APPLICATION FOR EMPLOYMENT

(Passport Size
Photo)
Position Applied:

(1) PERSONAL INFORMATION

Full Name :

Address (Present) :

Address (Permanent) :

COVID-19 Vaccination Status: Fully Vaccinated Partly Vaccinated Not Vaccinated

Contact No.: (H) (H/P) Email

Date of Birth: Place of Birth: Sex: Race:

NRIC/Passport No.: Marital Status: (Single / Married / Divorce)

Religion: Nationality: EPF No.:

SOCSO No.: Income Tax Ref.:

(2) EDUCATION
Primary School Qualifications / Results Attained Year Graduated

Secondary School

Tertiary Education

Other course / training

Type of Course / Training / Certification Institution Qualifications Year

What computer software are you familiar with?

(3) LANGUAGES & DIALECTS (Indicate: Fluent/Average/Poor)

Language Spoken Written

a) English
b) Malay
c) Mandarin
d) Others (please Indicate):
(4) EMPLOYMENT HISTORY (Start with your present / latest employment)

Name of Company : Tel :

Type of Business : Joined from : to

First Position Held : Last Position Held :

Starting Basic : Last Basic : Allowance :

Job Responsibilities: ____

____

Reason for leaving :

Name of Company : Tel :

Type of Business : Joined from : to

First Position Held : Last Position Held :

Starting Basic : Last Basic : Allowance :

Job Responsibilities :

Reason for leaving :

Name of Company : Tel :

Type of Business : Joined from : to

First Position Held : Last Position Held :

Starting Basic : Last Basic : Allowance :

Job Responsibilities :

Reason for leaving :

Name of Company : Tel :

Type of Business : Joined from : to

First Position Held : Last Position Held :

Starting Basic : Last Basic : Allowance :

Job Responsibilities :

Reason for leaving :

(5) REFERENCES (List three references below from your current & past employers. Relatives should not be included.)

Name Telephone Period Known Occupation & Company

Answer the following questions:

Questions Yes No If Yes, please elaborate

Do you have any illness or physical disability?
Have you ever been convicted of any criminal offense?
Have you ever been terminated, asked to leave or absconded from
your previous employment?
May enquiries be made to your previous employers?
Are you currently an expectant parent?
Have you ever been declared financially insolvent?
Do you have any pending or outstanding issue(s) with any Malaysian
banking institution(s)?
Will you respond to email/messages beyond your normal working hour?
Are you an ambitious person?

What are your hobbies/interests?

(6) FAMILY INFORMATION
Name Relationship Employer Occupation

Spouse’s Name: NRIC No:

Employment Status: Yes / No Occupation: Company:

No. of children: Age of eldest child: Age of youngest child:

Do you have any friends/relatives currently employed with PLANWORTH? Yes No
If yes, kindly provide their details:
Name Position held Relationship

Kindly provide the name and contact details of two persons that the Company may notify in the event of any emergency.
Name Contact No.

Expected salary: Notice period:

Do you agree that we conduct reference check with your current employer? Agree Disagree

However, I authorized Planworth to conduct reference check with my current employer once I Agree Disagree
accepted the letter of offer from Planworth.

What is your current employer likely to say about you?

I hereby declare that to the best of my knowledge and understanding, the information given in this application is true and correct. I
also understand that if it is subsequently discovered that I had willfully given incorrect or untrue information or withheld any pertinent
information, my application will be disqualified and if I have been appointed, that I am subject to immediate termination from the
company forthwith.

Pursuant to the Personal Data Protection Act 2010, by affixing my signature herein, I hereby agree to authorize the Company to
collect any relevant information related to me, including information which may be of personal, confidential and/or sensitive in nature,
and to use and/or process such information for the purpose of my application and/or thereafter my appointment with the Company.

Signature: Date:_________________________________
Date:

To: Planworth Global Factoring Sdn Bhd / Planworth (M) Sdn Bhd

Dear Sir

Consent Authorisation

Pursuant to the Credit Reporting Agencies (CRA) Act 2010 and Central Bank of Malaysia
Act 2009, I, the undersigned do hereby give my consent to you and Experian Information
Services (Malaysia) Sdn. Bhd., a registered credit reporting agency under the CRA Act to
process my personal data.

By this consent, I understand and agree that:

i) You may conduct credit check and CCRIS checks on me and where applicable with
Experian Information Services (Malaysia) Sdn. Bhd. at any time for as long as I have an
employment relationship with your organisation for the following purposes:

√ Credit Checks

ii) Where you require any processing of my application to be processed by any processing
centre located outside Malaysia (including your Head Office), I hereby give consent to
Experian Information Services (Malaysia) Sdn. Bhd. to disclose my credit and CCRIS
reports to such locations outside Malaysia.

iii) Apart from the above, I, the undersigned do give my consent to you and Experian
Information Services (Malaysia) Sdn. Bhd., to process my personal data as per the
PDPA Act.

Signed by

____________________________

Name:

NRIC No.: