Form
Form
Form
PO BOX 266
PULAU INDAH
42009 PORT KLANG
SELANGOR DARUL EHSAN, MALAYSIA
Name : _________________________
Staff No : _________________________
Date : _________________________
Please fill up the employee details form and attached the photocopies of the following
documents and return the completed form to the Human Resources Department, Level
5,Tower Block Westport.
1. Marriage Certificate
Reminder Please return the form and the attachments as per the stated date.
Thank You.
A. EMPLOYEE DETAILS
Staff No:
Employee Name
Department
Section
Position
B. PERSONAL DETAILS
E-mail
Old NRIC
Passport No .
New NRIC
Race
Religion
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C. PERSONAL DETAILS
Mailing Address
Post Code
City
Country
Telephone
Fax
SOCSO Number
Epf Number
SPF Number
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D. SPOUSE DETAILS
Spouse Name
If more than one (1) current wife, please indicate Legal Rank :
Medical Yes No
Entitlement
Old
NRIC
New
NRIC
Occupation
Employer
Telephone
Income Tax
Number
EPF Number
Note : If you have more than 1 spouse, please make copies f this sheet before entering the information
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E. CHILDREN DETAILS
Childs Name
NRIC or
Birth Cert. Number
Occupation
Westport Baby
Allowance 1 Yes No Date Taken
Westport Baby
Allowance 2 Yes No Date Taken
Note : If you have more than 1 child, please make copies of this sheet before entering the
information.
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