POSITION APPLIED
(A) PERSONAL PARTICULARS
Name in Full
(in block letters & as per NRIC)
Postal Address
Home Address
Email Address
Telephone No. (H) Mobile
Date of Birth (dd/mm/yyyy) NRIC
Place of Birth Race
Male
Sex Age1 Religion
Female
Citizenship Marital Status
Name of Spouse NRIC Contact No. Occupation
Names of Children Age Occupation
Names of Parents Occupation Organisation
Names of Brothers/Sisters Age Occupation Company
____________________________________
1
It is the company's policy to only recruit those 18 years old and above. Page 1
(B) EDUCATION (Please enclose photocopies of certificates & results)
QUALIFICATION & FIELD OF STUDY INSTITUTION / UNIVERSITY / FROM TO
GRADE
(i.e. Bachelor's Degree in Chemistry) COLLEGE / SCHOOL (mmm-yyyy) (mmm-yyyy)
MEMBERSHIP IN PROFESSIONAL BODIES
From To
Name of Institution Membership Status
(mmm-yyyy) (mmm-yyyy)
EXTRA CURRICULAR ACTIVITIES / INTERESTS / HOBBIES
LANGUAGE PROFICIENCY
Language(s) Spoken Language(s) Written
Bahasa Malaysia Advance Moderate Basic Advance Moderate Basic
English Advance Moderate Basic Advance Moderate Basic
Other (pls specify):
Advance Moderate Basic Advance Moderate Basic
Other (pls specify):
Advance Moderate Basic Advance Moderate Basic
(C) EMPLOYMENT RECORD (start with present job, list every employment you have had in backward sequence)
*Please attach additional pages or CV for more employment history if necessary.
From To
(1) Name of Employer Industry Location
(mmm-yyyy) (mmm-yyyy)
Position Position of Immediate Superior
Starting Salary (Basic) Last Drawn Salary (Basic)
Allowances & Benefits
Job Function (press 'Alt + Enter' to go to next line if necessary)
Reason for Leaving
Page 2
From To
(2) Name of Employer Industry Location
(mmm-yyyy) (mmm-yyyy)
Position Position of Immediate Superior
Starting Salary (Basic) Last Drawn Salary (Basic)
Allowances & Benefits
Job Function (press 'Alt + Enter' to go to next line if necessary)
Reason for Leaving
From To
(3) Name of Employer Industry Location
(mmm-yyyy) (mmm-yyyy)
Position Position of Immediate Superior
Starting Salary (Basic) Last Drawn Salary (Basic)
Allowances & Benefits
Job Function (press 'Alt + Enter' to go to next line if necessary)
Reason for Leaving
(D) EMPLOYMENT NOW SOUGHT
Expected Salary
Date available for employment (Notice Period)
Other relevant information in support of application
(E) CHARACTER REFERENCE (Not relatives; immediate superior preferred)
Name Name
Occupation Occupation
Company Company
Relationship Relationship
E-mail E-mail
Telephone Telephone
Page 3
(F) PRIVACY OF PERSONAL INFORMATION
I hereby give my consent for my personal data to be used for the purposes of processing matters relating to my application for employment, as
personnel record within KLK Group of Companies
If I am employed, I give consent for my personal data to be used for the purposes of processing matters relating to my employment as personnel
record with the Company human resource's strategies, travelling arrangement, payroll system, human resource system, insurance coverage,
business communication and transaction, statutory requirements, auditing by internal and external auditors and any other purpose that is
incidental or in furtherance to the above-stated purposes.
I shall not withdraw any data that may affect the efficiency of recording and arrangement of matters relating to my employment, performance
and/or medical health results or report relating to my health condition while in employment with the Company.
I have been informed that my personal data can be updated or withdrawn with my written request to the Company's Human Resource
Department or any other personnel designated to handle payroll/human resource matters, provided that the request is reasonable and does not
disrupt the operations' requirement.
I have read and fully understand the contents of the Company's Privacy of Personal Information.
(G) DECLARATION
1. Have you ever worked in this Company or in the KLK Group of Companies before?
No Yes: Company
From To
2. Do you have any relatives working in this Company or in the KLK Group of Companies?
No Yes: Name
Relationship
3. Have you ever attended any interviews with this Company or in the KLK Group of Companies?
No Yes, please specify:
4. Do you have any serious illness or contagious disease? E.g. hepatitis, H1N1, AIDS, Tubercolosis, etc.
No Yes, please specify:
5. Have you ever been convicted of a criminal offence / Is there any criminal case pending against you?
No Yes, please specify:
6. Potential conflict of interest:
- Family member(s) working for competitor / business partner companies of the KLK Group of Companies?
No Yes, please specify:
- Any outside business / interests beyond employment?
No Yes, please specify:
*IMPORTANT - If you answered 'Yes' to any of the above, please discuss with the interviewer whether it may impact your ability to carry out
duties assigned in the position you are applying for.
I hereby declare that all the information and answers provided by me in this application are true and correct to the best of my knowledge. I
authorise verification of all statements and answers to questions herein if I am considered for employment. I understand that a misrepresentation
or omission of facts called for herein will be sufficient cause for dismissal without compensation from the Company's service if I have been
employed.
Signature Date
Name NRIC
OFFICIAL INTERNAL USE
Proposed Position
Proposed Salary
Proposed Commencement Date
Legal Entity Department
Work Location Reporting To
Recommended by Supported by Approved / Rejected by2
Immediate Superior & HOD HR Department ED / CEO / SBU MD / SD / Site Head
Name Name Name
Remarks (if any):
2
Refer to LOA on approved signatory Page 4
The Top 5 Factors Which Motivate You
Select 5 factors ONLY from the list which you feel are the most important that motivates you to do your best at work.
Rank the factors from 1 to 5, from the most important (i.e. No. 1) to the least important (i.e. No. 5):-
Your
Description of Factor
Selection
- Security of employment.
- Feeling that my skills and knowledge are being put to use.
- Feeling that there is real team-spirit in the group.
- Attractive and constantly revised fringe benefits.
- Satisfaction which come from the job itself (e.g. nature of the job, contracts, recognition).
- Able to explore new areas of knowledge/skills and to grow in experience as much as I can.
- Fairness in promotions, based on performance and potential; promotion from within the Company.
- Good working conditions, consistent with the levels of staff positions/grades.
- Knowing what is going on in the company.
- Everyone depends on everyone and there is a strong pressure to achieve tasks.
- Mistakes are permitted, there is little chance of being sacked for mistakes made because of the risks taken.
Feeling that my job is important, because it contributes to the success of other jobs and to the overall
-
success to the Company.
- Company policies are widely known and are fair.
- Knowing what is expected of me.
- Recognition from others and being told how well I am performing.
- Enough responsibility and authority to accomplish tasks.
- High standards of achievement are set and which I really see as real challenges to me.
- Opportunity to use initiative and discretion, not too much spoon-feeding or close supervision.
- Having a boss whom I respect.
- Salary is better than average (for the job I am doing when compared with similar ones elsewhere).
Signature: Date:
Name:
Page 5
