A25 - Staff Personal Detail Form
A - PERSONAL INFORMATION
Position
*
Staff Name
*
Gender
*
Male
Female
IC Number
*
ex: 960104xxxxxx
Date of Birth
*
/
Day
/
Month
Year
Date
Phone Number
*
-
E-Mail
*
example@example.com
Home Address
*
Street Address Line 2
City
State / Province
Postal / Zip Code
Qualification
*
Date Appointed
/
Day
/
Month
Year
Date Confirmed
/
Day
/
Month
Year
Salary (RM)
Salary per
month
hour
weekly
Other
Please upload copy of IC (MYCARD) and passport size photo below.
Front IC
Back IC
Passport Size Photo
EPF No. (KWSP)
SOCSO No.
Bank Account No.
*
Bank Name
*
Emergency Contact
Name
*
Phone Number
*
-
Relationship
*
Marital Status
Marital Status
*
Single
Married
Widowed / Divorced
Spouse Name
Spouse Contact No.
-
Spouse Employer
B - JOB INFORMATION
Job Title
Job Department
Remarks
Signature: I hereby agree that all the information given above is true.
*
Date
-
Day
-
Month
Year
Date
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