EMPLOYMENT APPLICATION FORM
POSITION APPLIED FOR : ____________________________________
PERSONAL INFORMATION
Name : ____________________________________________________________
NRIC : _____________________ Age : ____________________
Date of Birth : _____________________ Sex : ____________________
Race : _____________________ Religion : ____________________
Nationality : _____________________ Marital Status : ____________________
Mobile No. : _____________________ House Tel : ____________________
Address : ____________________________________________________________
Email : ____________________________________________________________
Own any Transport : _____________________ Vehicle No. : _____________________
FAMILY BACKGROUND
Name of Father :______________________ Occupation :_____________________
Name of Mother :______________________ Occupation :_____________________
Name of Spouse :______________________ Occupation :_____________________
Please list down details of brother & sisters (if any)
Name Date of birth Occupation Education Level
Please list down details of children (if any)
Name Date of birth Sex Education Level
EDUCATION DETAILS
TYPE OF SCHOOL NAME OF SCHOOL LOCATION YEAR ATTENDED QUALIFICATIO
FROM TO N OBTAINED
PRIMARY
SECONDARY
COLLEGE /
UNIVERSITY
OTHERS
EMPLOYMENT HISTORY
Please indicate your employment history beginning with your current / last employer
Name of Company : _________________________________________________________
Type of Business / industry : _________________________________________________________
Position Held : _____________________ From : ____________ To : ____________
Job Description : _________________________________________________________
Current/Last Basic Salary : _____________________ Fixed Allowances : ________________
Reason of Leaving : ___________________________________________________________________
Name of Company : _________________________________________________________
Type of Business / industry : _________________________________________________________
Position Held : _____________________ From : ____________ To : ____________
Job Description : _________________________________________________________
Current/Last Basic Salary : _____________________ Fixed Allowances : 1. ________________
Bonus : Contractual _____________________ 2. ________________
Reason of Leaving : ___________________________________________________________________
Name of Company : _________________________________________________________
Type of Business / industry : _________________________________________________________
Position Held : _____________________ From : ____________ To : ____________
Job Description : _________________________________________________________
Current/Last Basic Salary : _____________________ Fixed Allowances : 1. ________________
Bonus : Contractual _____________________ 2. ________________
Reason of Leaving : ___________________________________________________________________
PERSONALITY
Interest /Hobby : ________________________________________________________
Own Strengths : ________________________________________________________
Own Weakness : ________________________________________________________
Aims/Ambitions : ________________________________________________________
HEALTH CONDITION
State of Health : ________________________________________________________
Physical Disability (if any ) : ________________________________________________________
Major illness since birth : ________________________________________________________
Any Colour Blindness : ________________________________________________________
LANGUAGES
Please indicate Competency in Languages (B = Basic I = Intermediate F = Fluent)
LANGUAGE / DIALECTS SPOKEN READ WRITTEN
SKILLS
Please indicate Proficiency (A = Advanced, I = Intermediate B = Beginner)
SKILLS PROFICIENCY
RELEVANT TRAINING COURSES
TRAINING ATTENDED PROVIDER YEAR
MEMBERSHIP OF ORGANIZATION
(Professional, social, sporting etc.)
ORGANIZATION YEAR
SALARY
Last Drawn Salary : _______________________ Expected Salary: _________________________
Availability : _______________________
REFERENCES
(excluding relatives and friends)
Name Position / Company Contact No. Year Known
OTHER INFORMATION
1. Have you ever been convicted of a crime ?
___ YES ___ NO
2. Have you been found guilty in any COURT OF LAW or detained under any written laws ?
___ YES ___ NO (If Yes, Please give details ) _________________________________
3. Have you been declared BANKRUPTCY of charged under BANKRUPTCY ACT ?
___ YES ___ NO (If Yes, Please give details ) _________________________________
4. Have you been employed by this Company?
___YES ___NO (If Yes, Please give details ) _________________________________
5. Are you willing to work on shift / overtime?
___YES ___NO
6. Are you willing to work under pressure?
___YES ___NO
7. When you will be available for work? _________________________________________________
8. Are you pregnant? __________ month(s).
9. Do you fall sick and having to take medical leave for more than 8 days per year in your previous
employment?
___YES ___NO
10. Do you have any surgery done in the past years, if so please describe the nature of medical
history.
___YES ___NO
11. Do you have any physical condition that may prevent you from carry out any task that the
company may require of you to perform from time to time?
___YES ___NO
ACKNOWLEDGEMENT AND AUTHORIZATION
I Certify that all answer given herein are true and complete to the best of my
knowledge.
I authorize investigation of all statements contained in this application for
employment as may be necessary in arriving at an employment decision.
In the event of employment, I understand that false or misleading information given
in my application or interview(s) may result in an immediate termination of
employment.
Applicant’s Name : Date
FOR HUMAN RESOURCE DEPARTMENT USE
Interview Date / Time : _____________________________________________________
Interview by : _____________________________________________________
Comments : _____________________________________________________
