Hap Seng Consolidated Berhad (26877-W)
FORM HRD-2
STRICTLY CONFIDENTIAL
APPLICATION FORM FOR EMPLOYMENT
1. This form should be completed in the applicant’s own handwriting and in BLOCK LETTER
2. No spaces should be left blank. If it is not applicable, write “N/A” or “NIL”
3. Copies of certificates or testimonials should be attached to the form and original copies should be made available
at the interview.
4. If space is insufficient in the form, please attach as addendum.
PHOTOGRAPH
POSITION APPLIED FOR :
HOW DID YOU COME TO KNOW OF THIS VACANCY?
Employment Agency/ Newspaper Advertisement/ Personal Contact Walk-In
Executive Search Internet Name of personal contact:
PERSONAL PARTICULARS
Name : Date of Birth : Age :
Nationality : Sex : Male Female
Place/Country Of Birth : Race :
NRIC No : Religion :
Correspondence Address : Telephone No. (Home) :
Telephone No. (Office) :
Handphone No. :
Email :
Post Code Town/State
FAMILY DETAILS
Marital Status : Single Married Others - Please state
Name Of Spouse : No. of children :
Spouse’s Occupation, Employer & Telephone No. :
PLEASE GIVE DETAILS OF YOUR FAMILY ( PARENTS, BROTHERS, SISTERS AND CHILDREN )
Name Relationship Age Occupation Name of Employer
HEALTH
Physical disabilities/allergies ( If any ) :
What is your present state of health : Good Poor On Medication
Please specify if suffering minor/
major illness
Are you currently pregnant : Yes No
EDUCATION NOTE : PLEASE ATTACH COPIES OF RELEVANT CERTIFICATES
Educational Institutions Date Highest Qualification Obtained Grade
From To
Secondary School
College/University
( Include Business/Trade School ) :
Other Training Attended :
PROFESSIONAL MEMBERSHIP
Name of Body Year Of Admission Membership Status
PROFICIENCY IN LANGUAGES
Language / Dialect Speak Write
Good Fair Poor Good Fair Poor
Bahasa Malaysia
English
Mandarin
Chinese Dialect :
SPECIAL AWARDS / ACHIEVEMENTS / SKILLS
HOBBIES, SPORTS, MEMBERSHIP OF SOCIETIES
PRESENT EMPLOYMENT RECORD
Present Employer : Date Joined :
Address :
Nature Of Business :
No. of Employees :
PRESENT POSITION
Job Title : Basic Salary :
Reporting To : Allowances :
( Position )
Responsibilities :
No. of Staff Supervised :
STARTING POSITION IN PRESENT EMPLOYMENT
Job Title : Basic Salary :
Reporting To : Allowances :
If you have held your present position for less than one year, please describe your last held position :
Special Achievements :
Reason(s) for wanting to leave :
Please state the impending employment cases with Labour / Industrial Relations Department / Industrial Court, if any :
EMPLOYMENT RECORD Note : List most recent job first.
Name Of Employer Position Held Period Employed Last Drawn Reasons(s) For Leaving
From To Salary ( RM )
OTHER DETAILS
Expected Salary : Notice Period :
If you have a relative/ friend working in Hap Seng Consolidated If you have been convicted in any Court Of Law, please
Berhad Group Of Companies, please indicate:- state nature and date(s) of those convictions.
Name :
Relationship :
Company/Dept :
Have you been declared a bankrupt : Yes No
CHARACTER REFEREES - PLEASE PROVIDE TWO (2) PERSONS ( NOT RELATIVES )
Full Name : Full Name :
Company/ : Company/ :
Dept Dept
Relationship : Relationship :
Occupation : Occupation :
Years known : Years known :
Tel. No. : Tel. No :
I hereby declare that to the best of my knowledge and belief, the information given by me in this application and the attachments, if any thereto
are true and correct. I fully understand and accept that if at any time after engagement it is found that a false declaration has been made or any
information has been withheld by me or misrepresentation of facts, wilful or otherwise, the Company has the absolute right to terminate my
employment forthwith without notice or compensation.
( Signature ) ( Date )
FOR OFFICE USE ONLY
Job Title : Salary ( RM ) Allowance ( RM ) Grade Commencement Date
Company : Division / Department Base / Location
Accepted And Approved For Employment Name Signature Date
Departmental Head / General Manager
Divisional Head / Chief Executive
Business HR/ Group HR
Group HR Director / Managing Director
