GEREX AUTOMATION (M) SDN BHD Application For Employment
Application For Employment
Post Applied For :
*
Sales Engineer
Service Technician
Recent Photograph :
A - PERSONAL PARTICULARS
Full Name
*
Mr.
Mrs.
Ms
Prefix
First Name
Last Name
NRIC No. :
*
E.g : 810101015000
Chinese Character :
Home Address :
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Of Birth :
*
-
Day
-
Month
Year
DD/MM/YYYY
Age :
*
Example : 38
Gender :
*
Male
Female
Race :
*
Malay
Chinese
Indian
Other
Citizenship :
*
Malaysian
Other
Marital Status :
*
Single
Married
Divorcee
Other
Dialect Group :
*
English
Malay
Mandarin
Tamil
Other
Tel. No. :
*
-
Area Code
Phone Number
E-mail
*
E.g : myname@example.com
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B - FAMILY PARTICULARS
Note : Please skip if not related
Name Of Spouse :
Mr.
Mrs.
Ms
Prefix
First Name
Middle Name
Last Name
Occupation :
Tel. No. :
-
Area Code
Phone Number
Employer's Address :
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Number Of Children :
E. g : 3 (for 3 childrens)
Father's Name :
*
First Name
Middle Name
Last Name
State Living/Deceased :
*
Living
Deceased
Living/Deceased
Occupation :
Employer's Name :
Employer's Address :
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mother's Name :
*
First Name
Middle Name
Last Name
State Living/Deceased :
*
Living
Deceased
Living/Deceased
Occupation :
Employer's Name :
Employer's Address :
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Next Of Kin Name :
*
First Name
Middle Name
Last Name
Relationship :
*
Tel. No. :
*
-
Area Code
Phone Number
Employer's Address :
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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C - EDUCATION BACKGROUND
Level Of Education :
MEDIUM OF INSTRUCTION (*LANGUAGE)
NAME OF SCHOOLS/INSTITUTIONS
YEAR
(FROM)
YEAR
(UNTIL)
HIGHEST GRADE ATTEND
PRIMARY
SECONDARY
VOCATIONAL/
TECHNICAL
COLLEGE
UNIVERSITY
Other Qualification :
Language Proficiency :
SPOKEN ( Rate 1 (1 - 10 Poor - Fluent)
WRITTEN
( Rate (1-10 Poor - Fluent)
YEAR
(FROM)
YEAR
(UNTIL)
HIGHEST GRADE ATTEND
ENGLISH
MANDARIN
MALAY
TAMIL
OTHERS
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D - EMPLOYMENT HISTORY
Working Experience (If more than below, please upload your resume):
Date Started
Date Ended
Company Name
Last Position
Last Salary
Reason For Leaving
1.
2.
3.
4.
5.
Feel Free to upload your Resume
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E - CHARACTER REFERENCE
(Must be above 21 years and not related to applicant)
NAME
ADDRESS
OCCUPATION
YEAR KNOWN
1.
2.
3.
4.
5.
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F - GENERAL QUESTIONS
1. Are you suffering from any physical/disability ?
Yes
No
If so, state disability
2. Have you been seriously ill within the last 12 months ?
Yes
No
If so, state illness and duration
3. Have you been convicted on a criminal charge ?
Yes
No
If so, state offence and date
4. Have you ever been dismissed or gazetted out of the service of government/statutory board or any organisation ?
Yes
No
If so, state reason and date
5. Have you ever been declared a bankrupt ?
Yes
No
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G - EMPLOYMENT INFORMATION
Do you have reliable transportation?
Yes
No
If you are offered a post, when can you start work ?
Your salary expectation : (in RM Per Month)
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H - DECLARATION
I declare that all information given and questions answered by me are to my best knowledge true and correct, and that i have not willfully suppressed any material fact. I understand that shall be liable to immediate dismissal if it is found that i have made a false, evasive or misleading declaration in this application form.
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