SEMUA SHIPPING GROUP OF COMPANIES

Wisma Semua, Lot 1778

Piasau 3, Piasau Ind. Estate
Piasau Road, P.O Box 1250
98008 Miri, Sarawak
Malaysia

Form 01.admd

Two Passport-sized
Photograph

APPLICATION FOR EMPLOYMENT

POSITION APPLIED FOR

ACADEMIC INFORMATION
Name of Institution

From

To

Highest Certificate

Others Qualifications:
Language Spoken:
Language Written:

EMPLOYMENT RECORD
Company

From

To

Position

Salary

Reason for leaving

Rev.02/Dec 03

REFERENCES
Name

Address

Occupation

DECLARATION
A) I hereby declare that to be the best of my knowledge and belief the infor
mation given in this application is
correct. I understand that if it is subsequently disclosed that I have willfully given incorrect information or
withheld any information, my application will be disqualified or, if I am employed elsewhere, the company ma y
terminate my engagement without any notice.
B) Attached herewith are copies of relevant supporting documents for this application.
Signature:
Date: