFairGood
WeakFairGood WeakFairGood
WeakFairGood WeakFairGood
WeakFairGood WeakFairGood
WeakFairGood WeakFairGood

Other training / skills / qualification that you may wish to highlight:


(C) EMPLOYMENT HISTORY

Name & Address of Employer
(Starting with present employer and/or the most recent)
Year
(From - To)
Position Last Drawn Salary


(D) PERSONAL REFERENCES

Name & Address Relationship Years known Contact No.


(E) GENERAL


Would you work different shifts?     YesNo
Would you work on weekends?     YesNo
Would you work on Public Holidays?    YesNo

If selected, when will you be available for work?

What is your expected salary:
RM


(F) OTHER INFORMATION



(G) DECLARATION BY APPLICANT


I hereby declare that all the above particulars and answers given by me are true and correct to the best of my knowledge.

I authorized verification of all statements and answers to questions herein contained if I am considered for employment.

I understand that any misrepresentation, whether deliberate or negligent, of a material nature in the company's opinion or omission of facts called for herein, will be sufficient cause for dismissal without compensation from the Company, if so discovered upon or during the course of my employment.

I Agree