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    Outlet Application Form

    Uploaded by

    Nur Farahin MarJan

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Outlet Application Form

    Uploaded by

    Nur Farahin MarJan
    253 views2 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    253 views2 pages

    Outlet Application Form

    Uploaded by

    Nur Farahin MarJan

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Application Form Outlet

    EMPLOYMENT APPLICATION FORM

    POSITION APPLIED: TEARISTA (PART TIME)

    PERSONAL PARTICULARS
    Full Name: NURFARAHIN BINTI JANOREN
    Address: FLOOR 2, JALAN LAU KING HOWE 1, 96000 SIBU SARAWAK

    Date of Birth: 14/06/99 Age: 24


    Place of Birth: HOSPITAL BESAR SARIKEI IC/Passport Number: 990614135926
    Mobile Number:0142084924 Email address:[email protected]
    EPF No: 7210762 Acc Bank Name & No: MAYBANK [162021813547]
    SOCSO No: No of children: -
    Sex: Female Marital Status: Single
    Nationality: Malaysian Spouse Working Status: -
    Race: Melanau Religion: Islam

    FAMILY PARTICULARS
    Name Relationship Occupation Name of Employer
    ZULKARNAEN JANOREN ABANG TENTERA DARAT ATM

    EDUCATION BACKGROUND
    Institution Course Year Result
    STPM SASTERA 2017/2018 4A (4.00)
    UNIVERSITI KEBANGSAAN PENGAJIAN BAHASA 2019-2022 PNGK 3.52
    MALAYSIA MELAYU

    LANGUAGE PROFICIENCY Spoken Written


    Bahasa Malaysia Excellent Excellent
    English Good Good
    Melanau / Iban Good/Good Good/Fair

    EMPLOYMENT HISTORY

    Company Name: Gerai Nasi Ayam Maknek Joined Date: Bulan 2 2019
    Position: Kithchen Helper Last Date: Bulan 9 2019
    Reason for leaving: Sambung Study Last drawn salary: Rm 1100
    Company Name: SuperSave Sdn bhd Joined Date: 15/02/2023
    Position: Cashier Last Date: 30/08/2023
    Reason for leaving: Sambung Praktikal Last drawn salary: Rm 1400
    Application Form Outlet

    EMERGENCY CONTACT

    Name: Marisah binti Sapari


    Address: No 43 Kampung Sabena, 96500 Bintangor
    Relationship: Ibu Contact number: 014 - 2873021

    MISCELLANEOUS & DECLARATION


    Have you ever been convicted for any criminal offence? YES NO
    Are you suffering from any disease/illness/disability? YES NO

    Are you willing to work overtime? YES NO


    Are you willing to travel? YES NO
    Are you willing to relocate? YES NO
    Do you have your own transport? YES NO

    Expected Salary (RM)

    Availability Date Anytime

    I solemnly declare that all the information given in this application form is correct and true. I agree and accept that if the
    declaration is in any part false, incorrect or incomplete, the company reserves the right to terminate my service immediately
    without any resource to any claims or wages against LOOB HOLDING SDN BHD.
    I hereby give my consent for LOOB HOLDING SDN BHD and its group of companies including its joint venture, affiliate
    and associate companies to process and to disclose to any relevant third party my personal data for the purpose of employment
    application and anything directly or indirectly related to it pursuant to requirements of Personal Data Protection Act (PDPA)
    2010.

    ……………FARAHIN…………………… 18 September 2023


    Signature Date
    Name: NURFARAHIN BINTI JANOREN
    IC No: 990614135926

    -------To be filled by Team Leader/Supervisor/Person in Charge------


    POSITION :
    TYPE OF
    EMPLOYMENT : (FULL TIME / PART TIME)
    COMPANY :
    OUTLET :
    JOIN DATE :
    BASIC SALARY : RM
    ALLOWANCE
    TYPE & AMOUNT : RM
    HOSTEL : YES / NO

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