Job Application Form

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Position Applied: Date Applied:

Personal Information
NAME: DATE OF BIRTH:
ADDRESS: TEL. NO. : (O)
(H)
(H/P)
INDENTITY CARD NO:
CITIZENSHIP: RACE:
RELIGION:
MARITAL STATUS: MARRIED SINGLE NO. OF CHILDREN:
EPF NO.: SOCSO NO. :

Family Information
FATHER NAME: MOTHER NAME:
PROFESSION: PROFESSION:
COMPANY: COMPANY:
NUMBER OF FAMILY MEMBERS: HOME TEL NO:
HOME ADDRESS:

Qualification
SCHOOL LEVEL ATTENDED: PRE-U/COLLEGE LEVEL: UNIVERSITY LEVEL:

YEAR ATTENDED: YEAR ATTENDED: YEAR ATTENDED:

YEAR GRADUATED: YEAR GRADUATED: YEAR GRADUATED:

GRADE: GRADE: DIPLOMA/DEGREE & GRADE:

(KINDLY PHOTOCOPY YOUR CERTIFICATE(S) FOR REFERENCE)

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KINDLY LIST PROFICIENCY LEVEL (From No.1 most commonly use and to No. 4 least use)

LANGUAGE: 1. 2.
3. 4.

DIALECT: 1. 2.
3. 4.

OTHER TYPES OF COURSES / TRAINING COMPLETED:


1.
2.
3.
4.
5.

EMPLOYMENT HISTORY
PLEASE LIST STARTING FROM THE LATEST EMPLOYMENT.

1. NAME OF COMPANY:
NAME OF EMPLOYER:
ADDRESS OF COMPANY:

JOB TITLE: PERIOD: FROM TO


MONTHLY SALARY (RM): STARTING
CURRENT
DESCRIBE YOUR DUTIES AND RESPONSIBILITIES:

REASON(S) FOR LEAVING:

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2. NAME OF COMPANY:
NAME OF EMPLOYER:
ADDRESS OF COMPANY:

JOB TITLE: PERIOD: FROM TO


MONTHLY SALARY (RM): STARTING
CURRENT
DESCRIBE YOUR DUTIES AND RESPONSIBILITIES:

REASON(S) FOR LEAVING:

3. NAME OF COMPANY:
NAME OF EMPLOYER:
ADDRESS OF COMPANY:

JOB TITLE: PERIOD: FROM TO


MONTHLY SALARY (RM): STARTING
CURRENT
DESCRIBE YOUR DUTIES AND RESPONSIBILITIES:

REASON(S) FOR LEAVING:

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Reference:
MAY WE CONTACT YOUR PRESENT EMPLOYER?
YES _____ NO _____

REFERENCES:
NAME TITLE COMPANY CONTACT

Others
EXPECTED SALARY:
AVAILABILITY TO START WORK:
ILLNESSES OR PHYSICAL DISABILITIES (IF ANY):

I HEREBY DECLARED THAT ALL INFORMATION HERE IN STATED BY ME IS THE TRUTH TO THE BEST
OF MY KNOWLEDGE AND BELIEF.

SIGNATURE
DATE:

NOTES:
KINDLY COMPLETE THE QUESTIONS BELOW.
1. Please write briefly about your personal qualities and characters.

2. Please list your software competencies.

3. Please state your reason(s) why you are interested in shipping industry.

*For Office Use:

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Date :
Time :
Interviewer :

Remarks:

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