NCH CORPORATION (M) SDN BHD

APPLICATION FOR EMPLOYMENT

AN EQUAL OPPORTUNITY EMPLOYER NCH believes that people are an integral part of the company that their economic and personal growth is closely associated with the dynamics of the entire organization. The stars of the Company are its sales people. Through in-the-field training, plus a regular schedule of product seminars, aids the sales people in achieving their financial goals. The successful sales person has an enviable position they earn an e!ceptionally high income in a growth-career opportunity. They are strongly supported by a dynamic research and development staff assuring their continued success through new product innovation. "e present a genuine challenge to those see#ing financial success and personal development
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POST APPLIED DEPARTMENT (A)

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5 recent passport size photograph which provides a good li#eness of yourself

NAME & ADDRESS

Chine e Cha!a"#e!$ i% an&'

Full Name

C)n#a"# Num*e!
Home 'ager

%mail &ffice Handphone

(B)
Se+ A-e

PERSONAL DETAILS
( )ingle*+arried*,ivorced*"idowed ( .emale * +ale NRIC N) Pa ,)!# N) Na#i)nali#& EPF N) In")me Ta+ N) Hei-h# .ei-h# ( 'in# * -lue
,ate of /ssue

Ma!i#al S#a#u

Da#e )% Bi!#h Pla"e )% Bi!#h Ra"e Reli-i)n

'rivate 0 Confidential 'age 1 of 2

(C)

FAMILY DETAILS
Name Rela#i)n hi, A-e O""u,a#i)n C)m,an&

(D)

EDUCATION DETAILS
Name )% S"h))l & In #i#u#e A##en(e( Yea! F!)m T) Hi-he # Le/el A##aine(

(E)

LAN0UA0E 1 DIALECT
Lan-ua-e 1 Diale"# S,)2en
E+"ellen# .ell Fai! E+"ellen#

.!i##en
.ell Fai!

C)m,!ehen i)n
E+"ellen# .ell Fai!

(F)

COMPUTER S3ILLS
E+"ellen# .ell Fai!

'rivate 0 Confidential 'age 6 of 2

(0)

NATIONAL SER4ICE
Ran2 Uni# Pe!i)( )% Se!/i"e .rom To

A,,)in#men# 1 4)"a#i)n

(H)

EMPLOYMENT HISTORY
Pe!i)( Name )% C)m,an& F!)m T) P) i#i)n La # D!a5n Ba i" Sala!& Rea )n F)! Lea/in-

I% &)u a!e u""e

%ul in #hi a,,li"a#i)n$

"hat salary do you e!pect8

"hat is the length of notice you are re7uired to give your present employer8

,o you have any ob9ection to reference being made to your :a; 'ast %mployer ( <es * No :b;

'resent %mployer

( <es * No

'rivate 0 Confidential 'age = of 2

(I)

CHARACTER REFEREES (Cu!!en# )! P!e/i)u Em,l)&e!)

Full Name C)m,an& O""u,a#i)n Rela#i)n hi, Yea! 3n)5n C)n#a"#1 E6mail

Full Name C)m,an& O""u,a#i)n Rela#i)n hi, Yea! 3n)5n C)n#a"#1 E6mail

(7)

EMER0ENCY
Rela#i)n hi, Contact Number
Home &ffice Handphone

In "a e )% eme!-en"& 1 a""i(en#$ ,lea e n)#i%&

Full Name A((!e )ingapore

'ager

(3) MISCELLANEOUS
D) &)u ha/e an& illne )! me(i"al ,!)*lem 8 /f yes, please give details. Ha/e &)u e/e! *een ")n/i"#e( )% a "!iminal )%%en"e in ")u!#8 /f yes, please give details. D) &)u ha/e an& %!ien( 1 !ela#i/e in )u! em,l)&men#8 /f yes, please give details. ( <es * No

( <es * No

( <es * No

Ha/e &)u e/e! a,,lie( %)! a 9)* ,) i#i)n 5i#h #he ")m,an&8 /f yes, please give details. An& )#he! in%)!ma#i)n 5hi"h &)u 5i h #) u,,)!# #hi a,,li"a#i)n8

( <es * No

(L)

DECLARATION

/ hereby declare that every statement given by me in this form is true and correct and that / have not wilfully suppressed any material fact. / also agree that if any false declaration is made by me, my contract of service ma& *e #e!mina#e( forthwith without notice.

'rivate 0 Confidential 'age > of 2

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$$$$$$$$$$$$$$$$$$$$$$$$$$$ )ignature of 5pplicant

FOR HUMAN RESOURCE DEPARTMENT USE ONLY

,ate of Commencement? -asic )alary? 4ecruited -y? 5pproved -y? 'osition? ,epartment * &utlet? 4emar#s?

'rivate 0 Confidential 'age 2 of 2