TECHNOLOGY & ENGINEERING DIVISION

EMPLOYMENT APPLICATION FORM

(Contract Employment)

Please affix
your passport
size photo

INSTRUCTIONS :
1. Please fill in the form using capital letter.
2. Attach relevant copy of documents (Passport, Academic Scroll - Degree/Master/Degree Certificate).

I.

II.

III.

PERSONAL PARTICULARS
NAME : ____________________________________
(as in passport)

GENDER : ______________________________

DATE OF BIRTH : ____________________________

PLACE OF BIRTH : ______________________

MARITAL STATUS : _________________________

NATIONALITY : _________________________

IDENTIFICATION DETAILS
PASSPORT / IC NO : _________________________

DATE ISSUED : ___________________________

COUNTRY ISSUED : _________________________

EXPIRY DATE : ___________________________

PRESENT ADDRESS :
__________________________________________

PERMANENT ADDRESS :
________________________________________

__________________________________________

________________________________________

__________________________________________

________________________________________

__________________________________________

________________________________________

PHONE : _________________________________

PHONE: _________________________________

E-MAIL : _________________________________

E-MAIL :_________________________________

ACADEMIC QUALIFICATIONS
(Please attach relevant certificates)

QUALIFICATION

Technology & Engineering Division

INSTITUTION / UNIVERSITY

YEAR COMPLETED

IV.

PRESENT AND PREVIOUS EMPLOYMENT

Start with your present (or last) employer

Name of Company : ____________________________________________ Tel : __________________

Position Held : __________________________________ From : _____________ To : _____________
Starting Salary : _________________ Last Salary : ________________ Bonus : __________________
(including commission)

Housing Allowance : ______________________________

Housing Provided

Yes

No

Other Fringe Benefits : ________________________________________________________________

___________________________________________________ Annual Leave : __________________
Reasons for Leaving : ________________________________________________________________________
___________________________________________________________________________________

Name of Company : ___________________________________________ Tel : __________________

Position Held : _______________________________ From : _____________ To : ________________
Last Remuneration (including commission & bonus) : ________________________________________
Reasons for Leaving : ________________________________________________________________________
___________________________________________________________________________________

Name of Company : ___________________________________________ Tel : __________________

Position Held : ________________________________ From : _____________ To : _______________
Last Remuneration (including commission & bonus) : ________________________________________
Reasons for Leaving : ________________________________________________________________________
___________________________________________________________________________________

V.

WORKING EXPERIENCE IN MALAYSIA

NAME OF COMPANY

: _____________________________________________________________

YEAR

: _____________________________________________________________

Technology & Engineering Division

VI.

FAMILY DETAILS
(Please specify the particulars of your lawful spouse and children only)

NAME

VII.

RELATIONSHIP

DATE OF BIRTH

REFERENCES

NAME : ________________________________

NAME : ________________________________

ADDRESS :

ADDRESS :

_______________________________________

_______________________________________

_______________________________________

_______________________________________

_______________________________________

_______________________________________

_______________________________________

_______________________________________

TELEPHONE : ___________________________

TELEPHONE : ___________________________

E-MAIL : ________________________________

E-MAIL : ________________________________

I hereby declare that all information given above is true. I will inform Human Resource Management Department,
T&E of any changes in address, phone number, passport, or any other relevant details required during my
employment in T&E

SIGNATURE

______________________________

Technology & Engineering Division

DATE : ________________________________