EMPLOYMENT APPLICATION FORM

PLEASE FILL THIS FORM WITH CAPITAL LETTERS

Name Mr Ms :
(As per MyKad / Passport)

Position Applied :

Date Applied :
(dd-mm-yyyy)

OFFICE USE

Employee No. :

Cost Center :

Department :

Date Joined :
(dd-mm-yyyy)

Corporate Head Office

MAH SING GROUP BERHAD

(Company No. 230149P)
Wisma Mah Sing, Penthouse Suite 1,
No. 163, Jalan Sungai Besi
57100 Kuala Lumpur
Tel : 03-9221 8888 (Hunting Line)
Email : people@mahsing.com.my

Doc. Ref.: MSGB/HRM/AFE Rev. No.: 8 Issue Date: 09/08/2017 Page 1 of 4

A. PERSONAL PARTICULARS

MyKad / Passport No. : Gender : Male Female

Date of Birth : Age : years old Nationality :

(dd-mm-yyyy)

Race : Malay Chinese Indian others, please specify Religion :

Permanent Address :

Current Address (If different from the above) :

Contact No. : Other Contact No. :

Email : Bank Account No. :

EPF No. : Income Tax No. :

B. FAMILY DETAILS : (Particulars of Spouse, Children, Parents and Siblings)

Date of Birth
Name Relationship Age Status (Eg.: Working / Schooling)
(dd-mm-yyyy)
1.
2.

3.
4.

5.
6.
7.

8.

C. EMERGENCY CONTACT ADDRESS

Name (As per MyKad/Passport) Relationship Address Contact No.

Doc. Ref.: MSGB/HRM/AFE Rev. No.: 8 Issue Date: 09/08/2017 Page 2 of 4

D. EDUCATION (Starting with the latest)
From To School / College / University Qualification Fields/Subjects
(mm-yyyy) (mm-yyyy)

E. EMPLOYMENT HISTORY (Starting with the latest)

From To Position Last Drawn
(mm-yyyy) (mm-yyyy) Name of Previous Employer(s) Reason for Leaving
Held Basic Salary

F. CURRENT POSITION IN ORGANISATION

Please draw an organisation chart of your current or previous employment (if unemployed) indicating (x) the Position held by you.

No. of staff in your department : No. of staff under your supervision :

1. Expected basic salary (RM) : per month
2. Resignation notice required : month(s)
3. Date available for employment : (tentative date)

G. REFERENCE
Name Address Contact No. Occupation Period Known
1.
2.

Doc. Ref.: MSGB/HRM/AFE Rev. No.: 8 Issue Date: 09/08/2017 Page 3 of 4

H. DECLARATION
1. I am 18 years old and above (based on date of birth) at the point of this Yes No
application.

2. Have you ever been convicted of a criminal offence? Yes No

3. Have you ever been or are you suffering from any mental illness / Yes No
disease / physical defect / congenital abnormality?
(If yes, please specify : ………………………………………………………………………………………………………………………………..)

4. Have you ever been declared a bankrupt? Yes No

5. Are you willing to work shift, if required? Yes No

6. Do you have own transport? Yes No

7. Have you ever been employed in Mah Sing Yes No

8. Do you have any relative working with this company? Yes No

(If yes, Name: ………………………………………………………………………Dept:…………………………………………………………….)

I hereby declare that all the particulars given by me on this application form are true, correct and complete and I
have not withheld anything. I understand at any time after my employment, should the information given on this
application form are found to be false, incorrect or incomplete, the Company reserves the right to dismiss my service
without notice or compensation. I hereby give permission to Mah Sing to use my personal information for the
purpose it was collected and/or to share my personal information with their parent company or with authorized third
parties. I also hereby allow the Company to verify with relevant parties to ensure accuracy of my personal data. This
is in compliance with Personal Data Protection Act 2010.

________________________________ ________________________________
Signature of Applicant Date (dd-mm-yyyy)

RECOMMENDATION : Signed By :

To Hire

To KIV _________________________
Hiring Manager / HOD
To Decline Name :
Date :

Doc. Ref.: MSGB/HRM/AFE Rev. No.: 8 Issue Date: 09/08/2017 Page 4 of 4