SEPAKAT SETIA PERUNDING (SDN.) BHD.

Affix recent
WISMA SSP LEVEL 8-18 passport
NO.1 JALAN SR 8/3 photograph
SERDANG RAYA SEKSYEN 8 here
43300 SERI KEMBANGAN
SELANGOR DARUL EHSAN

EMPLOYMENT APPLICATION FORM

INSTRUCTIONS FOR USE

1. Please cross [ X ] whichever is applicable

2. This application form should be completed and returned with
a recent passport size photograph.
3. Please submit photocopy of educational certificates and results transcript,
testimonial(s) that you may have, identity card, together with his form.
Originals are to be produced at the interview.

POSITION APPLIED

PERSONAL DETAILS

FULL NAME Mr/Mrs/Miss

(IN BLOCK LETTERS)

CONTACT ADDRESS
(IN BLOCK LETTERS)

POSTCODE

Identity Card No.: (New) - -

(Old)

Telephone No.: (Office) Date of Birth:

(House) Place of Birth:

(Handphone) Age:

E-mail Address: Sex:

Nationality: Marital Status:

Race: Height (cm):

Religion: Weight (kg):

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EDUCATIONAL DETAILS

Month / Year Level Achieved /

Name Of School / College / University From To Qualification

If you are applying for the post of an Engineer, are you a member of BEM and/or IEM? Yes [ ] No [ ]
If yes, cross [ X ] whichever is applicable.
BEM : [ ] Student Member [ ] Graduate Member [ ] Professional Engineer (PE)
IEM : [ ] Student Member [ ] Graduate Member [ ] Member (MIEM)

Are you presently pursuing any course or studies? Yes [ ] No [ ] If yes, state details.

Written Spoken
Language / Dialect Proficiency
Good Fair Weak Good Fair Weak
Bahasa Malaysia [ ] [ ] [ ] [ ] [ ] [ ]
English [ ] [ ] [ ] [ ] [ ] [ ]
Mandarin [ ] [ ] [ ] [ ] [ ] [ ]
Tamil [ ] [ ] [ ] [ ] [ ] [ ]
[ ] [ ] [ ] [ ] [ ] [ ]

COMPUTER SKILLS

Proficiency Knowledge of Engineering Software Proficiency

Softwre Application ( State the software down below)
V.Good Good Fair V.Good Good Fair
Microsoft Word [ ] [ ] [ ] [ ] [ ] [ ]
Microsoft Excel [ ] [ ] [ ] [ ] [ ] [ ]
Microsoft Powerpoint [ ] [ ] [ ] [ ] [ ] [ ]
Microsoft Project [ ] [ ] [ ] [ ] [ ] [ ]
AutoCAD [ ] [ ] [ ] [ ] [ ] [ ]

CAREER HISTORY

Name of Present Company:

Period : from to Position Held :

Reason for leaving the present employment.

Present Salary: RM Expected Salary: RM

PAST EMPLOYMENT
Name of Company From To Position Held Reason for Leaving

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HEALTH

Present State of Health : Excellent [ ] Good [ ] Fair [ ] Poor [ ]

If you are a female, are you in the state of prenancy? Yes [ ] No [ ]

Are you suffering or have you suffered from any major illness or disability? Yes [ ] No [ ]
If yes, give details.

Have you ever been hospitalised for any operation or other reasons? Yes [ ] No [ ]
If yes, give details.

Are you suffering from any perpetual illness that needs constant medical treatment?
Yes [ ] No [ ] If yes, give details.

OTHER INFORMATION

If you are offered employment with the company, are you willing to be posted to other states of Malaysia (including
Sabah & Sarawak) or to other countries for official duty? Yes [ ] No [ ]

Have you ever been convicted or charged in any court of law? If yes, give details.

REFEREES

Provide the names and addresses of referees (not relatives), best acquainted with you, to whom reference may be made.

Name: Name:
Address: Address:

Tel. No.: Tel. No.:

Occupation: Occupation:
Period Known: Period Known:

DECLARATION

I hereby declare that all the particulars given in this application form are to the best of my knowledge and
belief, true and correct.

DATE SIGNATURE OF APPLICANT

(to be signed on the day of interview)

SOURCE OF Recruitment/
INFORMATION FOR Advertise- Company Enquiry Internal Recommend- Manpower University /
RECRUITMENT ment Website Staff ation Agency College
(Tick at the appropriate
column)

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YMENT APPLICATION FORM

NSTRUCTIONS FOR USE

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DECLARATION