APPLICATION FORM
The applicant is required to fill in this application form. The information you provide along with the
personal interview will be used to make a decision on your suitability for the position. You are expected
to only provide facts. Any wrong or false information may render you unsuitable for employment or liable
for dismissal if employed.
Position applied for:
1. Personal Information
Full Name: Mykad No.:
Date of Birth:
Marital Status (please state number of child if any):
Residential Address:
Contact Phone Number:
Do you have any medical condition that may hinder your job tasks, or that we need to know
about?
Do you have any criminal record?
Date able to start work:
2. Educational Record (Start with most recent)
Name School/College/University Dates Results
From/To
3. List your qualifications/skills related to this position.
4. Previous Employment Record (Start with most recent)
No Name of Employer and Dates Job Title Final Salary and
Nature of Business From/To Reason for Leaving
5. Last salary drawn:
6. Expected salary:
7. Applicant’s Declaration
I hereby state that all the above statements are true and correct. I understand that any false,
misleading or incomplete information may lead to dismissal. I also give permission to the
Company to conduct reference checks and obtain required information from past employers. I
understand this will be done in an ethical and legal manner and will not compromise my current
employment situation.
Applicant’s Signature:
Date:
