KATRIN BJ SDN BHD
BRAMHILL SDN BHD
Passport-
KATRIN BJ HOLDINGS SDN BHD sized
KATRIN BJ PTE LTD photograph
must be
attached
JOB APPLICATION FORM
POSITION
APPLIED FOR
A. PERSONAL INFORMATION
Full Name Alias (if any)
(As in NRIC/Passport & Underline Surname)
Home Address
Tel No (Home)
Tel No (Office)
H/P No
Email Address (if any)
Date of Birth Place of Birth Age Gender
Male Female
NRIC No (new) NRIC No (old) Passport No Weight
(if applicable)
Height
Nationality Race / Religion Marital Status Valid Driving Licence
Single Married Yes No
Divorced Widowed If yes, Class:
For married applicant
Spouse’s Name Spouse’s Occupation Name of Company Position
For female applicant
Are you pregnant at the time of this application? Yes No If yes, please state the
due date:
Person to contact in case of emergency:
Name Relationship Tel No H/P No
B. LANGUAGE PROFICIENCY [Please tick (/) where applicable]
Written Spoken
Language / Dialect
Fluent Fair Slight Fluent Fair Slight
C. FAMILY PARTICULARS (parents / spouse / children/ siblings)
Name Age Relationship Occupation / Education level
Father
Mother
D. EDUCATION BACKGROUND
Period Degree/Diploma/
School / College / University Major in
From To Certificate(s) Obtained
E. COMPUTER SKILLS AND KNOWLEDGE
Please state your computer skills and knowledge
F. EMPLOYMENT PROFILE
PRESENT EMPLOYMENT
Date Position Reason(s) for
Employer Address & Contact No
Joined Held leaving
Brief description of duties and responsibilities:
_________________________________________________________________________
_________________________________________________________________________
PREVIOUS EMPLOYMENT (Please state in chronological order)
Date Date Last Reason(s) for
Employer & Contact No Position Held
Joined Left Salary leaving
Brief description of duties and responsibilities:
_________________________________________________________________________
_________________________________________________________________________
Date Date Last Reason(s) for
Employer & Contact No Position Held
Joined Left Salary leaving
Brief description of duties and responsibilities:
_________________________________________________________________________
_________________________________________________________________________
Date Date Last Reason(s) for
Employer & Contact No Position Held
Joined Left Salary leaving
Brief description of duties and responsibilities:
_________________________________________________________________________
_________________________________________________________________________
May we contact your present and past employers for reference checks? Yes No
G. COMPENSATION & BENEFITS
Present Basic Salary (per month) Expected Basic Salary (per month)
RM RM
List other Benefits presently enjoyed: (Example: Contractual Bonus, Allowances, Company Car etc)
H. CAREER OBJECTIVES
Why are you interested to apply for this position?
What is your short-term goal?
What is your long-term goal?
J. ADDITIONAL INFORMATION
Have you been, or are you suffering from any physical impairment or disease? If
yes, please give details. Yes No
Have you ever been convicted of a crime in any country? If yes, please explain.
Yes No
Do you have any friends or relatives that currently employed by Katrin BJ Sdn
Bhd or any of its divisions? If yes, please indicate:-
Yes No
Name: Company: Division/Dept:
Period of notice required by your present employer, if any.
Date available to join.
K. CHARACTER REFEREES
Give particulars of two persons who know you well (other than relatives) with regards to your character and
work performance. One of these should know you in an official capacity, preferably as your superior in some
previous employment.
Period
Name Occupation Company Name Contact No
Known
L. DECLARATION
I hereby affirm that the information given by me on this application for employment together with all
the attachments hereto are complete and accurate in every aspect. I understand that any
falsification or omission will be immediate grounds for dismissal.
__________________________________ ____________________
Signature of Applicant Date
Where did you first hear about this vacancy?
Newspaper Please specify: Internet Please specify:
Employment
Please specify: Others Please specify:
Agency
OFFICE USE ONLY
INTERVIEWER NOTES:
Hiring Decision:
Hire - Commencement date__________________
Not Suitable
Keep In View
Others:___________________________________
Recommended Salary: RM _____________
Petrol Card: RM__________ Travelling Allowance: RM________
Transport Allowance: RM________ Accommodation Allowance: RM_______
Handphone Allowance: RM______ Performance Allowance: RM_________
Interviewed by: Approved by:
Name: Name:
Date : Date :
