CF 701/2

APPLICATION FORM FOR EMPLOYMENT PRIVATE & CONFIDENTIAL

PLEASE READ THESE INSTRUCTIONS CAREFULLY :

1. This form is to be completed with an ink pen before the interview session. PHOTO
2. Do not leave any items blank. If it is not applicable to you, indicate with "N.A."

Position Applied Expected Salary

Company Notice Period Required

A. PERSONAL INFORMATION
Full Name: ____________________________________________________ Gender : ________________
(Please write your name in full as per your IC/ Passport)
Date of Birth: ______________________(dd/mm/yy) Age: _________ Nationality: ________________
NRIC/ Passport No./ Place of Issue: _________________________
Marital Status*: _______________ Race*: _________________________ Religion*: ________________
Address: _____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Email Address: _______________________________________ Handphone No: _____________________

Contact Persons in the Event of an Emergency:

Name : ____________________________ Relationship: __________________ Contact No: ______________

Name : ____________________________ Relationship: __________________ Contact No: ______________

B. ACADEMIC ACHIEVEMENTS
University/College/ Year Scholarships/ Other
Qualification Pending/ Awarded
School From To Awards

C. PROFESSIONAL MEMBERSHIP AND PRACTICING LICENSES/ TRAINING COMPLETED

Name of Professional Body Member Since Category of Membership/ Position

BEM
CIDB

Others:
 PRIVATE& CONFIDENTIAL

D. EMPLOYMENT RECORD (please make copies and attach if more space required)
Please indicate your employment history beginning with your current / last employer

Name of Company : _______________________________________________________

Nature of Business / Industry : _______________________________________________________
Position Held : __________________________ From : ________ To: ___________
(mm/yy) (mm/yy)
Current / Last drawn basic salary : _______________________________________________________
Fixed Allowances (Description & Value): _______________________________________________________
Brief description of responsibilities and achievements:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Reason for leaving : _______________________________________________________

Name of Company : _______________________________________________________

Nature of Business / Industry : _______________________________________________________
Position Held : __________________________ From : ________ To: ___________
(mm/yy) (mm/yy)
Current / Last drawn basic salary : _______________________________________________________
Fixed Allowances (Description & Value): _______________________________________________________
Brief description of responsibilities and achievements:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Reason for leaving : _______________________________________________________

Name of Company : _______________________________________________________

Nature of Business / Industry : _______________________________________________________
Position Held : __________________________ From : ________ To: ___________
(mm/yy) (mm/yy)
Current / Last drawn basic salary : _______________________________________________________
Fixed Allowances (Description & Value): _______________________________________________________
Brief description of responsibilities and achievements:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Reason for leaving : _______________________________________________________

1. Can we contact your previous employers for reference checks? Yes No

2. Can we contact your present employer for reference checks? Yes No
3. Can we have your consent to conduct a background check on you to verify the information that you have
provided in this form? Yes No
 PRIVATE& CONFIDENTIAL

E. EXTRA-CURRICULAR ACTIVITIES (list membership in NGOs, sports/communities and

other associations/ clubs)
Organisation Member Since Position Held

F. LANGUAGE PROFICIENCY (Please indicate ‘B’ for Basic, ‘I’ for Intermediate and ‘F’ for fluent)
Language Spoken Written

Bahasa Malaysia

English

Chinese (Mandarin)

Others

G. COMPUTER/ OTHER SKILLS RELEVANT TO THIS APPLICATION(Please indicate ‘B’ for Basic, ‘I’
for Intermediate and ‘F’ for fluent)

Software Proficiency Certification (if any)

H. CHARACTER REFEREES (Name two that you consent for us to contact for the purpose of this application)
Name Occupation Company Contact No. Relationship
 PRIVATE&CONFIDENTIAL

I. GENERAL

1. Are you under a service bond with any organisation? Yes No

2. Have you been, or are you suffering from any physical impairment or disease, and or underwent surgery?
Details if yes: ________________________________________________ Yes No
3. Do you suffer from migraine? Yes No
4. Have you ever been
a) declared a bankrupt/ charged under the Bankruptcy Act? Yes No
b) convicted of a crime in any country? Yes No
c) involved in any lawsuits and do you have any pending? Yes No
d) involved in any labour/ industrial relations cases Yes No
e) in default of any loans? (HP/ housing/ personal etc) Yes No
Kindly provide details if any of you answered ‘yes’ to any of the questions from 4(a) – 4(e)
____________________________________________________________________________________

5. Do you have any friends or relatives that are currently or were employed at Minconsult, its
Subsidiaries/ associate companies or in the construction industry? Yes No If yes, please give details)
Name : ____________________________________ Company : _________________________________
Name : ____________________________________ Company : _________________________________

6. For female candidates only: Are you pregnant as at date of application? Yes No
(If yes, please give details) __________________________________________________

7. Are you prepared to serve the Company in:

a) Peninsular Malaysia Yes No
b) Sabah/ Sarawak Yes No
c) Overseas Yes No

8. Are you prepared to work overtime

a) After office hours Yes No
b) Saturdays/ Sundays Yes No
c) Public holidays Yes No

9. Do you hold a valid driver’s license? Yes No

J. DECLARATION
All information provided by me in this application form together with all the attachments hereto are true and
accurate. I understand and accept that providing false and inaccurate information shall be grounds for immediate
dismissal.
Signed: Date:
K. CANDIDATE’S AUTHORISATION NOTICE
The requested information shall be used in our assessment of your suitability to meet the requirements of
the position available, for administration, management, assessment and analysis, compliance, training,
audit, and other purposes allowed by law and which may be disclosed to our service providers and agents,
and/ or shared with the Minconsult Group of Companies for these purposes, or if required to be disclosed
by regulatory or statistical authorities, agencies or bodies. The information requested (except those
marked with an asterisk (*)) is necessary for the consideration of your application for the position
available. Failure to provide the required information or providing inaccurate information could result in
rejection of your application.

If your application is rejected, we will keep your information for a reasonable period according to legal
requirements and may contact you if there are any other suitable job opportunities within the Group. If
you do not wish for us to process the information that you have provided or contact you for this purpose,
please tick here …………………………………………

If your application is accepted, all information provided by you will become part of our employee record
and will be retained by us in the manner stated in the first paragraph above.

You have the right to ask for a copy of the information we hold on you (for which we may make a small
administrative charge). You may request to correct unintentional inaccuracies in the information you have
provided. If you cease to be an employee in the Minconsult Group of Companies, you may request that
we cease processing the information that you have provided. All requests should be directed to the
Human Resources Department in writing.

The information requested and marked with an asterisk (*) may not be necessary at this stage of your
application; it is only recommended that you provide it so that you will not be asked for the information at
a later stage of your application. In the event that the information is given by you now (or later as the case
may be), it will be taken as your explicit consent for us to collect and process the information in the
manner stated in the first paragraph above.

I confirm that I have read, understood and accepted the terms and conditions stated in this Candidate
Authorisation Notice in relation to my job application, and as the case may be, my subsequent
employment at the Minconsult Group of Companies.
I authorise representatives of the Minconsult Group of Companies to collect, process and/or disseminate
the information as stated in the first paragraph of the Candidate’s Authorisation Notice.
I further consent to the Company conducting credit checks on me and to use the information as may be
necessary in their consideration of my application and subsequent employment.
I undertake that I will not hold Minconsult Group of Companies liable for any fraudulent information that
I have provided and further I confirm that I will bear all such costs as incurred as a result of my action. I
also confirm that the Minconsult Group of Companies shall not be held liable and/or responsible in
anyway whatsoever whilst processing the information that I have provided in this Application for
Employment Form and to the Human Resources Department.
Signed: Date: