No Document Checkbox (✔)

1 IC Copy

2 Passport Photo

3 Employment Form

4 Privacy Consent (UOB)

5 Letter of Undertaking (UOB)

6 Transcript

7 Resume

8 Vaccine Certificate (Optional)

3 Months Payslip
9 (Except Fresh Grad/Optional)
Mandatory fields are indicated by (*)
Optional fields are indicated by ( # )
Personal Details

*Name : *New I/C No. :

*Nationality : #
Old I/C No. :

*Date of Birth : *Age :

*Place of Birth : *Gender :

*Race : *Marital Status :

*Religion : Telephone No. : #

(H)

*Email : #
(O)

*(H/P)

*Permanent Address :

*Postcode : *City / Town :

*State : *Country :

*Correspondence Address :
(if different from above)

*Postcode : *City / Town :

*State : *Country :

Emergency Contact Details

*Name : *Telephone No. : (H/P)

*Relationship :
(immediate family members only)

Education Background (In Chronological Order)

Primary and Secondary Education

*Year of
*Name of School / Institution, Country *Qualification *Grade
Completion

College / Professional / Tertiary Education

*Final Grade / *Year of

*Name of Institution *Type of Qualification
CGPA Completion

## RESTRICTED ##
#
Employment History
Present Employment (Present Salary To Be Supported By Documentary Evidence)

*Company :

*Address :

*Postcode : *City / Town : *State :

#Telephone No. :
*Country : *Date Joined :

*Remuneration *Benefits Details

Salary Progression (Last 2 Years)
Basic Salary (RM)
Year Increment Amount (RM) Annual Leave days

On Joining EPF (By Employer) %

Present
Amount
Fixed Allowance Type
(RM)
(If Any) - Per Month

Latest Bonus : months

*Position Title

Medical Entitlement Self:

On Joining :

- For Outpatient only Spouse & Children:

Present Position Held : (Per Annum in RM)

Date Appointed To
Present Position :
Dental Claim
(Per Annum in RM)

Optical Claim
(Per Annum in RM)
*Expected Salary For
This Application : RM Others
(Please Specify)

*Notice Period : months

Previous Salary Information (Last 3 Companies)

*Last Drawn Salary *Reason for Leaving

*Company Name
(RM)

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#
Languages / Dialects Proficiency
#
Spoken #
Written

Fluent / Average / Poor Good / Average / Poor

Fluent / Average / Poor Good / Average / Poor

Fluent / Average / Poor Good / Average / Poor

Fluent / Average / Poor Good / Average / Poor

Family Background [*Mandatory to fill for spouse's details and other family members, i.e. parent(s), sibling(s)
and children (if applicable). Further details of close relatives to be furnished upon joining.]
Particulars of Spouse, Children, Parents & Siblings

#
Name #
I/C Number #
Relationship #
Occupation

1)

2)

3)

4)

5)

6)

7)

8)

9)

10)

Referees (Name 2 referees who are not related to you, preferably your past and most recent employers, i.e.
supervisor / direct superior)
Particulars of Referees

*Name of Referee &

Telephone No. *Company & Designation *Period Known
Relationship

1) *(H/P) year(s)

#
(O)

#
(Email)

2) *(H/P) year(s)

#
(O)

#
(Email)

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#
Permanent Employment References (Current and Former Employers for Past Seven (7) Years)
Required Under Bank Negara Malaysia Employee Screening Policy (BNM/RH/PD 028-72)

*Name (as per I/C) : *NRIC / Passport No.:

*Current Company: :

*Address :

*Company Phone : *From (Mth/Yr) : *To (Mth/Yr) :

*Company Email : *Last Position :

*Company Name 2 :

*Address :

*Company Phone : *From (Mth/Yr) : *To (Mth/Yr) :

*Company Email : *Last Position :

*Company Name 3 :

*Address :

*Company Phone : *From (Mth/Yr) : *To (Mth/Yr) :

*Company Email : *Last Position :

*Company Name 4 :

*Address :

*Company Phone : *From (Mth/Yr) : *To (Mth/Yr) :

*Company Email : *Last Position :

*Company Name 5 :

*Address :

*Company Phone : *From (Mth/Yr) : *To (Mth/Yr) :

*Company Email : *Last Position :

*Company Name 6 :

*Address :

*Company Phone : *From (Mth/Yr) : *To (Mth/Yr) :

*Company Email : *Last Position :

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#
 Other Information
YES Please Explain IF Yes NO

Have you been found

guilty in any COURT OF
LAW

Have you been detainedin

any COURT OF LAW

Have you ever been

declared BANKRUPTCY

Have you been charged

under BANKRUPTCY ACT

Have you had or do you

suffer any physical or
mental condition that
might affect your abilityto
do or be made worseby
doing the job you
have applied for

Disclaimer - By signing, I hereby certify that the above information, to the Signature Date
best of my knowledge, is correct. I understand that falsification of this
information may prevent me from being hired or lead to my dismissal if
hired. I also provide consent for former employers to be contacted
regarding work records.

Personal Data Protection Act

By submitting this application form, I hereby understand and voluntarily consent HR-Tag to collect, obtain, store and
process my personal data that I have provided in this form or information about me obtained through reference and
background checks, for the purposes of employment with or through HR-Tag. I hereby give consent to HR-Tag to disclose
my Personal Data to the relevant governmental authorities or third parties where required by law or for legal purposes. I
authorize HR-Tag to showcase my profile, based on my personal data as submitted, to the client(s) of HR-Tag. I further
give permission to HR-Tag to transfer my relevant data to HR-Tag offices and clients out of Malaysia for purposes of
evaluating my suitability for employment and also to conduct reference checks.

I understand that, under the 2010 Personal Data Protection Act, if, at any time, I wish to access my personal data held by
HR-Tag withdraw my consent to it being processed, or correct any error found within this data, that I may do so in writing
directly to HR-Tag.

Acknowledgment

I, NRIC/Passport No:
acknowledge that I have read and fully understand the above Personal Data Protection Act Policy.

Signed: Date:
 PRIVACY CONSENT CLAUSE

I hereby irrevocably and unconditionally authorise and consent to United Overseas Bank
(Malaysia) Bhd (“the Bank”), BGS Checks Sdn Bhd and its officers conducting reference
checks on me including but not limited to, checks and/or verification on my civil and criminal
records, credit records, directorship, education and credential, checks on anti-money
laundering, sanctions and watch lists, past employment records (for the last 7 years prior to
the date of application for employment with the Bank) and other background information
(“the Information”) in any manner the Bank deems fit, at any time, with any credit reporting
agencies, government agencies, corporations, my former employers, educational
institutions, law enforcement agencies, courts, Financial Markets Association of Malaysia
(FMAM) or any other party as the Bank deems necessary (“the Contributors”), in connection
with my application for employment with the Bank and/or my continued employment with the
Bank, without further reference to me.

I am fully aware that it may be necessary to engage the services of a third party to conduct
such reference checks and I hereby irrevocably and unconditionally give my consent and
such authorization to the Contributors to disclose any of the Information including but not
limited to any credit information (as defined under the Credit Reporting Agencies Act 2010),
past employment records including but not limited any facts and details of any internal
disciplinary proceedings I may have been subject to, irrespective of whether such
disciplinary proceedings have been concluded or initiated after I left the employment with the
organization and facts and details of any case of financial market misconduct I may have
been subject to, including but not limited to disciplinary proceedings under the Asian Institute
of Chartered Bankers (AICB)-FMAM Joint Disciplinary Scheme, irrespective of whether such
proceedings have been concluded, to the Bank and its officers, for the purposes set out
herein. I agree that in providing such authorisation and consent, I shall hold the Bank and its
officers, agents and the Contributors harmless against all liabilities relating to obtaining,
using and disclosing such information for the purpose of evaluating my application for
employment with the Bank and/or my continued employment with the Bank.

I also irrevocably and unconditionally authorise and consent to the Bank to provide a copy of
this consent to the Contributors without further reference to me.

I hereby confirm that I have received, read, understood and agreed to be bound by the
privacy notice issued by the Bank as may relate to the processing of my personal data.

*Signature

*Name :

*NRIC / Passport No. :

*Date :
 Letter of Undertaking to Maintain Banking Secrecy,
Secrecy of Bank’s Intellectual Properties and Disclosure of Information

I hereby irrevocably and unconditionally agree and undertake that:-

1. I shall safeguard and maintain the confidentiality of the Bank’s customers’ information in
accordance with the applicable laws including but not limited to Section 133 and 134 of the Financial
Services Act 2013, Section 145 and 146 of the Islamic Financial Services Act 2013, Section 119 and 120
of the Development Financial Institutions Act 2002 and Section 8 and 39 of the Personal Data
Protection Act 2010, during my employment (as temporary/contract staff) with the Bank;

2. I shall not use, save, keep, copy, record, transfer or download any customer information for
purposes other than paragraph 1 above and to permanently destroy or return to the Bank any
customer information which are saved, kept, copied, recorded or downloaded for purposes under
paragraph 1 above;

3. I will not except as authorised or required by my duties, divulge, disclose or make known to any
person(s) or company any business or trade secrets or private information or confidential finance
transactions or affairs of the Bank or any of its subsidiaries or customers which may come to my
knowledge during my employment with the Bank, or use any properties whatsoever both
intellectual or otherwise of the Bank without prior consent of the Bank during the course of my
employment with the Bank.

4. I shall keep with complete secrecy all confidential information and/or properties of the Bank
entrusted to me and shall not use or attempt to use any such information or properties which may
injure or cause loss either directly or indirectly to the Bank to its business or may be so likely to do.

The above undertaking and restriction shall continue to apply even after I have ceased to be in the
employment of the Bank.

I also understand that any breaches or failure to comply with the Bank’s policies and guidelines on
disclosure of information and banking secrecy may subject me to disciplinary action.

Signature

Name :

NRIC / Passport No. :

Date :

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 Extraction
Financial Services Act 2013 (FSA)

Section 133 Secrecy

1. No person who has access to any document or information relating to the affairs or account of any customer
of a financial institution, including:-

a. the financial institution; or

b. any person who is or has been a director, officer or agent of the financial institution,

shall disclose to another person any document or information relating to the affairs or account of any
customer of the financial institution.

2. Subsection (1) shall not apply to any document or information relating to the affairs or account of any
customer of a financial institution:-

a. that is disclosed to the Bank, any officer of the Bank or any person appointed under this Act or the Central
Bank of Malaysia Act 2009 for the purposes of exercising any powers or functions of the Bank under this
Act or the Central Bank of Malaysia Act 2009;

b. that is in the form of a summary or collection of information set out in such manner as does not enable
information relating to any particular customer of the financial institution to be ascertained from it; or

c. that is at the time of disclosure is, or has already been made lawfully available to the public from any
source other than the financial institution.

3. No person who has any document or information which to his knowledge has been disclosed in contravention
of subsection (1) shall disclose the same to any other person.

4. Any person who contravenes subsection (1) or (3) commits an offence and shall, on conviction, be liable to
imprisonment for a term not exceeding five years or to a fine not exceeding ten million ringgit or to both.

Section 134 Permitted Disclosures

1. A financial institution or any of its directors or officers may:-

a. for such purpose or in such circumstances as set out in the first column of Schedule 11, disclose any
document or information relating to the affairs or account of its customer to such persons specified in
the second column of that Schedule; or

b. disclose any document or information relating to the affairs or account of its customer to any person
where such disclosure is approved in writing by the Bank.

2. The financial institution or its directors or officers making a disclosure for the purposes or in such
circumstances set out in Schedule 11 and paragraph (1)(b), shall be subject to such conditions as may be
specified by the Bank.

3. For the purposes of subsection (2), the Bank may at any time amend or revoke any existing conditions or
impose any new conditions in respect of permitted disclosures by the financial institutions set out in Schedule
11 or paragraph (1)(b).

4. Any person who receives any document or information relating to the affairs or account of a customer as
permitted under subsection (1) shall not disclose such document or information to any other person.

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 5. In any proceedings under paragraph 3, 4, 5, 6 or 7 of the first column of Schedule 11 or circumstances approved
by the Bank under paragraph (1)(b), where any document or information is likely to be disclosed in relation to
a customer’s account, the court may, on its own motion, or on the application of a party to the proceedings
or the customer to which the document or information relates—

a. order that the proceedings be held in camera and in such case, the document or information shall be
secret as between the court and the parties thereto, and no such party shall disclose such document or
information to any other person; and

b. make such further orders as it may consider necessary to ensure the confidentiality of the customer
information.

6. Unless the court otherwise orders, no person shall publish the name, address or photograph of any parties to
such proceedings as are referred in subsection (5), or any document or information likely to lead to the
identification of the parties thereto, either during the currency of the proceedings or at any time after they
have been concluded.

7. Any person who fails to comply with conditions imposed by the Bank pursuant to subsection (2) or (3) or
contravenes subsection (4) or (6) commits an offence and shall, on conviction, be liable to imprisonment for
a term not exceeding five years or to a fine not exceeding ten million ringgit or to both.

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 Extraction
Islamic Financial Services Act 2013 (IFSA)

Section 145 Secrecy

1. No person who has access to any document or information relating to the affairs or account of any customer
of an Islamic financial institution, including:-

a. the Islamic financial institution; or

b.
c. any person who is or has been a director, officer or agent of the Islamic financial institution,

shall disclose to another person any document or information relating to the affairs or account of any
customer of the Islamic financial institution.

2. Subsection (1) shall not apply to any document or information relating to the affairs or account of any
customer of an Islamic financial institution:-

a. that is disclosed to the Bank, any officer of the Bank or any person appointed under this Act or the Central
Bank of Malaysia Act 2009 for the purposes of exercising any powers or functions of the Bank under this
Act or the Central Bank of Malaysia Act 2009;

b. that is in the form of a summary or collection of information set out in such manner as does not enable
information relating to any particular customer of the Islamic financial institution to be ascertained from
it; or

c. that is at the time of disclosure is, or has already been made lawfully available to the public from any
source other than the Islamic financial institution.

3. No person who has any document or information which to his knowledge has been disclosed in contravention
of subsection (1) shall disclose the same to any other person.

4. Any person who contravenes subsection (1) or (3) commits an offence and shall, on conviction, be liable to
imprisonment for a term not exceeding five years or to a fine not exceeding ten million ringgit or to both.

Section 146 Permitted Disclosures

1. An Islamic financial institution or any of its directors or officers may:-

a. for such purpose or in such circumstances as set out in the first column of Schedule 11, disclose any
document or information relating to the affairs or account of its customer to such persons specified in
the second column of that Schedule; or

b. disclose any document or information relating to the affairs or account of its customer to any person
where such disclosure is approved in writing by the Bank.

2. The Islamic financial institution or its directors or officers making a disclosure for the purposes or in such
circumstances set out in Schedule 11 and paragraph (1)(b), shall be subject to such conditions as may be
specified by the Bank.

3. For the purposes of subsection (2), the Bank may at any time amend or revoke any existing conditions or
impose any new conditions in respect of permitted disclosures by the Islamic financial institutions set out in
Schedule 11 or paragraph (1)(b).

4. Any person who receives any document or information relating to the affairs or account of a customer as
permitted under subsection (1) above shall not disclose such document or information to any other person.

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 5. In any proceedings under paragraph 3, 4, 5, 6 or 7 of the first column of Schedule 11 or circumstances approved
by the Bank under paragraph (1)(b), where any document or information is likely to be disclosed in relation to
a customer’s account, the court may on its own motion, or on the application of a party to the proceedings
or the customer to which the document or information relates:-

a. order that the proceedings be held in camera and in such case, the document or information shall be
secret as between the court and the parties thereto, and no such party shall disclose such document or
information to any other person; and

b. make such further orders as it may consider necessary to ensure the confidentiality of the customer
information.

6. Unless the court otherwise orders, no person shall publish the name, address or photograph of any parties to
such proceedings as are referred in subsection (5), or any document or information likely to lead to the
identification of the parties thereto, either during the currency of the proceedings or at any time after they
have been concluded.

7. Any person who fails to comply with conditions imposed by the Bank pursuant to subsection (2) or (3) or
contravenes subsection (4) or (6) commits an offence and shall, on conviction, be liable to imprisonment for
a term not exceeding five years or to a fine not exceeding ten million ringgit or to both.

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 Extraction
Development Financial Institutions Act 2002

Section 119 Secrecy

1. Except for the purposes of this Act, nothing in this Act shall authorise the Bank or the Minister to direct the
Bank to inquire specifically into the affairs of any individual client of a prescribed institution or a development
financial institution.

2. No director or officer of any prescribed institution or of any external bureau established, or any agent
appointed, by the prescribed institution to undertake any part of its business, whether during or after his
tenure of office, or during or after his employment, and no person who for any reason has by any means
access to any record, book, register, correspondence, or other document, or material, relating to the affairs
or, in particular, the account of any particular customer of the prescribed institution, shall give, produce,
divulge, reveal, publish or otherwise disclose, to any person, or make a record for any person, of any
information or document relating to the affairs or account of such customer.

3. This section shall not apply to information which at the time of disclosure is, or has already been made,
lawfully available to the public from any source or to information which is in the form of a summary or
collection of information where information relating to a particular prescribed institution or a development
financial institution or its stakeholders is not explicitly stated.

4. No person who has information which to his knowledge has been disclosed in contravention of subsection
(1) shall disclose the information to another person.

Section 120 Permitted Disclosures

1. Section 119 shall not apply to the disclosure of information or document:-

a. to the Minister, the Bank, its director or employee, a person appointed under subsection 4(3)
or an appointed person, where the disclosure is in the course of performance of functions;

b. to a person rendering service to the Bank in relation to a matter requiring professional

knowledge;

c. which the customer, or his personal representative, has given permission in writing to disclose;

d. in a case where the customer is declared bankrupt, or, if the customer is a corporation, the
corporation is being or has been wound up, in Malaysia or in any country, territory or place
outside Malaysia;

e. where the information is required by a party to a bona fide commercial transaction, or to a

prospective bona fide commercial transaction, to which the customer is also a party, to assess
the creditworthiness of the customer relating to such transaction, provided that the
information required is of a general nature and does not enable the details of the customer’s
account or affairs to be ascertained;

f. for the purposes of any criminal proceedings or in respect of any civil proceedings:-

i. between a prescribed institution and its customer or his guarantor relating to the
customer’s transaction with the prescribed institution; or
ii. between the prescribed institution and two or more parties making adverse claims to
money in a customer’s account where the prescribed institution seeks relief by way of
interpleader;

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 g. where the prescribed institution has been served a garnishee order attaching money in the
account of the customer;

h. to an external bureau established, or to an agent appointed, by the prescribed institution with

the prior written consent of the Bank;

i. where such disclosure is required or authorised under any other provision of this Act;

j. where such disclosure is authorised under any Federal law to be made to a police officer
investigating into any offence under such law and such disclosure to the police officer being,
in any case, limited to the accounts and affairs of the person suspected of the offence; or

k. where such disclosure is authorised in writing by the Bank.

2. In any civil proceedings under subsection (1) (d) or (f) where any information or document is likely
to be disclosed in relation to a customer’s account, such proceedings may, if the court, of its own
motion, or on the application of a party to the proceedings, so orders, be held in camera and, in
such case, the information or document shall be secret as between the court and the parties
thereto, and no such party shall disclose such information or document to any other person.

3. Unless the court otherwise orders, no person shall publish the name, address or photograph of any
parties to such civil proceedings as are referred to in subsection (2), or any information likely to
lead to the identification of the parties thereto, either during the currency of the proceedings or
at any time after they have been concluded.

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 Extraction
Personal Data Protection Act 2010 (PDPA)

Section 8 Secrecy

Subject to section 39, no personal data shall, without the consent of the data subject, be disclosed:-

a. for any purpose other than:-

i. the purpose for which the personal data was to be disclosed at the time of collection of the personal
data; or
ii. a purpose directly related to the purpose referred to in subparagraph (i); or

b. to any party other than a third party of the class of third parties as specified in paragraph 7(1)(e).

Section 39 Extent of disclosure of personal data

Notwithstanding section 8, personal data of a data subject may be disclosed by a data user for any purpose other
than the purpose for which the personal data was to be disclosed at the time of its collection or any other
purpose directly related to that purpose, only under the following circumstances:

a. the data subject has given his consent to the disclosure;

b. the disclosure:-

i. is necessary for the purpose of preventing or detecting a crime, or for the purpose of investigations; or
ii. was required or authorized by or under any law or by the order of a court;

c. the data user acted in the reasonable belief that he had in law the right to disclose the personal data to
the other person;

d. the data user acted in the reasonable belief that he would have had the consent of the data subject if
the data subject had known of the disclosing of the personal data and the circumstances of such
disclosure; or

e. the disclosure was justified as being in the public interest in circumstances as determined by the Minister.

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