JOB APPLICATION FORM

PAGE 1 of 3 (Applicant Details)

PLEASE COMPLETE THE FORM CLEARLY.

JOB DETAILS
POSITION / JOB TITLE
WHERE YOU SAW THIS ADVERTISEMENT
FULL TIME or PART TIME
EXPECTED SALARY

PERSONAL DETAILS
FULL NAME AS PER NRIC
IDENTIFICATION CARD NO.
RESIDENTIAL ADDRESS

HOME TELEPHONE NO.

MOBILE NO.
EMAIL ADDRESS

PERSONAL VITAL STATISTICS

DATE OF BIRTH AGE
NATIONALITY RACE
SEX LOCATION
HEIGHT WEIGHT
SHIRT SIZE PANTS SIZE
HAIR COLOUR LANGUAGE(S)
DRIVING LICENSE POSSESS OWN CAR
(YES / NO) (YES / NO)
ARE YOU ABLE TO PLEASE LIST THE
WORK OUTSTATION? DATES OR PERIOD
(YES / NO) YOU ARE AVAILABLE.

EEM JOB APPLICATION FORM | Copyright EEM Consultants Sdn Bhd. All rights reserved.
JOB APPLICATION FORM
PAGE 2 of 3 (Education and Working Experience)

EDUCATION / QUALIFICATIONS
(Highest to Lowest Level)
DATES PLACE OF STUDY COURSE/CERT/DETAILS QUALIFICATION COMPLETED
(From & To) (School, College and/or University) AND GRADE (Year)

PRESENT / MOST RECENT EMPLOYMENT

COMPANY NAME
EMPLOYERS NAME & CONTACT
POST / TITLE
BRIEF DESCRIPTION OF JOB /
DUTIES

CURRENT / MOST RECENT SALARY NOTICE REQUIRED

BRIEF REASON FOR LEAVING

WORKING EXPERIENCE
(From Most Recent)
EMPLOYERS NAME DATES JOB / EVENT / DUTIES REASON FOR LEAVING

EEM JOB APPLICATION FORM | Copyright EEM Consultants Sdn Bhd. All rights reserved.
JOB APPLICATION FORM
PAGE 3 of 3 (References and Emergency Contact)

REFERENCES / EMERGENCY CONTACT

(Please list at least one (1) family member)
PERSONAL CONTACT 1
NAME
RELATIONSHIP
ADDRESS

TELEPHONE NO.
EMAIL ADDRESS

PERSONAL CONTACT 2
NAME
RELATIONSHIP
ADDRESS

TELEPHONE NO.
EMAIL ADDRESS

PERSONAL DATA PROTECTION & VALIDATION

I declare to the best of my knowledge; the information provided herein this application and any other information
or documents provided in support of this application is true. I understand any failure to disclose any information,
or any attempt to mislead EEM Consultants Sdn Bhd may lead to disciplinary and/or legal action in the event I am
appointed based on the information provided herein.
I hereby give my consent for the information provided herein to be used by EEM Consultants Sdn Bhd for their
recruitment purposes. I acknowledge that this information will only be used internally by EEM Consultants Sdn
Bhd and may not be distributed to external parties without my further consent.

Signature:

.
NAME :
IC. NO. :
DATE :

EEM JOB APPLICATION FORM | Copyright EEM Consultants Sdn Bhd. All rights reserved.