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Application Form (Management)

The document is an application for employment at a management position. It requests personal details such as name, address, education history, employment history, languages spoken, and references. If appointed, it asks for expected salary, notice period, and preferred workplace. It requires certification that the information is correct and allows the company to terminate employment if any information is found to be false.

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kira5729
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
87 views

Application Form (Management)

The document is an application for employment at a management position. It requests personal details such as name, address, education history, employment history, languages spoken, and references. If appointed, it asks for expected salary, notice period, and preferred workplace. It requires certification that the information is correct and allows the company to terminate employment if any information is found to be false.

Uploaded by

kira5729
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FOR EMPLOYMENT

(MANAGEMENT)

Position Applied For


Affix
recent
photograph

PERSONAL PARTICULARS
Full Name: I/C Number: Age last birthday:
(as in I/C)
Date of birth: Nationality: Race: Religion: Marital status:
For Female:
(If married, please state whether
pregnant or not. Yes / No)
Spouse’s name & occupation: Number of children (if any): Age(s) of children :

Home address: Postal Address:


(if different)

Telephone No: Telephone No:


SPARE TIME ACTIVITIES
Interests, sports, hobbies, etc: Membership of organizations concerned:
At school or college
or university

At the present time

EDUCATION/QUALIFICATION (IN CHRONOLOGICAL ORDER)


School/college/university Year Qualification obtained

LANGUAGES/DIALECTS
Description Spoken(fluent/fair) Written(good/fair)
SPECIALIZED COURSES (INCLUDING COURSES CURRENTLY PURSUING)
Course Type Duration Certificate / Diploma etc Organizer

PREVIOUS EMPLOYMENT RECORD


Employer Position From To Reason for leaving Salary

CURRENT EMPLOYMENT

Name & Address of Employer: Date Joined :

Present Position :

Date held
Present Position :

Tel No: Salary Per Month :

Duties: Bonus :

Reason for wanting


to leave :

OTHERS
You may want to use this space to note other facts and achievements of importance such as scholarships, awards, etc.
PARENTS
Name of Father (Living/Deceased) Occupation Address

Name of Mother (Living/Deceased) Occupation Address

BROTHERS & SISTERS


Name Sex Age Occupation

GENERAL
1. Have you previously applied for a job opportunity with The Pacific Insurance Berhad? YES/NO
2. Have you any relatives working in The Pacific Insurance Berhad? YES/NO
(if yes, please give their names and their relationship with you as well as their present jobs, if known)

3. Are you a declared bankrupt or have been a declared bankrupt? YES/NO


4. Are you now in default or arrears on repayment of any debt? YES/NO
5. Have you ever been arrested, indicted or convicted? YES/NO
(if yes, state nature of offence)

6. Have you been or are you suffering from any physical impairment or illness? YES/NO
(if yes, please give detail)

7. Give the names of anyone in The Pacific Insurance Berhad known to you personally:
IF APPOINTED, PLEASE STATE:
Expected Salary:
Period of Notice Required:
Date able to commence duty:
Preferred Workplace: Prepared to b e transferred? YES/NO

REFEREES (EXCLUDE RELATIVES)


1. Name 2 Name
_______________________________ ______________________________
Address Address
_______________________________ ______________________________
_______________________________ ______________________________
_______________________________ ______________________________
Profession Years known Profession Years known
______________ __________ ____________ __________

I certify that the above information is correct and can be treated as part of any subsequent contract of employment. It is also
hereby agreed and accepted that should any of the above statements be found to be false or incorrect, the company shall reserve
the right to terminate my service. The willful suppression of any material fact will be similarly penalized.

Signature : Date:

FOR OFFICIAL USE


POSITION OFFERED: JOB LEVEL
LOCATION: STARTING SALARY:
OTHER BENEFITS:
REMARKS:

(see attached for interviewers’ comments)

APPROVED BY SIGNATURE DATE:

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