EMPLOYMENT APPLICATION

Recent passport size

(PRIVATE & CONFIDENTIAL)
photograph
Position Applied For (non-returnable)

Please fill this form completely and enclose your credentials

PERSONAL DETAILS (Please use BLOCK LETTERS and underline surname and as appear in I/C)

Title Prof /Dr / Mr / Mrs /Ms Name

(name as per the NRIC or Passport)
Gender Date of Birth
(Date/Month/Year)
Marital Status Place of Birth

I/C No (old): Income Tax No.:

I/C No. (New) / Passport No.: SOCSO No.:

Nationality EPF:

Correspondence Address

Postcode: State: Country:

Tel.: Mobile: E-mail:

Home/Permanent Address

Postcode: State: Country:

Tel.: Mobile: E-mail:

Do you have any illness or condition (e.g. asthma, pregnancy, etc) that you are aware of? Yes No
If Yes, pls state nature of illness or condition

Do you have any friends/relatives (if any) hired by Nilai International School Yes No
or any subsidiaries of Nilai Resources Group?
- If yes, pls state the persons name and company: Name: .. Company:
Are you a former employee of the School or any subsidiaries of Nilai Resources Group? Yes No

Family Information
Name Relationship Employer (if any) Position
Spouse
Father
Mother

No. of children: Age of each child

(1)
EDUCATIONAL BACKGROUND

(2)
Secondary Education
Name of School Dates of Attendance Qualification Year

Tertiary Education
Name of Institution / Dates of Attendance Qualification Year
University

Professional Qualification
Qualification Awarded By Year

Awards Received
Qualification Awarded By Year

Language Proficiency
Please rate: 1 5 (1=Low and 5 = High)

Language Written Spoken

English

EMPLOYMENT HISTORY (start with your current to previous jobs)

Dates (month/year) Name of Company Nature of Last Position Last Drawn

(3)
 From To & Telephone No. Business Held Salary

REFEREES (Please name two referees, preferably your current or previous superiors)

Name Tel. No. & Email id No. of years Present Company Position
known

STATUTORY INFORMATION

Have you even been convicted of any criminal offence by any court of law? Yes No

If yes, please state the nature of the case

(This information will not be used to disqualify your application)

DECLARATION BY APPLICANT

Date of Availability: Expected salary:

I declare that the information provided above is complete and true. I understand that any misrepresentation, withholding
or omission of information may render my application null and void, and I may not be offered employment, or if an
offer has been made that offer may be withdrawn, or if I have reported for duty my employment may be terminated by
the management of Nilai International School.

Signature Date

FOR OFFICE USE ONLY

Recommendation from EXCO Member / Principal

(4)
 Please attach interviewers Assessment forms.
Please tick.
Name of Interviewers:

Recommendation for Employment Offer Reject KIV

Recommend for the post of At a salary of: RM

Date of Commencement of Service: Probation Period:

New Staff. For Department:

Replacement Staff. Replacing: From Department:

Comments / Remarks:

Signature
Date:

Directors Approval

Comments/ Remarks:

Number of staff approved for _________

Number of staff currently employed
Number of staff to join
Number of staff resigned
Number of vacancies to date Signature of Director
Number of staff for hire
Balance number of staff to recruit Date:

(5)