POSITION(S) APPLIED FOR (JAWATAN YANG DIPOHON)

Directions To Use (Cara Pengisian)
1. Please read through the form carefully and decide on your reply before attempting to complete it. (Sila baca borang ini dengan teliti dan tentukan jawapan anda sebelum anda mengisinya)

2. This form should be filled by applicant and signed by him/her. Please ensure all mandatory sections are filled up. (Borang ini perlu diisi oleh pemohon dan ditandatangani oleh beliau. Sila pastikan semua bahagian yang wajib perlu diisi)

3. The completion of this form does not guarantee employment (Pengisian borang ini tidak menunjukkan anda telah mendapat kerja)

4. Copies of any certificate/testimonial should be attached to the form. The originals should be presented during the interview. (Salinan sijil/testimoni perlu dilampirkan bersama-sama dengan borang. Sijil asal perlu dibawa dan ditunjukkan semasa temuduga)

5. If it is found that a false declaration has been made in this form, the Management reserves the right to terminate the employee's service (Sekiranya didapati terdapat pengisytirafan palsu dalam borang ini, pihak Pengurusan mempunyai hak untuk memberhentikan pekerja serta-merta)

Position Applied (Jawatan yang dipohon)

If you are applying for SHO or SSS position, do you have (Kalau anda memohon jawatan SHO / SSS, adakah anda mempunyai )

Safetyware Group of Companies (Leave it blank if you are not sure)

Branch office (Leave it blank if you are not sure)

Preferred Working Location (can choose more than 1) (Tempat pilihan bekerja, boleh memilih lebih daripada 1)

Full Name (Nama Penuh)

Nickname (Nama Samaran)

Chinese Name (Nama Cina) (If applicable)

Please attach related documents (Sila lampirkan dokumen yang berkaitan)

NRIC, Driving License, Latest Resume, Latest Photo, Certificate SPM/STPM/Degree/ Master and other related Certificate

IC No. / Passport No. (No. Kad Pengenalan/ No. Passport)

Gender (Jantina)

Date of Birth (Tairkh Lahir)

Time of Birth (Masa Lahir)

Hour Minutes

AM/PM Option

Age (Umur)

Date Can Start Work (Tarikh Boleh Mula Bekerja)

(Notis Berhenti) (Minggu/Bulan/Tiada)

Expected Basic Salary (Gaji Asas yang Dipohon)

Currency (Mata wang)

Handphone No. 1

+60xx-xxxxxxxx

Handphone No. 2

+60xx-xxxxxxxx

Email Address (Alamat Email)

example@gmail.com

EPF No. (No. KWSP)

Income Tax No. (No. Income Tax)

Hometown Address (Alamat Rumah Tetap)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Correspondence Address (Alamat Surat-Menyurat)

Street Address

Street Address Line 2

CityState / Province

Poscode

I live in (Saya tinggal di)

Marital Status (Status Perkahwinan)

Race (Bangsa)

Religion (Agama)

Warganegara (Nationality)

Height in cm (Ketinggian Dalam cm)

Weight in kg (Berat dalam kg)

Hobbies (Hobi)

Language Proficiency (Good / Average / Poor / Don't know) Bahasa / Dialek (Baik / Sederhana / Teruk / Don't know)

Rows	English	Bahasa Malaysia	Mandarin
Spoken (Bertutur)
Reading (Membaca)
Written (Menulis)

Other dialect language you know (Bahasa dialek lain yang anda tahu)

Name (Nama) Untuk Kecemasan

Contact No (No Tel)

Relationship (Hubungan)

Address (Alamat)

Family Details: spouse/children/parents/grandparents/siblings (Maklumat Ahli keluarga : suami isteri/anak/ibu bapa/datuk nenek/adik-beradik)

Rows	Name (Name)	Date of Birth (Tarikh Lahir)	Age (Umur)	Relationship (Hubungan)	Occupation (Pekerjaan)	Employer's Name (Nama Syarikat)
1
2
3
4
5
6
7
8
9
10

Education Details (Maklumat Pelajaran)

Rows	School name (Nama Sekolah)	Location (Lokasi)	Graduation Year (Tahun Tamat)	Completed (Yes/No) Habis (Ya/Tidak)	Course (Kursus)
Form 3
Form 5 / Vokasional
STPM/ STAM
Certificate (Sijil)
Diploma
Degree
Master
Other

Additional Qualifications (apart from above) (Kelayakan yang lain)

Special Training Courses (Kursus latihan khas)

Skills applicable to the job you have applied for like computer skill, machine skill (Skil yang berkaitan dengan kerja yang dipohon seperti skil komputer / skil mesin)

CHARACTER REFEREES (RUJUKAN 1)
(Family members & relatives should not be given / Tidak boleh beri nama ahli keluarga and saudara-mara)

Full Name (Nama) Rujukan 1

Tel No (No. Tel)

Address (Alamat)

Profession (Jawatan)

Company (Syarikat)

Years Known (Tahun Kenal)

CHARACTER REFEREES (RUJUKAN 2)
(Family members & relatives should not be given / Tidak boleh beri nama ahli keluarga and saudara-mara)

Full Name (Nama) Rujukan 2

Tel No (No. Tel)

Address (Alamat)

Profession (Jawatan)

Company (Syarikat)

Years Known (Tahun Kenal)

EMPLOYMENT HISTORY / PENGALAMAN PEKERJAAN

Start with your present job and work back to your first job.

(Mula dengan kerja sekarang dan diakhiri dengan kerja yang pertama)

1) LATEST EMPLOYMENT - POSITION HELD (KERJA SEKARANG - JAWATAN)

Join Date (Tarikh Bekerja)

End Date (Tarikh Berhenti)

Current Working Status (Status Kerja Semasa)

1) Company Name (Nama Syarikat)

1) Last Basic Salary (Gaji pokok terakhir)

1) Allowance (Elaun)

1) Reason For Leaving (Sebab Berhenti)

1) Immediate Superior Position (Jawatan Ketua)

1) No. of Subordinates Reporting To You

1) Brief Job Description (Keterangan Ringkas Mengenai Tugas Kerja)

2) LAST 2ND EMPLOYMENT - POSITION HELD (KERJA TERAKHIR KEDUA - JAWATAN)

From (Dari) Date to (Sehingga)Date .

2) Company Name (Nama Syarikat)

2) Last Basic Salary (Gaji pokok terakhir)

2) Allowance (Elaun)

2) Reason For Leaving (Sebab Berhenti)

2) Immediate Superior Position (Jawatan Ketua)

2) No. of Subordinates Reporting To You

2) Brief Job Description (Keterangan Ringkas Mengenai Tugas Kerja)

3) LAST 3RD EMPLOYMENT - POSITION HELD (KERJA TERAKHIR KETIGA - JAWATAN)

From (Dari) Date to (Sehingga)Date .

3) Company Name (Nama Syarikat)

3) Last Basic Salary (Gaji pokok terakhir)

3) Allowance (Elaun)

3) Reason For Leaving (Sebab Berhenti)

3) Immediate Superior Position (Jawatan Ketua)

3) No. of Subordinates Reporting To You

3) Brief Job Description (Keterangan Ringkas Mengenai Tugas Kerja)

OTHER INFORMATION (INFORMASI YANG LAIN)

Did you apply for any position in this company before? (Adakah anda pernah memohon/temuduga di syarikat ini)?

Do you have any RELATIVE working in this company? If yes, please write down their name and the relationship. (Adakah anda mempunyai SAUDARA-MARA bekerja di syarikat ini? Jika ada, sila tulis nama & hubungan)

Yes

Do you have any FRIENDS working in this company? If yes, please write down their name and the relationship. (Adakah anda mempunyai KAWAN bekerja di syarikat ini? Jika ada, sila tulis nama & hubungan)

Yes

Do you have any physical disability or health problem? If has, please explain. (Adakah anda mempunyai kecacatan fisikal/masalah kesihatan?Jika ada, jelaskan)

Yes

Have you been dismissed or suspended from company? If you have, explain where, when & why. (Pernahkah anda dipecat/gantung dari syarikat? Jika ada, jelaskan di mana, bila & sebab)

Yes

Have you ever been convicted (example traffic offences, crimes)? If you have, explain where, when & why. (Pernahkah anda dijatuhkan hukuman (seperti kesalahan jalan raya, jenayah)? Jika ada, jelaskan di mana, bila & sebab.

Yes

Do you have transport to work? (Adakah anda mempunyai kenderaan untuk bekerja?)

Which driving licence do you prossess? Can choose more than 1. (Apakah lesen memandu yang anda ada? Boleh pilih lebih daripada 1)

Are you willing to go outstation for work? (Adakah anda bersedia bertugas di luar negeri?)

How do you know there is a vacancy here? (Macam mana anda mengetahuI jawatan kosong ini?)

Are you pregnant now? (Adakah anda mengandung sekarang?)

DECLARATION & AGREEMENT TO USE MY PERSONAL DATA (PENGAKUAN DAN PERSETUJUAN PENGGUNAAN DATA PERIBADI)

The particulars which I have stated above are true and correct to the best of my knowledge and belief, false or inaccurate information given will render any subsequent employment contract null and void. I hereby give my prospective employer consent to use and process my personal data relating to my job application in accordance with the Company's Privacy Policy.

(Keterangan yang saya jelaskan di atas adalah benar sepanjang pengetahuan saya. Saya bersetuju syarikat mempunyai hak untuk memberhentikan kerja saya tanpa notis sekiranya didapati keterangan di atas adalah tidak benar atau tidak tepat. Saya memberi persetujuan kepada bakal majikan saya untuk menggunakan dan memproses data peribadi saya yang berkaitan dengan permohonan pekerjaan saya selaras dengan dasar privasi syarikat).

Signature of Applicant (Tandatangan Pemohon)

Date (Tarikh)

JOB APPLICATION FORM

Emergency Contact Information