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Unisel

This document is an application form for employment at Universiti Selangor (UNISEL). It requests personal details, education history, employment history, references, and asks the applicant to disclose any health issues or criminal convictions. The applicant signs to consent to the university verifying the application details and is warned that false statements will result in dismissal if hired.

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Nadwa Kamil
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Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
119 views

Unisel

This document is an application form for employment at Universiti Selangor (UNISEL). It requests personal details, education history, employment history, references, and asks the applicant to disclose any health issues or criminal convictions. The applicant signs to consent to the university verifying the application details and is warned that false statements will result in dismissal if hired.

Uploaded by

Nadwa Kamil
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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GENERAL MANAGER ADMIN & HUMAN RESOURCES DEPARTMENT UNIVERSITI SELANGOR (UNISEL) Kampus Bestari Jaya Jalan Timur

Tambahan 45600 Bestari Jaya Selangor Darul Ehsan, Malaysia

Application for Employment

Post applied for Faculty/Department

: :

Remuneration Expected :

*One form for one position only.

PHOTO Please affix Recent passport Size photograph Scan Picture/scenery Not Allowed

PERSONAL DETAILS : : : Place of Birth : Date of Birth : Nationality Religion : : : : :

Full Name (per IC) *Mr/Mrs/Ms Passport/NRIC No. Address Permanent

Tel No. Office Age Correspondence

: : :

Home : Marital Status :

H/P Race E-Mail

In Case of Emergency Person to be contacted : Address Relationships : : Contact No :

II

EDUCATION (Please attach all relevant certificates) Diploma/Degree/ Master/Ph.D Year End/Year Of Graduation Highest Standard (CGPA)

Name od school/College/University

Field

Please delete Whichever is not applicable

III

EMPLOYMENT HISTORY (Please attach all relevant testimonials)

NAME OF COMPANY & CONTACT NO (Begin with Present Employer)

Position Held

From

To

Basic Salary

Allowance

Job Responsibilities : Reason for Leaving : Job Responsibilities : Reason for Leaving : Job Responsibilities : Reason for Leaving : Have you worked in this Company before? If Yes, provide the following details : Date joined : Department : Position :

YES

NO

Last Salary : YES NO

Have you been terminated/dismissed/suspended from the service of any employer? If yes, please give details :

IV

PERSONAL REFERENCE Name Contact No. Profession Years Known To You

PROFESSIONAL EDUCATION From To Institution Course Name

VI

ACTIVITIES

1. Of what Associations/Societies were/are you a member? In School/Institute/Elsewhere Position Held Approximate Dates

2. Present hobbies/Interest/Sports :

VII

GENERAL 1. Languages/Dialects Written/Spoken? 2. Have you ever been convicted of criminals offence If Yes, give details : 3. Have you any relatives/friends you know in our employ? If Yes, give details : 4. Are you drug depender? (i.e morphine, cannabis, estacy? If Yes, give details : 5. Do you suffer any health problem? YES YES YES YES NO NO NO NO

I declare that to be the best of my knowledge, the particulars provided are true and I hereby give my consent to be University to check my employment records with my previous employers. I am aware that any false or misleading statements made by me will be cause for dismissal of employed.

Signature of Applicant

Date

FOR OFFICE USE Result : Hired Reserves (KIV) Rejected

Human Resources Date of Commencement : Date of Interview Department : :

Date Starting Salary : Interviewer Position : :

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