EMPLOYMENT APPLICATION

Private & Confidential

Agensi Pekerjaan Recruit Express Sdn Bhd (639017-K)
Recruit Express Services Sdn Bhd (1071003-T)
Unit 28.06, Level 28, Q Sental, 2A Jalan Stesen Sentral, KL Sentral, 50470 Kuala Lumpur.
Tel: (603) 2713 8830 Fax: (603) 2713 8083
Website: www.recruitexpress.com.my

POSITION(S) APPLIED
POSITION 1: POSITION 2 :

PERSONAL PARTICULARS
FULL NAME IC/PASSPORT NO

ADDRESS

CONTACT NO. (H) (1) (HP) (EMAIL)

DATE OF BIRTH AGE

SEX: Male / Female MARITAL STATUS : Single / Married / Divorced / Widowed/ Separated
NATIONALITY
PLACE OF BIRTH

RACE RELIGION

EMERGENCY CONTACT NUMBER RELATIONSHIP

DRIVING LICENCE : CLASS TRANSPORT Yes / No

FAMILY (APPLICABLE IF MARRIED)

NAME OF SPOUSE NO OF CHILDREN: BELOW 18 YEARS ( ) / ABOVE 18 YEARS
( )

PRESENT EMPLOYMENT POSITION

EDUCATION
NAME OF
YEAR HIGHEST QUALIFICATION ATTAINED
INSTITUTION
to

to

to

COURSES ATTENDED/ATTENDING
NAME OF
YEAR CERTIFICATE OBTAIN
INSTITUTION
to

to

to

PROFESSIONAL QUALIFICATION & MEMBERSHIP OF PROFESSIONAL BODIES

NAME OF ASSOCIATION/INSTITUTION YEAR OF ADMISSION MEMBERSHIP STATUS
 COMPUTER KNOWLEDGE & SKILLS
HARDWARE TYPING SPEED : W. P. M.

SOFTWARE SHORTHAND SPEED : W. P. M.

SYSTEM

LANGUAGE

LANGUAGE PROFICIENCY
WRIT I EN

SPOKEN

EMPLOYMENT HISTORY (Please state your most current job first)

COMPANY

NATURE OF BUSINESS

DATE JOIJNED DATE LEFT

DESIGNATION REPORTING TO

BASIC SALARY (STARTING) RM LAST DRAWN RM

JOB RESPONSIBILITIES / DESCRIPTION

REASON FOR LEAVING

COMPANY

NATURE OF BUSINESS

DATE JOIJNED DATE LEFT

DESIGNATION Business Executive REPORTING TO

BASIC SALARY (STARTING) RM LAST DRAWN RM

JOB RESPONSIBILITIES / DESCRIPTION

REASON FOR LEAVING

COMPANY

NATURE OF BUSINESS

DATE JOINED DATE LEFT

DESIGNATION REPORTING TO

BASIC SALARY (STARTING) RM LAST DRAWN RM

JOB RESPONSIBILITIES / DESCRIPTION

REASON FOR LEAVING

COMPANY

NATURE OF BUSINESS

DATE JOINED DATE LEFT

DESIGNATION REPORTING TO

BASIC SALARY (STARTING) RM LAST DRAWN RM

JOB RESPONSIBILITIES / DESCRIPTION

REASON FOR LEAVING

MEDICAL HISTORY
ANY PH Y SIC A L DISA B IL IT Y NO / Y E S IF YES, PLEASE SPECIFY

ANY MAJOR ILLNESS IN LAST 6 MONTHS? NO / YES IF YES, PLEASE SPECIFY

REMUNERATION
PRESENT BASIC
NEXT SALARY ADJUSTMENT DATE
SALARY
BONUS FIXED VARIABLE

OTHER BENEFITS COMMISSION PROFIT SHARING

SHARE OPTION TRANSPORT ALLOWANCE

OTHERS

EXPECTED SALARY
 AVAILABILITY
NOTICE REQUIRED EARLIEST AVAILABLE DATE

REFERENCES
NAME COMPANY RELATIONSHIP CONTACT NO YEARS KNOWN

DESCRIBE YOUR STRENGTHS & WEAKNESSES

STRENGTHS

WEAKNESSES

1. Are you suffering from any illness, mental disorder or physical impairment? Yes / No
2. Are you bound by any bond to serve the government, or any organization? Yes / No
3. Have you been convicted in a court of law in any country? Yes / No
4. Have you been dismissed or suspended from the service of any employer? Yes / No
5. Are you a bankrupt or discharged bankrupt? Yes / No
6. Are you i n debt ? Yes / No
7. Do you have other sources of income besides your salary? Yes / No
IF YES TO ANY OF THE ABOVE, PLEASE GIVE DETAILS HERE.

DECLARATION

I hereby declare that the information given by me in this form is correct and true to the best of my knowledge and agree
.to the use and retention of my personal information by Recruit Express to help seek employment opportunities, and for
general administrative purposes.

I agree not to consider any forms of employment with any clients of RECRUIT EXPRESS after attending an interview(s) or
after a temporary assignment / contract with the said client, for a period of six months from the date of interview or
termination of assignment, without the consent and knowledge of Recruit Express.

I agree to pay RECRUIT EXPRESS RM12.75 registration fee upon signing the Letter of Appointment for a job and if I do not
start work or resign within 90 days, a further 80% (exclusive of prevailing SST) of the offered monthly basic salary shall be
payable by me to Recruit Express as liquidated damages for the costs of hiring and administration.

Signature & Date