JIMAH ENERGY VENTURES SDN BHD / JIMAH O & M SDN BHD

Private & Confidential

APPLICATION FOR EMPLOYMENT

Position Applied For :
PERSONAL PARTICULARS

PHOTOGRAPH

Name of Applicant:
(as per Identity Card)
Permanent Address:

Correspondence Address:

Tel. No:

Office Tel. No:

Residence Tel. No:
Handphone No:

NRIC No. (New):

NRIC No. (old):

Age:

EPF No:

Date of Birth:

SOCSO No:

Place of Birth:

Income Tax No:

Race:

Citizenship:

Religion:

Height (in cm)

Gender:

Weight (in kg):

DRIVING LICENCE
Licence No:

Class:

Date Issued:

Expiry Date:

QUALIFICATIONS (kindly attach copies of academic qualifications)

Name of College/University/Institution

Qualification Acquired

Year of Graduation

Highest Qualification

Name & Address of School

Date From

Date To

Qualification

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OTHER RELEVANT PARTICULARS

Typing (w.p.m)

Shorthand (w.p.m)

Other Courses (i.e. Professional/ Technical/Accounting) :

Computer Knowledge:

PERSONAL REFERENCE
Names, addresses & occupation of 2 referees, other than relatives or employee of this company, who could give personal refernce.

Name:

Name:

Address:

Address:

Occupation :

Occupation:

Tel. No:

Years Known:

Tel. No:

Years Known:

FAMILY DETAILS (if married please provide particulars of spouse)

Marital Status:

Married / Single / Divorces / Widower

Name of Spouse:
Date of Marriage:

NRIC No:

Income Tax No:

Occupation:

Name & Address of Employer:

Tel. No:
CHILDREN'S DETAIL
Name:

Gender:

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Date of Birth:

PARENTS & SIBLINGS DETAIL

Name of Father:

Occupation:

Age:

Name of Employer:

Name of Mother:

Occupation:

Age:

Name of Employer:

Name of Brother(s) & Sister(s):

Occupation:

Age:

Name of Employer:

DETAILS OF COURSES BEING PURSUE AT PRESENT

Course:

Institution Name:

Date of Commencement / Expected Completion Date:

KNOWLEDGE OF LANGUAGES (Kindly indicate either Slight, Fair or Fluent)

Written:

Spoken:

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OTHER CURRICULAR ACTIVITIES

Sports & Hobbies:

Details of Club / Society Membership:

WORKING EXPERIENCE (Present Employer)

Name & Address of Employer:

Expected Salary:

Position Held:

Date Joined:

Monthly Income :

Do you consent to this Company

making reference with your present
employer? (Yes / No)

Reason for Leaving:

Notice of termination required

(Day/Week/Month)

* Kindly attach a copy of your latest salary slip.

PREVIOUS EMPLOYER (S)

Name & Address of Employer:

Position Held:

Date Joined / Date Left:

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Reasons for Leaving:

PERSONS TO BE NOTIFIED IN CASE OF EMERGENCIES

Name:

Address:

Relationship:

Contact No.:

LIST OF NAMES OF RELATIVES / FRIENDS EMPLOYED IN THIS COMPANY OR ITS SUBSIDIARIES (IF ANY)

Name:

Relationship:

Year(s) Known:

If currently working, please give a brief description of present work and responsibilities:

Please give a brief summary on how you see yourself in the working enironment in five years time:

DECLARATION OF CANDIDATE

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I hereby declare that all particulars given here are true and correct. I understand that if any of the
particulars are false, the Company reserves the right to take disciplinary action against me, including
terminating my services on immediate notice.

Date:

Signature of Applicant:

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