PRIVATE & CONFIDENTIAL

EMPLOYMENT APPLICATION FORM

NOTE: COMPULSORY TO FILL IN ALL DETAILS

Attached recent
passport sized
photo
Position Applied For

PERSONAL PARTICULARS

Full Name (as per I.C.)

Other Name
Gender
Marital Status (single,
married, divorced)
Permanent Address

Correspondence
Address (if different
from above)
Tel. No. (Home) Tel. No. (Office)
Mobile Phone No.
E-mail Address
Date of Birth Place of Birth
Race Religion
Nationality Passport No.
NRIC Income Tax No.
EPF No. Socso No.
Bank Name Bank Account No.

FAMILY MEMBERS' PARTICULARS Spouse & children

No. Name Relationship Date of Occupation Place of employment

Birth
1
2
3
4
5
6
7
8
9
10

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EMERGENCY CONTACT

Name
Relationship
Address

Contact No.

Name
Relationship
Address

Contact No.

PERSONAL REFERENCES (Not Relatives)

Name
Company
Position
Period Known
Contact No.

Name
Company
Position
Period Known
Contact No.

SCHOOLS / INSTITUTIONS ATTENDED

Schools / Institutions / Universities Year Highest Qualification & Field of Study

From To

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TRAINING/PROFESSIONAL CERTIFICATION

Training / Courses Year Name of Provider

From To

PROFESSIONAL MEMBERSHIP

Name of Institution Year of Admission Membership Status

EMPLOYMENT HISTORY (Please start with your present / latest employer)

Employer Position Period Basic Salary Reason for Leaving

Start End Start End

Expected Salary (RM)

Start Date for Employment
Resignation Notice Period

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ADDITIONAL INFORMATION (Answer all by circling the appropriate answers)

1 Have you previously applied for employment with SR Technics? Yes No

2 Have you been an employee of SR Technics before? Yes No
3 Have you ever been charged or convicted in any Court of Law? If Yes, please specify: Yes No
4 Are you bound by any bond to serve any government, statutory board or organization? Yes No
If Yes please specify:
5 Have you ever been dismissed from any position ? If Yes, please specify: Yes No
6 Are you able to perform shift work ? Yes No
7 How do you know about this vacancy?

Yes No
Jobstreet
Yes No
Newspaper Advertisement Yes No
Recommended by SR Technics Employee
Others ( please specify)
______________________________________________________________________

8 Do you have any friends or relatives in SR Technics? Yes No

If Yes, please state the nature of relationship

______________________________________________________________________

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COMPENSATION AND BENEFITS PACKAGE IN CURRENT COMPANY

Current Basic Salary (RM)

Monthly Allowances Entitlement Amount (RM)

Yes No
Car
Petrol
Mobile phone
Meal
Stock options
EPF Employer Top Up
Others (please Specify)

Performance Bonus (RM) (Monthly / Quarterly / Bi-annually / Annually)

Contractual Bonus (RM) (Annually)

DATA PROTECTION (Data Protection Act 1988)

In submitting your application to SR Technics Malaysia Sdn. Bhd., you will be asked to provide certain data which are of a personal nature
(personal data). The references to "personal data" include all information which may directly or indirectly allow the identification of an individual
and specifically it refers to the data that a candidate provides to SR Technics in his/her application.

In the recruitment process, SR Technics collects these personal data. This Information Note is addressed to you as a candidate for recruitment
and describes the data protection/privacy measures of SR Technics.

When you apply online, you will need to agree with the terms & conditions set out in this Information Note. if you refuse to accept these terms &
conditions, you will unfortunately not be able to apply. No information will be store if mandatory fields are not completed and/or if these terms &
conditions are not accepted.

What we do with the personal data SR Technics right to use

SR Technics processes personal data received from candidates applying for employment solely for the purposes of managing the application,
recruitment, selection and hiring process.

By submitting personal data, you grant SR Technics and the companies of the SR Technics Group the right to use personal data for recruitment,
selection and hiring purposes. SR Technics may use your personal data to contact you during the application/recruitment process. To comply
with local labor laws, we may need to collect certain categories of personal data. Security: SR Technics will not disclose your information
to any third party without your written consent.

Retention & Destruction: We will keep your resume on file for a 1 month period from the last time you updated it so that we can contact you if a
future opportunity arises that matches your experience and profile. SR Technics shall destroy the data following such period as, under many
data protection laws, personal data must be destroyed after a certain period of time.

By collecting personal data, SR Technics is subject to data protection/privacy laws and meets the requirements of these data protection/privacy
laws.

Disclaimer
Although we have made efforts to provide accurate information on these pages, neither SR Technics nor any of its employees, nor any of its
affiliated companies, makes any warranty, expressed or implied, or assume any legal liability (to the extent permitted by law) or responsibility for
the accuracy or completeness of any information contained in your application.

To the extent permitted by law, in no event shall SR Technics be liable for any direct, special, indirect or consequential damages or any
damages whatsoever, whether in an action of contract, tort, or otherwise, arising out of or in connection with the performance of or use of the
information available on this site.

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DECLARATION

I, hereby declare that all the statements made in this form are to the best of my knowledge and belief, true and correct.
Should any information and documents supplied be incorrect and/ or misrepresented during the interview, I will be
disqualified or dismissed by the Company. I hereby agree and allow SR Technics to conduct reference checks and/ or
criminal background checks on me.

Signature : ____________________________________

Name of Applicant : ____________________________________

Date : ____________________________________

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TO BE FILLED BY HIRING MANAGER

Interviewer/ Hiring Manager to complete and return this form and other document(s) to HR Department immediately after
the interview

Candidate Name
Interviewed by
Interviewers comments

Status Offer KIV Rejected

Department Section

Approved By Hiring Manager Head of Department General Manager / MD

Signature

Name
Date

TO BE FILLED BY HUMAN RESOURCE

Info Verification Completed Position

Reference Check
Employee No

Export Control Check

Job Grade

Pay slips
(last 3 months) Salary (RM)

Copy of Qualification Commencement Date
Certificates
Offer Letter Collection Date

Remarks

Approved By:

Signature : ----------------------------------------------------

Name : ----------------------------------------------------

Date : ----------------------------------------------------