A recent

photograph of
yourself
APPLICATION FOR EMPLOYMENT
PLEASE READ THESE INSTRUCTIONS CAREFULLY.

1. This form is to be completed and e-mailed back to Ixora Hotel Career Centre at career@ixorahotel.com on or
before the closing date specified in the advertisement, where applicable.
2. Do not leave any item blank. Do not use “see resume”. If it is not applicable to you, indicate ‘N.A.’.
3. False particulars or willful suppression of material facts will render you liable to disqualification, or
appointed, to dismissal and/or appropriate legal proceedings.
4. Ixora Hotel does not enter into correspondence with regard to the reasons for non-selection of candidates.
5. All photocopies of certificates, testimonials, photograph and other related document are non-returnable.

A POST APPLIED AND Position Apply Employment

AVAILABILITY Purchasing Clerk ☐/ Full time
☐ Part time
☐ Casual / On-Call
Are there any hours, shifts or days of the week that you will not be able to work?
If yes, please state days and reason

No

I am willing and able to work

☐
/ Full time ☐ Part Time ☐ Temporary / Seasonal
☐ Casual / On-Call ☐ Days ☐ Evenings ☐ Overnight
☐ Weekends ☐ Holidays ☐ Overtime
B FULL NAME as stated Name Gender Identification Card / Passport No.
in NRIC or Passport Wan Farah Atikah Bt ☐ Male ☐
/ Female
910309-08-6774
Wan Ahmad
Please indicate if you have worked under a different name

NA
C ADDRESS AND Residential Address Home Telephone
CONTACT NUMBER 8010, Lorong 17, Taman Mawar, Simpang,
NA
34700 Taiping, Perak.

Home Address (if different from above) Mobile No.

013 - 4553639

E-mail Address Office Telephone

onefarahatikah@gmail.com NA

Emergency Contact Relationship with Emergency Person Contact

Person Myself Information
Wan Fatin Amira Bt Wan Sister 017- 5949684
Ahmad
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D NATIONALITY, RACE, Date of Birth Weight Height Place of Birth Nationality
RELIGION AND 09/03/1991 50kg 148cm Taiping, Perak Malaysia
MARITAL STATUS
Race Religion Marital Status
☐ Buddhist ☐ / Muslim ☐/ Never Married
Malay
☐ Christian ☐ Hindu ☐ Married ☐ Windowed
☐ Others (Please Specify) ☐ Divorced ☐ Separated

E EMPLOYMENT PASS Type of Employment Pass Date of Issue Expiry Date

AND WORK PERMIT NA NA NA
(FOR FOREIGNER)
F PARTICULARS OF Name and Address Date of Birth Contact No.
SPOUSE / NEXT-OF- NA NA NA
KIN

Occupation and Name of Company Identification Card / Passport No.

NA NA

G PARTICULARS OF IMMEDIATE FAMILY

Name Relationship Age / Date of Birth Occupation, Name of Contact No.
Company / School
Wan Ahmad B. Father 63 Contractor 017-5273034
Wan Mat Ali
Aminah Bt Mat Mother 53 Housewife 010-5067477

H QUALIFICATIONS (Start from highest education level)

Name of School From To Major Qualification
Universiti Malaysia
2010 2014 Food Science( Food Service) CGPA
Terengganu
Mara Junior Science
2004 2008 Science SPM
College Pasir Salak
SJK (C) Pokok Assam
1998 2003 NA UPSR
Taiping, Perak

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I TRAINING
Training Course From To Certificate Obtain Training Provider
Food Handling Course Food Handling Course
11 Jan 2014 11 Jan 2014 TESDEC
Certificate

J CURRENT EMPLOYER
Name & Address of Current Position Employment Period Current Salary Reason for Leaving
Company From To Basic Allowance

K PREVIOUS EMPLOYERS HISTORY

Name & Address of Position Employment Period Final Salary Reason for Leaving
Company From To Basic Allowance
Ayamas Food Corporation
Port Klang Internship Feb 2014 June 2014 NA RM500 Internship

Satellite Day Phone Shop

Taiping General Worker June 2012 August 2012 RM400 NA Study

L REFERENCE TO PREVIOUS EMPLOYERS AND SALARY DESIRED

Do you object to reference being made to your Notice period required Salary Desired
present/previous employers? If yes, why? by your employer

No

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M CHARACTER Name and Address Occupation and Company Name
REFEREES Dr nizam Mohd Lani Lecturer (UMT)
Please provide
particulars of 2 Office Telephone Period Known
referees (other than
016- 9862500 4 years
relatives) with at least
one professional Name and Address Occupation and Company Name
referee. Dr Siti Nur Afifah Jaafar Lecturer (UMT )

Office Telephone Period Known

013-9616278 4 years

N LANGUAGE PROFICIENCY (Fluent, Good, Satisfactory, Poor)

Language / Dialect Level

Spoken Written
Bahasa Malaysia Fluent Good

English Fluent Good

Mandarin Good Good

O TELL US ABOUT YOURSELF

Please give us a candid account of your personal qualities, both strengths and weaknesses.
A computer literate person with strong work ethic, able to work under pressure with minimum supervision and a good team player.
Lack for experience so hope to get a chance to gains new knowledge.

P WORKING LIFE

What are your career objectives? (You may like to discuss the type of organisation and the sort of work you are
looking for and the levels you hope to attain.)

To work with an establish service provider that can provide place for experience seekers and able to let the workers expose to new
knowledge and opportunities.

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Q ANSWER THE FOLLOWING QUESTIONS BY INDICATING (√ ) IN THE APPROPRIATE BOX. IF “YES” GIVE DETAILS
IN THE RIGHT HAND COLUMN

1 Have you ever been charged with any offence or convicted by any Yes No Please state in detail
Court or detained by the authorities under the provisions of any law
in any country? (Important: Please note you must give full details of /
any charges made against you even you were eventually acquitted
by the Court).
2 Have you been dismissed from any employment because of
misconduct, negligence, theft, assault, damage or injury, habitual /
absence, breach of confidence, alcohol or drug abuse or similar
offences?
3 Had any bankruptcy action ever been taken against you?
/

4 Had any Court judgement or order been made against you ordering
/
you to pay a debt to someone?
5 Have you signed a promissory note or an acknowledgement of
indebtedness for which the amount pledged has not already been /
fully paid?
6 Have you ever been employed in any capacity with Ixora Hotel, its
predecessors or it’s subsidiaries? Give designation, period of /
employment and reason for leaving.
7 Have you applied on any previous occasions for employment in any /
capacity with Ixora Hotel? Give date and position applied for.
8 Have you had any relative in Ixora Hotel? If yes, please give Wan Fatin Amira,
designation, name and relationship. /
Housekeeping
9 Have you had any involvement in business undertaking? (e.g. /
Directorship, Partnership, etc.)
10 Have you suffered from any mental illness or any physical illness or
disability or other medical condition which might impair you in /
properly discharging your duties?

R DECLARATION

I hereby declare that the information given by me in this application for employment is true to the best of my
knowledge and that I have not withheld any relevant particulars. I have disclosed all the information required to be
given in this application. This declaration shall, if I am employed by the Company, be part of my contract of service. I
accept that if any of the information given by me in this application for employment is in any way false, or incorrect,
the Company shall have the right to dismiss me without notice or payment in lieu of notice. I also authorise any
investigation of the information provided herein for purpose of verification.

CONFIDENTIAL MATERIAL AND THE PROPERTY OF IXORA HOTEL SDN BHD

Applicant’s Signature: __________________________________ Date: ______________________________

22/09/2014

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