FORM APE

®
SAMLING GROUP OF COMPANIES
Application For Employment

INSTRUCTIONS
Please
1. Please read through the form carefully and decide on your reply before attach
attempting to complete it. recent
photograph
2. One copy of the application form is required. The reply must be here
completed in the application’s own handwriting and signed by him/her
and returned with 1 recent passport-sized photograph.

3. Only certified true copies of any certificates/testimonials should be attached to the form.
The originals should be brought to a subsequent interview.

4. Referees should not be relatives or members of the family. If possible, at least on of the
referees should be competent to give an assessment of your school/academic life.

5. If space on this form is insufficient, please attach an addendum.

POSITION APPLIED FOR

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Part 1 Personal Particulars

Full Name (including aliases) in BLOCK letters. Name in Chinese
Underline Surname (if Chinese applicant)

Permanent Address: Home Tel. No.

Office Tel. No.
Hand-phone No.
Email Add.
Postal Address: NRIC No.
EPF No.
SOSCO No.
Income Tax No.
Bank Account No.
Date of Birth: Place of Birth: Age:

Sex: Race/Dialect: Nationality:

Height: Weight: Religion: Driving License:

Class
Marital Status
Single Married Widowed Divorced Separated

Part II Family Particular (Particular of Spouse, Children, Parents, Brothers and Sisters)
Name Relationship Date of Occupation Name of Employer Home address (if
Birth and Office Tel. No. different from
(if schooling, state applicant)
name of school)
 FORM APE

Part III Language/Dialects of Proficiency

Language/Dialects Spoken Written Understand
Poor Fair Good Poor Fair Good Poor Fair Good
Bahasa Malaysia
English
Mandarin
Tamil

Part IV Education Records (in chronological order, starting with Primary School)
Name of School/ Institution /College / Date of Joined Date Left Highest Standard Passed & Year
University

Part V Extra-Curricular Activities – Sports/Games/Uniformed Group/Societies/Clubs/

Committees (in school, institution, university, community groups or organizations)
Activity Year Level of Participation (e.g. Prizes & Awards
Chairman, Member)
 FORM APE

Part IV Training Course/Seminars (list only those courses completed and not those included
in education above)
Training Title Training Date
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Part VII Professional Memberships

Name of Organization Membership Date
1.
2.
3.
4.
5.

Part VIII Other Skills (e.g. typing, computer)

Type of Skills Level of Proficiency
Poor Fair Good
1.
2.
3.
4.
5.

Part XI Personal Development (list of courses, processional study, certificates, and diploma
being pursued at present)
Name of School Qualification to be Obtained Commencement Expected
Date Completion Date
 FORM APE

Part X Employment History (start with present or most recent employer)

Name and Address of Employer: Initial Final
Date:
Salary:
Designation:
Department:
Supervisor’s Name & Title:
Name & Title of Employees Supervised by you:
1.
2.
3.
4.
Reason for Leaving:

Duties:

Name and Address of Employer: Initial Final

Date:
Salary:
Designation:
Department:
Supervisor’s Name & Title:
Name & Title of Employees Supervised by you:
1.
2.
3.
4.
Reason for Leaving:

Duties:
 FORM APE

Name and Address of Employer: Initial Final

Date:
Salary:
Designation:
Department:
Supervisor’s Name & Title:
Name & Title of Employees Supervised by you:
1.
2.
3.
4.
Reason for Leaving:

Duties:

Name and Address of Employer: Initial Final

Date:
Salary:
Designation:
Department:
Supervisor’s Name & Title:
Name & Title of Employees Supervised by you:
1.
2.
3.
4.
Reason for Leaving:

Duties:
 FORM APE

Part XI Other Information

1. Have you previously employed by Samling Group of Companies? Yes No

If yes,
Company Date

2. Do you have relatives working at Samling Group of Companies? Yes No

If yes,
Relative’s Name Relationship Company

3. Details of leisure time hobbies, recreation, games, etc?

4. What is your expected salary?

5. Date available to begin?

6. Are you prepared to be relocated/transferred?

West Malaysia Yes No

If not, please explain
East Malaysia Yes No
If not, please explain
Overseas Yes No
If not, please explain
7. Have you been or are suffering from any physical impairment, disease or mental illness?
Yes No
If yes, please give details:

8. Have you ever been charged or convicted for the violation of any law, excluding minor traffic offences?
Yes No
If yes, please give details:

9. State any other relevant facts which you consider important and helpful to us in assessing your suitability for the
position you have applied for.
 FORM APE

Part XI References (Name three persons that related to you who are familiar with your
character and qualifications. Do not repeat names of supervisor listed in
Employment History.)
Name Address & Tel. No. Occupation Years Known
1.
2.
3.

Part XIII Declaration

I hereby declare that the information given by me in this application for employment is true, complete and
correct to the best of my knowledge and belief. I understand that any false statements or the withholding of
any relevant information may provide grounds for the withdrawal of any offer of appointment of for its
immediate cancellation if any appointment has been accepted.

Name of Applicant Signature of Applicant Date

Part XIX For Human Resource Department Use

Position Filled
Interview Appointment On:
Interviewer(s):
(1)
(2)
(3)
Position Filled By:
Commencement Date:
Designation:
Salary/Job Grade:
Other Allowances:
Company:
Position Unfilled
Reasons:

Approved/Rejected by:
Name:
Designation:
Date:

Action to be taken by:

Name:
Designation:
Date: