HR-001
EMPLOYEE APPLICATION FORM
The stated informations will help us assess your employment opportunity with Kampung Sumber Alam Resort
(herein after called the “Employer”). All portions of this application pertaining to you must be completed. We
appreciate the time you spend in completing this application form.
Position applied
RECENT
PHOTO
Other position(s) you would like to be considered for 3x4cm
Available starting date
PERSONAL DATA
Full name Male Female
Place/date of birth
Temporary address
City Postal code Telephone
Permanent address
City Postal code Telephone
ID card number Date of expiry
Marital status Religion Blood group
Height/weight Hobby
Distinguishing marks
EDUCATION & TRAINING
Name and address of school, From To Major Degree/
university or other training institution (MM/YY) (MM/YY) course/study certificate
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OTHER ACTIVITIES
Name of organization From date To date Status
RECORD OF PREVIOUS EMPLOYMENT
1 Company name Telephone
Address Position
Duties
Nature of business
Employment date: from to Superior name
Salary
Reason for leaving
2 Company name Telephone
Address Position
Duties
Nature of business
Employment date: from to Superior name
Salary
Reason for leaving
3 Company name Telephone
Address Position
Duties
Nature of business
Employment date: from to Superior name
Salary
Reason for leaving
REFERENCES
1 Name Phone Company
Email Years known
2 Name Phone Company
Email Years known
3 Name Phone Company
Email Years known
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LANGUAGE PROFICIENCY
Language skills (language spoken)
Language Speaking Reading Writing
English Poor | Good | Excellent Poor | Good | Excellent Poor | Good | Excellent
Poor | Good | Excellent Poor | Good | Excellent Poor | Good | Excellent
Poor | Good | Excellent Poor | Good | Excellent Poor | Good | Excellent
FAMILY RECORD
Father’s name Age Occupation
Mother’s name Age Occupation
Permanent address
City Telephone
Husband/Wife’s name Age Occupation
First child Age Male Female
Second child Age Male Female
Third child Age Male Female
Contact person in case of emergency Telephone
GENERAL INFORMATION
Have you ever applied to any of this property? Yes No
Which property? When?
Are you presently employed? Yes No
Have you ever been discharged from employment? If yes, please explain
Have you any objection to our contacting your previous employers? Yes No
Have you had any serious illness, injury or surgery within the last five (5) years? If so, please describe
Do you have any immediate family member, i.e. husband, wife, parent, child, brother, sister, who is
working within the group? Yes No
If yes, who and in which property? 1
2
3
Have you ever sufferred from any of the following illnesses?
Tuberculosis Yes No Heart disease Yes No
Hypertension Yes No Diabetes Yes No
Venereal disease Yes No Epilepsy Yes No
Hepatitis Yes No HIV/AIDS virus Yes No
Salary expectation
DECLARATION
I certify that all statements made in this application is true and completed to the best of my
knowledge. I understand that misinterpretation or omission when discovered, will subject me to be
discharged and hereby I authorize any investigation relating to my work experiences, education, or
reputation for the purpose of my application for employment.
HR 001-EMPLOYEE APPLICATION FORM | 3
Applicant’s signature Date
HR 001-EMPLOYEE APPLICATION FORM | 4
