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Reference: MAHBHRS(S) 500-2/4/5 {2021 EMALAY SIA IRPORTS Date : 27 October 2021 PRIVATE AND CONFIDENTIAL Cik Nur Akmalzatul Syazana binti Mohd Yusot No. 398, Jolan Desa Taman Desa 81000 Kuiai Johor Decor Cik Nur Akmalzatui Syazana, (OFFER OF APPOINTMENT ON CONTRACT BASIS AS EXECUTIVE ~ AIRPORTS MANAGEMENT SERVICES We are pleased fo offer you empioyment as Executive ~ Alrport Management Services (Operations), Aiport Management Services, (Position ID: 50330964), Internal O&M Support, Urusan Teknologl Wawasan Sdn Bhd on fixed terms contract basis. The duration of your fixed term employment contract shall be from 15 November 2021 until 30 October 2022 and shall correspond with the tenure of the project “Comprehensive Cleaning & Related Services for KLIA Terminal at KL Intemational Airport = AMS’. Your continued employment during the said fixed term duration shall be dependent on the fenure of the abovementioned project. fat any time the said project Is terminated or ceases, your employment with the Company shallipso facte cease with effect ftom date of the termination ‘or cessation of the said project. Your terms and conditions of employment shall be as follows: 1, Commencement Salary and Job Grade Your salory on commencement of employment shall be RM3,200.00 (Ringgit Malaysia: Three Thousand, Iwo Hundred) only per month. You will be emplaced on Job Grade 20 of the company’s Schedule of staff in the Executive Group, 2. Bonus Payment of Bonus shall be at the entire discretion of the Company. 3. Medical Examination This offers subjected to your being certified medically ft fo assume duty. For this purpose, you ate required fo undergo a medical examinotion by any of the Company's panel of doctors ‘and you are to submit your medical examination repor! prior to your appointment date. We reserve the right to withdraw the offer ond terminate your employment if you ore found fo be medically unfit for duty, 4, Vaccination 4.1 In addition to the requirement in paragraph 3 above, this offer is also subject fo the requirement that you being completely vaccinated with COVID-19 vaccine and you shall submit fo us one (1) copy of your COVID-19 Vaccination Digital Cerificate prior to the pp t date you report for duly. For avoidance of doubt, COVID-19 Vaccination Digital Certificate shall means the digital certificate which has been issued Under your name in your MySejahtera apps. URUSAN TEKNOLOGI WAWASAN SDN BHD (450672-0) (A subsiciany of MALAYSIA AIRHORTS HOLDINGS BERHAD) ee 1st Floor, Civil Engineering Building, Engineering Complex, KL International Airport, 64000 KLIA, Selangor Darul Ehgan, Malaysia. Tel: 603-8776 7002 / 7006 + Fax : 603-8787 2455 « Email : utw@malaystaairports.com.my 4.2 Inthe event the COVID-19 vaccine that you are taking requires two (2) doses and youhave yet to complete your second dose of the COVID-19 vaccine as at the appointment date, you shall provide us with proof of your fist dose of the COVID-19 vaccine together with proof of registration for your second dose of COVID-19 vaccine when you report for duly. Upon completion of your second dose of COVID-19 vaccine, you shall within seven (7) ays, submit to us your COVID-19 Vaccination Digital Cerificate. 4.3 You shall agree to take future and/or aciditional vaccine(s}, test/s) and procedure|s} related to COVID-19 ond any other kind of vaccine, as ond when requited by the ‘Company and/or Ministry of Health (*MOH"). 4.4 You shall be guided by the guidelines issued by the MOH on the possible side effects arising from the above-mentioned vaccines. The Company shail not be held responsible and/or liable for any side effects, injuries (Including death], losses, costs, claims, damages or liabilities whatsoever nature and manner arising, directly or indirectty, from and in respect of the requirement under this paragraph 4 including os a result of the vaccine(s).. 4.5 We reserve the right to withdraw the offer and terminate your employment if you are found in breach of the above requirements. Resignation/ Notice of Termination of Employment Either party to this contract is required to give fourteen (14) days notice of pay a sum of money ‘equivalent to fourteen (14) days' salary in lieu of such notice for termination of employment / resignation, Transfer ‘The Company reserves the right to transfer you to any branch (airpor!), subsidiary or associated company without assigning any reason, Benefits and Other Entitlements As stipulated in Appendix 1 General Conduct 8.1 Your conduct while under the Company's employment must be exemplary and in such a manner, which will not discredit or bring disrepute to the Company, befitting your status as an executive. 8.2 You are required ct all times to faithfully and diligently perform and observe the duties assigned to you by your superiors and fo apply your knowledge, skils and judgement to the best of your ability when dischorging these duties, 83 You are expected at all times to maintain good working relations with your superiors, colleagues, subordinates, and others whom you interact with in the course of your duty. 8.4 You must not be directly or indirectly involved in any business or activity that compeies or conflicts with the Company's interest or engage directly or indirectly in any other ‘employment without-the. written consent.otthe Company... 8.5 Your failure to comply with the above can be construed as misconduct, and where you ‘are henceforth liable fo disciplinary action. n. 12, 13, Office Secrecy All information obtained in the course of your work with this company shall be deemed as strictly confidential. Such information shall not be divulged to outside parties either during your service with this Company or after (if) you leave the Company. Fallure to observe this rule shall render you liable to disciplinary or legal action, Office Rules You are required to comply with the Terms and Conditions of Employment, Codes of Conduct and other rules, regulation, procedures and instructions of the Company, whether written, verbal or implied. Salary Bank Account To comply with MS 1900:2005 (Quallly Management System - Requirement from Islamic Perspective), please ensure to register/open ain Islamic Bank Account (Maybank/ CIMB/ BSN/ etc) for your salary account. Alterations ‘The Company reserves the right to alter the Terms and Conditions of service offered herein without giving any reason. Such alteration, amendment, or addition shall be advised fo employees in willing or via the intra Company electronic media. Bring Your Own Device (BYOD) Policy 13.1 You are allowed to use your own Personal Devices} 1o access Company's resources and communication system subject to you adhere to the ‘Bring Your Own Device! (BYOD) policy for work purposes as moy be varied by the Company from time to time. 18.28efore using your Personal Device(s} to connect to the Company's system or to access Company data, you must register your Personal device(s} with If Department, Force Majeure Clause In the event of any event or forces beyond the company's control occurring, including but not limited to accidents, acts of war oF terrorism, viral pandemics, civil or military disturbances, fires or natural disasters or acts of God; the company reserves the right not to perform ifs continued ‘employment obligations and wil not be held liable for any temporary or permanent cessation of the employment relationship. Privacy MAHB will obide by the Personal Data Protection Act 2010 including any and all amendments and modifications thereto. You hereby explicitly consent fo MAHB processing your personal data and sensitive personal data which reasonably atise in/out of connection with your employment with MAHB, Details of MAHB's personal data protection policies are contained in the Privacy Notice annexed to this offer letter. an Kindly let us know your decision (acceptance or rejection) with regards to this offer, Should you ‘accept our offer, kindly sign the duplicate copy of this letter and retum if to us when you report duty. Please report on 15 November 2021 fo the following aciaress: Manager - Corporate Development Urusan Technolog! Wawasan Sdn Bhd 1st Floor, Civil Engineering Building Engineering Complex 44000 KUIA, Sepang ‘SELANGOR DARUL EHSAN If you do not repot within the time period as specified above, or al any other time agreed upon subsequently, in writing, between you and the Company, this offer shall be rendered null and veld, We look forward to your acceptance of this offer and hope that on joining the Company you will render us your ful co-operation, dedication and support. Thank you, Yours sincerely, for URUSAN TEKNOLOGI WAWASAN SDN BHD (hin ‘UMI KALSUM KHAMIS Covering Senior Manager - Human Capital Reply slip: \ coerce ee rermesinlTC toners QFODY confirm that | fuly understand the terms and conditions of this letter and accept the offer, | shall reporl for duty on... Signature Date 44 APPENDIX 1 ~ BENEFITS AND OTHER ENTITLEMENT 3 Allowances You are entitled to receive the allowances based on your position and Company's discretion, ‘Allowances ‘Chargeman (80) | Chargeman (84) | Exec Senior Exec |. “Manager Shif (2 cycle) RM 100 RM 100. RM 100. N/A Shift (3 cycle} RM 200. RM 200 RM 200- N/A Competency RM 800. RM 1000) NA N/A Uniforms + You ore entiled to receive a uniform based on your position and Company's aiscretion, Uniforms ‘Chargeman (80) | Chargeman (84) | Exec / Senior Exee | Manager Shit WA, N/A N/A NA Ponis N/A, N/A N/A N/A Socks N/A NYA N/A N/A Safety Boots/ shoes 1 i N/A NA Working Hours Your working hours, which shall be determined by the Management, con Annual Leave Public Holidays Sick Leave be either one of the following: 3.1 Office Working Hours (for Semenanjung Malaysia) 3.1.1 Mondaysto Fridays — : 0800-1700 3.1.2 Meal Breaks £1300 1400 (Mondays to Thursday 11215~ 1445 (Fridays) or 3.2 Shi Working Hours The normal houts of work for employees working on shift shall be an average of forty-cight (48) hours per week, inclusive of meal breaks of one {1} hour for every eight (8) hours of wor. You are entitled to full pay of twelve (12) days Annual Leave gronted in respect of qualifying service in a calendar year (January io December), This leave may inilially be taken only after having served for three (3) months, Such leave must be taken at times convenient to the Company ‘and subjected to approval of the Management. You shall observe all the public holidays gazette by the federal government, and the state government where you work. The Company, however, reserves the tight fo recall you fo work on such holidays due to exigency of service. 1 You ate entitied to paid sick leave on certification by the Company's Physician based on the following conciition: 4.1. Fifteen (15) days sick leave per annum for sickness which does not require hospitalization; 6.2._Sivty {60) days sick leave per annum for sickness requiring hospitalization. The sick leave under this sub-section is inclusive of the sick leave under subsection 6.1 Maternity Leave Matemity leave can be given to the female staff only for siy (60) days with the coneltion that the pregnancy is not more than four (4) months on the day of repod for duty. Compassionate: You are entitled fo paid compassionate leave of the following: bare: Patemity :3 days (include Saturday, Sunday and Public Holiday) Mariage. : 4 days - for fist legal marriage only Death —:3 days {Involving an immediate family* member of the personnel} * Immediate family means wife/husband, children, brothers/sisters, parents ‘ond parents in-law. Travelon Company : Overseas Business Meal Allowance You are enlilled for meat allowance based on your grade and Company's ciscretion. Giade” | Mecl Alowance/ days 19-23) RM 255 2427 RM 320 Day Allowance Half of meal cllowance entitlement if traveling more than & hours but less than 24 hours. Hotel Standard Room Rate ‘Accommodation Airplane Fares Economy Class Travelon Company : Local Business ‘Meal Allowance You te entilied for meal allowance based on your grade and ‘Company's discretion. Region Meal Allowance/ days Peninsular Malaysio: RM 60, Sabah/ Sarawak/ Labuan RM 70. Day Allowance Half of meal allowance enifilement if fraveling more than 8 houss bul less than 24 hours Hotel RM 170 Accommodation Airplane Fares Economy Class 208 11, Mileage Claim 12, Medical Benefits 13. Company Resort Homes 14, Employe Provident Fund (EFF) and Other Statutory Conhibutions 15. Overtime 16, Daily Security Pass KUA UMIKALSUM KHAMIS Covering Senior Manager— Human Capital Rate of mileage claim based on the type of vehicle an executive use is as follows: Car = 80 cents perkilometer fiat rate Motorcycle - 40 cents per kilometer flat rare 2 The Company sholl provide you free medical consultation and medicine at the clinics of its Physicians and Government Hospitals up to c: maximum, cost of RM3600.00 per year per employees. The medical benefis provided however, shall not include expenses for dental and optical services, cosmetic surgery anc mental disorder due to abuse of olcchol, drug abuse and those arising out of unlawful acts, : You ate eligible for the discounted rates and promotion for usage of Company Resort Homes. You are required to contribute to the EPF and other organizations as per statutory requirements. The Company on its port shall make similar contributions, : The compensation for working overtime, shall be one (1) day leave in feu of every eight (8) hours of accumulated overtime work with a minimum of three (3) hours per day within thirty (30) days You are entitled to claim cost of new appication/ renewal of daily securily pass KIA subject fo Company's discretion, 38 Zerawseis SEMASA MELAPORKAN DIRI SILA BAWA BERSAMA DOKUMEN BERIKUT : Z a 1 |Borang Malumat Peribadi * [Dolmen Ass Borng Pink / ira 2 [surat Alea Summpab ” IDelewmen Asal Borang Kaning 3 |Borang Pemertksaan Kesihavan * Dekomen Ast Borang Hijo 4 |Salinan Sj Nikah (Slava telah beckatvin) 1 Salina 5 |Gambar Berulewran Paspore 2Keping 6 |Salian No KWSP 7 |satinan No S030 8 Selman Nombor Cukal Pendapatan 9 |Satinan Kad Pengenalen Hcaiangan 2tinan Pasenga 1 Salinan Irenama 1 Salinan 30 |soinan No Alea Banke Pilih Salah Satu) [Maybank 1 Salina lcs nan Sinpsanan Nasional (SN) 11 [Satinan Sil Kaeangan (yang uma berkenaan) _ [SPM 1 Salinan [Diploma Salina jaca 1 salinan Profesional 1 Salina Ian tan (Sekinanya as) 1 Sinan ‘Nota : Sila pastikan dokumen tersebut telah lengkap dis & ditandatangani HRPIF-1/2005 BORANG MAKLUMAT PERIBADI MALAYSIA AIRPORTS HOLDINGS BERHAD & ANAK-ANAK SYARIKAT Gambar Soiz Posport No. Kakliongan Name Jowaton Torikh Lonticon Tekh Disobkon Jenis Perthicmotent Kumputon Perthidm Ged Percridmeton Lokes! Perkhidmoten Bohagion/tnit Tekh Loni Tempel Lotir Neget Kelonion Negara Kelohiran Worganegore* Torof Perkahwinon* Torn Perkahwinan agoma* Bongso* ‘No: Kad Pengencian | a ———— Scns, 1 btomer sven anuner Gotan sermon vesore Dorp ik CO I at l 1 ! “Protwuonteniny ce Coco: ae at Ctetop 1] tetop 10ca} C1 Konttck (J Lointoininytokon|____| ono tort [1] Pengueson [J txsetuitt CJ sukon éksekuit om TTT oot T 1 - oe Diteicki Orerempuon sae Ore Dtidex ee co: 1 ea ce ] 9002 c I I J ee [D) Moloysio 7] Lointain (Nyatokany ad Tsung C)sercahwin C] buds (endo oo OO rotbuantoney ont (sem C]pudcho [)iindy C)kistion []Loinoin Nyatokan) ae 10 metoye 01 cine Circo EI teimtcn yotokon)_———___ 1 2 oN OH 10. nM HRPIF-1/2005 = Nome Suomifsteri No, Kod Pengencion hemes cons : epee tm es Toric Lotir 1 1 rotamer ens Negoro Kelofiron 1 jo Worgonegora” Cimaioysia C] Lointain (Nyotakon) Jontina® (let) Perempuon ea No. Cukoi Papin, I ae Pejabot Cukol 4 Pendopoton ol Status Petejoan* — [] Bekeio. CJ Tidak bekeio. aces Noma Pekeyjaon ne Namo Mojkan u Bilongan Anak: orong o.tubungon’ — ClAncktondung CJAnok Angkot CJtsinicin Nyotorony | aus b. Nemo == «. Tempot Loti "J i d. Noxed Pengenoton ]. : casa 1 Sit Kelotiron TI oraia . Torikh Lair 1 ly |rottouonstaary ie 1. Negate Kelahicon care] 9. Worgonegora* [DD Maloysia [C)Loimtain (Nyatoken) oor hh, Jontina® Ditetcti — D)Perempvan conta i Pendliikont [2] Tidok benekoion ee Sekoich Rendch sekoloh Menengoh Kolej Tempoton Kolej vor Negara J. Status" Univers Tempoton __L_]_universii tuor Negaro (Qcecot [ Dibawah jogoon [] succh berkahwin Csucon bekerio Sissies HRPIF-1/2008 2 @.Hubungan* — [7] Anat kandung [[] Anak Angkot [[] Lain-ioin (Nyotakan}, b.Nomo ‘c-Tempot Lohit . Noxed Pengencion 13 Kelohiron e.Torkh Lohr 1. Negara Ketahiron 9. Wagonegaro* fh. Jontines |, Pencicikon" |. Stotus* b. Noma eTempot tanir [J 4. NoKed Pengencion {Sill Kelohiron €.Torikh Lahir f. Negoro Kelohiran . Worganegora* fh. Jontino* i. Pendicikan” | i, Status rE 7 oie i : COT ose r Co ome [ t ' Jrosmcoaremay tases [J maoysio [)cinoin (nyotokan) ata Ohteiki == C)Perempuon was Tidok berekoioh waa sekoioh Rendoh Sekoich Menengoh Kole} Tempaton Kol] Luor Negara Universi empaton Univenti Lvor Negore Ocecct — DdibawahjogoonE] such berkotwin orane Dsuconbekerio -Hubungon’ —[[] Anal kending [7] Anak Angiat [C}lohvah |Nralckont wou] Te ease I ana CTT L)- - TT basal [ wns CO: Jpeuontaney ana ais [)mooyia FLoimiain (yotokan) wool Delos — CL) Peremouen «a: Tide bersekoloh Hee Sekoich Rendioh Sekolon Menengah [71 kolejtempoton | Kole} Luar Nogaro [5] unvesittempoton Universi tuor Negara Oeeco—- Episowah jogoon =] suciah berkahwin—— | c00.9—-— Disvdch bekeyjo ce. Hubungon’ EJ Anak koncung [7] Anok Angtot [CJ tcintcin (Nyatokont, b. Nome it 1 | Tempat tohit ei aes 6. NoKad Pengencion : -O exe {Sia Keiotiron TI ) ae e. Teri Lohr i : ees fae 1, Negore Kelotiron j nas 9. Worgonegero Ki moenio Dtoinicin iNyotokon) cone pp Jontina* Detox — D)Perempuon 213 i, Pendiaikant Tok persekoloh ed Sekoloh Rendon Sekoich Menengoh Kole} Tempaion Kole} luor Negaro Universi Tematon Universiti Luar Negare j, Stotus* Ocoee — Doibawah jogoanl) sudon’berkarwin wave Dsucoh beteio c.Hubungont —[[] Anokkondung [[] Anak Angkot [7] Loinicin iNyctokonh b.Nome ¢.Tempat Lohir d..No.Kee Pengenalon - : Sil Kelohiron, T e. Torkh Lohir [ iC #. Negora Kelohiran r 1 pevnseaneey wa12 9. Worganegaxo" Dmateysio F)tainiain nyatokany h.Jontina® Dteick — C)Peremeven i, Pendidikon* [7] Tidck bersekotoh Sekolah Rendoh Sekolah Menengon =} Keie}tempoton Kole| Luo: Negara Univest Tempaton Universi Luar Negare —j-Stolus A cocet —_Cinawan jogaen A susan ber Osucanbekero {Silo lompiteon sofinan mukasura! ini sekirorya jumioh anak melebini § orang) -m HRPIF-1/2005 1. 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Sill/Peperiksoan [ CO TO UT a (Uva fad, so nyototon dojoniingiotan tomol Beton Hl d.keputson fF 1 an 1, Sekolch Rendah / Sekolah Menengah (Bawah/Ates) ©. Dat [ sco, TJrortesensonet on eee ! ] Jpotimuentned , Nome Setoioh + wae C, Siil/Peperiksoon H L T T 1 ] ox Like to<0, so nyataten derahvingkolon formal Beljar! @.Keputuron CI eas fl Sekolah Rendoh / Sekolah Menengah (Bowch/Atas) ©. Dost yoo Poros we Hingge i ' Tosiatortone b. Noma Sekolah TT C ‘cooz c-Pepefiksoon I TL] J coo {ia todo, she nyotokon davjan/ingkoton tomatbelclor:___} 0. Keputusan I woz iv, Sekolah Rendoh / Sekoloh Menengah (Bawah/A\ ©. Do ) ! pasievennoney 4 co 1 Teccuns b. Namo Sekolah : i a Litt | «.srepestscon T 1 oI . (sR5 (odo, So nyoleton cofonvingksion lamol beulor ———g-Kepsotuson——— EE FI Eee a » HRPIF-/2005. esiasiis 7 3. Pendidikon Ting |. Maktab / Politeknik / Kole) / Universiti Lea HE A — Hresiouentonre ee fee / t _—-inrredontamet ‘b. Noma Institus a i c.tokosi T T eat I { 4, Sf 1 T oar 2. Keputson 1 oxze i, Maktab / Politeknik / Kote} / Universiti ©. Dor co. 1 rovonohed eae Hinge [ ‘oo: Jronevntonn b. Name insius wn «. tokes! BE sche onzz d. Keputison [ 1 xz 1 Moktob / Potekik / Kole} / Univers eoa... CLT 1E donot ase Hinge Voda Ttouonrsat b. Nome inst - es tokos c i o.3it { i / ! 0, Keputuson C coor oral Diteteo C2 xontiok C] sementara a Perthiamaton * 2 2.DeH Ty: }r Joo onane oe Vingge an oe b. Nome Mojkan T T I Terdonulu t t om «. Jowaton roy T aes Ht .Toral Olietoo CE) kentrok [1] sementoro O] relat | oxen 3. HRPIF-1/2005 me g ae Ve I ' i 7 ! «.Keputuson is 7 0.Doa Ty 1 hatnanptent Hingge ‘LE: [roribuan chet Noma cs eputsen ae ee ©. Deri 1 CI Yrovtennerny 7 \ingge im ina b.Neme HE Perknicimaton * [Silo lompirkan salinan mukasuta! ini sekiranye jumioh pengalomen melebihi 2 pengolamon} HRPIF-1 72005 ae => os PENGAKUAN ARLUMAT: ¢ wf Soyo mengoku bohawo i} segato mokiumat yong ‘eleh dicototkon oi dolam borang ini adoioh bene. ji] segola solnon dekymen yong cllampikon bersoma borang ini adaion soh : - >bencr. Teendatongon) Noma : Tork : UNTUK KEGUNAANIEIABAT. SEMAKAN SAUNAN DOKUIMEN YANG PERLU DILAMMPIRKAN OLEH KAKITANGAN Soinon Kad Pengenaion [Depon/PelaronGl Solinon Kod Fengenolon Suanifset Selon Buku Akaun Bonk seinen Sf surot Beronck/Kad Pengenolan Anok Soinon Sj Sekolah Koleiuriversit Sofinan Sul Pengesohon Anck Angkot o000 Selinon Si Kunut/ Kelson Protesionat Sotnon suit Alvan Sumpoh 00000 Solon Sit NikohyCeroyMom PENGESAWAN, Disahkon olen : Cotdton: Tendotongan) Noma pegaws' Jewotan Torith 10 dengan sesunggul dan sebenaraye mengala baba wa ® 0) ©) @ © oO Saya tidak pemah disabitinn atss tuduban jenayah dan jogs ssya tidak pernah ditshan dibawah Peraturan-Peraturan Darwrat; Saye buikan Penagih dadaby Saya tidak pernah disabitkan atas tuduban clan didapati bersslah oleh Mahkamah Kerana menyalahgunakan dadth mertahaya di bawah Ordiun Dadsh Merbabaya 1952; Saya tidak pemab iba kerja fu digntng ere stan ibyastan meningatian jwatn (Saya pemah bélterja sebagai ‘hingga atau (ii) Saya belum bekerja dengan manmeiana pihak, da Kerajaan atau - i) Se a sama jaan atau swasta, fpotong (2) (1) stan Gi)-yang man tidak berkensaa) Saya bebas dafipailé Kessilian berat kerana berhutang dan tanggungan atas suratsurat perjanjian aaeaereaiadebbegalpatojom sts penjuaty Dan saya membust serm menandatangani surat akuan ini dengan kepercayann babawa ape-epa yang terkandung di dilamnya adalah benar, serta menunst Alaa Berkanun 1960. ‘Diperbust dan dengan sebenar-benamya diakui oleh yang, tersebut di atas iaitur- Dihadapan saya "+ Pesuruhyaya Sumpaly/MajistreyHakisa ‘Makikamah Seayen © (otong mana yang tldak berltenaan) ‘MALAYSIA AIRPORTS HOLDINGS BERITAD ‘MEDICAL EXAMINATION MEDICAL EXAMINATION FOR PRE-EMPLOYMENT +H ar yRing ABOVE PART 1 a PERSONAL DETAILS a ‘Name: ss ‘Date of Birth: RIC: Designation: Gender: Martel Statas Divisions Graapany: HEALTH DECLARATION 7 Have you ever suffered any of the following conditions? Please mark (\) in appropriate column, No | Hness ‘Yes | No If Yes give the detaile/Date T_| Psychiatric Tiness 2_| Epilepsy 3” | Allergie Rhinitis a [Asthma 3_ | Tuberculosis ©_| Tiypertension 7_[ Diabetes Mellitus | Heart Disease 3 | Thyroid Disease 10 | Kidney Disease Ti_| HIV/Aids T2_| Cancer 13 [Leukaemia 1a | Gastric 15. | Lang Disease T6 | Jaundice, Hepatitis or any liver/gall bladder disease T7 | Aay less of consciousness fits or fainting spells 18 | Drug Addiction 19" | Any operations 20 | Any occupational injury or iliness Di_| Are you medication for any reason at all 32_| Do you sincke 23_| Disebility/Handicap 24 | Others FEMALEONLY ‘Are you pregnant now 2 [Any gynaecological disorder DECLARATION ‘The above answers are tmie and correct, Lunderstand that the Company has the right to withdravr this offer/tenninale my service if any of the answers are found to be inconsistence, untrue or felified. L also authorise the release of eny medical information concerning myself to any medical practitioner for purpose of verification ofthe answer above Signature of Applicant Date PART2 PHYSICAL EXAMINATION 1. Vision! Aided RIGHT: = / LEFT: / Unaided Rion / LEFT: 2. Colour Vision 3. Height Pulse Rate Weight ‘Blood Pressure| 3. BME & False 7. Blood Pressure © Urine Test 9. Chast X-Ray result 19, Andiogram result (Employee of Airside Operation, Airside Engineering, AFRS,AVSEG, Landside Operation) ‘RECOMMENDATIONS : YES | NO ‘REMARKS EMPLOYABLE IN FULL CAPACITY EMPLOYABLE WITH RESTRICTIONS REJECTED UNTIL DEFECTS CORRECTED REJECTED (Give Details) Conclusion & Recommendations: ‘NAME AND ADDRESS OF CLINIC Signature of Doctor BORANG PERISYTIHARAN HARTA Tandakan (v) ©) “lirertama PERHATIAN: 2, Sila baca dengan teliti sebelum mengisi borang. 3. Borang ini hendaklah dis! dengan lengkap dalam dua (2) muka surat. 4, Sila fotokop borang sekiranya ruangan tidak mencukupi. 1. KETERANGAN MENGENAIWARGAKERIA (0 No. Gaji (i) Nama (iil) No. Kad Pengenalan (iv) Tarileh tahir (vil) Jawatan/Gred ()Tarileh Lantikan 5 2. _KETERANGAN MENGENAIKELUARGA i) Suami /Isteri BORANG BH 1 Pind 1/2013 (CO Fambahen 1. Borang ini hendaklah diisi dengan jelas dan lengkap samada secara bertulis atau ditalp. 3. PENDAPATAN BULANAN ‘Sewa Rumah / Kedai /Tanah (Uika ada) Lain -lain (Nyatakan jika ada) 4, ADAKAH ANDA MEMIUKI SYARIKAT/PERNIAGAAN SENDIRI (sa andokon vl petokbertenson) 5. ADAKAH ANDA MERUPAKAN PEMEGANG SAHAM SYARIKAT ‘YANG DIMILIKI OLEH KELUARGA, (la tandokon Vl petal berenen) 2 vw C) wa CO a O wax OQ ee “Sieve, ‘OrOt Ipequad eva UeBunpLILed ERY UEP Biv wpequag e1eq uefunpuyiog 1sog ueSuap seacjas URyLOMP Buek youMBUF-EUNpZEUs SasoucLUDUN YUA JERLIONG YeUsd epaday YeseUaqay yoquow jl LeBUap EES -veimeved eveu-eueus ‘weBuap yeBdueniog Yepn uep JeUeg YeIepe UZHARIP ued yeuiNpYOUI efeos Uep UeBUNERUEs ese pyRus ces Buek eey ehuss ueyeynAéjuoN My UeBWOP BACs VREYOUVA NYMVONE “9 {uobuseso9 wojeyay uorpunb ous dmyouaus yop Buon ohuoiya | | | | i —_— pee 4 (regen ehweteges eke | jeden geuey expuengmsa | usp sue uesen wpurduag uneyy | “oases, wegeehe ayfaagfits | ase ueRs pues) ‘yeuranees) | euch vonjueaeropuay | ehayeasem ueauag | (os069y sony unpsaered peg | ugg ereyepuod vedunana ea Yoorsfossueus | wus, | vonfeveH sewers ves unweg "eesnvey nao ooo? a Stac/t puta THe MIO ans suuT SORANG BH Pind 1/2015 3. PENDAPATAN BULANAN Gaj/Elaun Tetap (ka ada) | Sewa Rumah/Kedai/Tanah Wika ada) ES 4. TANGGUNGAN / ANSURAN BULANAN ATAS HUTANG / PINUAMAN Pinjaman Perumaban Pinjaman Renderaan | Pinjaman Pendiiixan T iL Pirjaman Paribadt Pinjaman Koperast ‘Cull Pendapatan \sinclain (yetakan jika ada) 2/8 ORANG PENAMAAN | NOMINATION FORM [ No. KP ‘Agama ‘Blam / iain cM etcion 1 Bukan iskars/ Non Austen No Gait Bahoglan Sanyo, Dison Z ‘Syria Gred & Jawatan Company Grade & Peston Soyo seperti nama yang tercatal ai alas, ciengan isi menamatan individu/orgarisas! senert diryotakon di bawan untuk menerima pembayoran imaunan darpade Syariat mengiku! peratusan yang lercatat ai bawan sekircnya beriaks keratian ke tas dir saye. | asthe above slaled nome, hereby rome the rominee(s}/ergonizatans stated below fo receive payment of compensation from the Company basedlon he percentoge stated heranatier yen my death. ‘Nama Penuh Penama ‘Alamat Wo. G7 Sill | Hubungan |” Baheatan (m=) Nominge'sFulName | ‘cores Kelohian | Relatonanp | Share) Nig No 73h | Be Ceritcate | 4 5 Bilangan incivid / organieasl yang dinamakon Nanberoinieab/ geno ned [saya dengan ini bersetuju untuk meloksanakan Bacal Hall bag’ pinak cit saya sekiranye berlaku kemation atau kelsian ikekai ke otas din saya dan sayo bersetyjy pihak Penginsurans menolak RM2,500 dori jumiah imbuhan sebagal upah Badal 1. Sayodengamn ini mengesorkan kenyatacn yong | 1.__Sayelmengoku bahawal malkumat penomaon yang tolah cibuot olsh pemohon adalah benar dan fexcotal 6 datum borong penamaan i odolan betldon tandatongarnya telah citvankan a hada soya. anor [Raat cane estan moa nevpptewfamscnicined | lestertnabe ktemcientazd nine Nniten emia 2. Saya mongaky maldurat peda saya sep 2. Saya mengaku tandatangan yang cituunkan ci bbawai acialah betul dan boner. dalam berang in ecalch mika. PSIGeSmpImenctevomabcctarhmontenss rie | _ tear eda Oe wears. Z Tondotongan Tondataagon Sano | seer cs Nora Penh ne feaname ; a No. iP Torkh AIC No Dave Namrat Untuk Kegunacn Behagian Sumber Manusta, MANS Schofa ees fortiuman Resources Divsion, MallB Ony Th oe L {COP TARKH TERIMA] + iii Ghdiimaiagooia ‘ow woes ‘Erp nn Pe Ke ans sh igen, ‘tts eters ego, + Sisto ren ang trey than dc an pete png pa Peden Visca a batt pnnpenname ara pz Zam penal ep on tan Dar apa Bog Sera MARE sie edna Saran pean, pean Borg Fon bn [Toceenn Sri pw net nt IKRAR BEBAS RASUAH (CORRUPTION-FREE PLEDGE) saya, No. Kad Pengenalan: adalah dengan sesungguhnya dan suct hati berikrar bahawa sepanjang perkhidmatan saya dengan Kumpulan Malaysia Airports Holdings Berhad: i. Saya akan mematuhi sepenuhnya unddng-undang, peraturan, prosedur serta dasar- dasar negara yang berkaitan dengan pencegahan jenayah rasuah dan salah guna kuasa i. Saya akan membenci dan menolak sebarang bentuk jenayah rasuch dan salah guna kuasa, serla memberikan kerjasamo sepenuhnya kepada Suruhanjaya Pencegahan Rosuah Malaysia dalam mencegah sebarang perlakuan jenayah rasuah dan salah guna kuasa; ii, Saya tidak akan melidatkan dirt dalam sebarang bentuk jenayah rasuah dan salah guna kuasa, sama ada secara langsung atau tidak jangsung, dengan mana-mana pihak yang berurusan dengan Kumpulan Malaysia Airports Holdings Berhad; dan iv. Saya akan melaporkan kepada Survhanjaya Pencegahan Rasuah Malaysia, dengan seberapa segera, sebarang bentuk perlakuan jenayah rasuah dan salah guna kuasa yang melibatkan saya atau rakan sejawat saya. Tandatangan Nama 7 No. Kad Pengenalan Jawatan, BEE EEE Tarikh: Disaksikan oleh Tahdatangan Nama, : No. Kad Pengenalan—: ; Jawaton Tarikh ft SEEHEE Appendix 4 PRIVATE & CONFIDENTIAL CONFLICT OF INTEREST DISCLOSURE FORM. SECTION 4: CONFLICT OF INTEREST Employees should avoid any situation where their personal interests directly or indirectly in conflict, with the interests of the Company. Employees with a contlict of interest must disclose any obligation, commitment, relationship or interes! that could confict or may be percelved to conflct with his or her duties by using this Conflict ‘of Interest Disclosure Form, SECTION 2: CONFLICT OF INTEREST DISCLOSURE FORM This form seeks to identify any actual, potential or apparent conflict of interest situations, and to ensure thet they are formally disclosed to Malaysia Airports and appropriately managed. Please ensure full disclosure and feel free to add peges if needed, ‘Submit the completed form to your Head for review; your Head will forward the form to Employes Relations of Human Resource Division or Human Resource representetive at the respective subsidiary or airport This forn will be treated with the highest confidentiality and you must update this form if there are any significant changes in your external interests or commitments. If you have any questions about ‘the form or about conflicts of interest, please feel free to contact Hunan Resource Division. ‘SECTION 3: CONFLICT OF INTEREST DISCLOSURE A. Financial Relationship with Extemal Organisations Do you and your family members have an equity interest (including share, ehare options, or other securities, EXCEPT FOR share owned through unit trusts or share in @ public company if the share is RM10,000 or fess in value), or any ownership interest in any business entity? Yes No (cirele "Yes" or "No" ) ltyes, please identify the business organisation(s) and interest, using sdditfonal pages ifnecessery, Appendix 4 j PRIVATE & CONFIDENTIAL 2. Did you recsive financial or personal benefits such as salary, royalties, fess, honoraria, loans, free service or discounts from any person or entity that is releted or potentially related fo your Job responsiblities at Malaysia Airports? Yes No ( cirele"yos”or no") If yes, please identify the financiat or personal benefits and explain, using additional pages if necessary, B. Fiduciary and Management Activities Do you have a fiduciaty or management role (such as a chairman, president, director or trustee), cr other ‘egal obligation to any organisation other then Malaysia Airports? Yes No (cirslo "Yes" or No") {f yes, please provide the below information and other information such as estimated time devoted to activity; and annual compensation, if any. Please use acitional pages if necessary, Appendix 4 ‘ PRIVATE & CONFIDENTIAL, Ataysig Asse ©, Other Conflicts of Interest ‘Do you have any other conflict of interest situations that have occurred or may occur in the future that you believe should be brought to the knowledge of Malaysia Airports? (For example, family members of Etnployee working in Malaysia Alrports, outside employment and activites etc.) Yes No (circle "Yes" or "No") If yes, please identify the conflict of interest situations and explain, using additional pages if agcessary, By signing her, you ee ceiving thet fo ionmaton tht you provide inthis form ie ecco fo the best of your snowsedge as of he date of your sgratre, ar you comntto prong an updted form to your Head whenever & imate charge occurs inthe information you have provided, Please take note tat the inermation provid shall be subjected fo management verticaton, ‘Signature: Name: Employee No: Poston: Company: Division Uni: Dale: The Head's signature hare reflects that he or she has reviewed thls frm Heads Signature: Heat's Name: Head's Poston: Date: E-MALAY SLA AIRPORTS LETTER OF UNDERTAKING IN RESPECT OF NON- DISCLOSURE AND CONFIDENTIALITY Malaysia Airports Holdings Berhad I hereby understand and solemniy underfoke that: | wil always keep and maintain the confidentially of all Confidential Information (as hereinafter defined) disclosed to me in implementation or in relation to my services as an employee of Malaysia Airports Holdings Bethad (the "“Company"). Unless the context requires otherwise, Confidential Information means all information periaining to the Company furnished, communicated or made available by the Company fo me In any fashion in connection with my engagement as the Company's employee and shall include, but not be limited to, the following information, whether communicated in waiting, orally, in graphic or electronic form and regardless of the form or storage medium: @) All business information, plans, tactics, or materials, including, without limitation, business plans and strategies, marketing strategies, employee lists, employee benefit programs, personnel matters, custorner Isls, marke! infomation, pricing policies, methods, financial information, or information regarding financial plans, current plans ‘and optional considerations for capital structure and liquidity needs, any customer contract, investor information, test data relating to any research or pilot projects, work in process, present or future products; b} All computer programs {including object and source code}, sofware processes, sysiems writings, fechnical know-how or ideas, and algorithms; ¢) All technical data, or know-how research, product plans, products services, customers, markets, software, developments, inventions, process, designs, drawings, engineering, horcware and software configuration information; d) All manuals, syslems documentation, confidential reports, comespondence, memoranda er other materials related to any of the items described in clauses (a), (b) and (c) above; e] Any information received from the Company that Is marked "PROPRIETARY AND CONFIDENTIAL", or similarly marked, or any other information (whether delivered in wriling oF verbally) which by ils nature would be reasonably considered as confidential whether or not labeled as “Confidential” except as provided herein, and shall use the same degree of care to avoid disclosure of such information as | employ with respect to its own Confidential Information of like importance; and Any other materials or information identified in writing as proprietary or confidential 3. Confidential Information in this Undertaking shall not include Information: 4 5. 7. a} Previously known to me prior to the disclosure; or b) Wes in the public domain prior to the disclosure or thereafter comes into public domain without the fault or breach of any confidentiality obligation by me; or ¢) Disclosed pursuant to the order of court. in consideration of the disclosure of Confidential information by the Company, I hereby agree that I; @) Shall keep the Confidential information in the strictest confidence subject to terms and conditions of this Undertaking; b) Shall not use the Confidential Information or any part of it for any purpose other than as contemplated hereir ¢) Shall not disclose the Confidential Information or any part thereof fo any third party except with the Company's prior written consent, and I shall require thal each such third party shall comply with the confidentiality provisions no less onerous than those contained in this Undertaking; i} Shall ensure that all Confidential information disclosed to me will not be distributed, disclosed, or disseminated in any way of form to any third party or copied, recorded ot where itis disclosed orally, will not be transferred in waiting or in any other medium ot exploited or used beyond my control and/or powers granted to me: @}. Shall protect all Confidential Information by using the same degree of care, but no less than the reasonable degree of care required by law to prevent the unauthorized dissemination or publication of the Confidential information as | use to protect its own Confidential Information of a like nature; and #} Sholl on request from the Company retum to the Company all Confidential information provided to me in writen, printed, electronics or tangible form together with all copies, summaries and notes of the contents thereof including any Confidential information provided to me in oral form, | agree that all Confidential information shall remain the property of the Company and that the Company may use such Confidential information for any purpose without obiigation to me. Nothing contained herein shall be construed as granting or implying any transfer of rights in the Confidential information from the Company fo me, including any patents of other intellectual properly protecting or relating to the Confidential Information. This Undertaking shail remain valid throughout my employment with the Company and a further period of 7 years thereafter. No clause under this Undertaking shall be deemed fo be omitted unless such omission is made in wilting and signed by the Company. Any failure by the Company to effect any Clouse in this Undertaking or any detention from taking any action, delay or opportunity given by the Company to me shall not be consttued as & waiver of the Company's rights under this Undertaking. 8 To the extent that any of the data/information extended by the Company and/or collected/processed by me on behalf of the Company, throughout my employment with the Company, consists of "personal data” as defined in the Personal Data Protection Act 2010 ("PDPA"), | hereby agree: - (i) that! shall only utiize the personal data in furtherance of the terms and conditions of my employment as the Company's employes only, for the performance of my duties as the Company's employee; (i) that | will not process the personal data beyond the scope of the terms and conditions of my employment as the Company's employee; and (ii) that | shail af all mes comply with the PDPA and the principles set out therein in relation to storing and processing personal data, 9. | further acknowledge that the disclosure of any aspect of the Confidential Information will give tise fo ireparable injury to the Company inadequately compassabie in damages. Accordingly, the Company may seek to obtain injunctive relief to prevent the unauthorised use or disclosure, whether existing, imminent or threatened, of the Confidentia! Information in addition fo any other remedies, which may be available to it, Allremegies shall be cumulative and all such remedies may be exercised from time to ime and as often and in such order as the Company deems expedient. 10. further agree to indemnity the Company agains! all losses, costs, expenses, damages, liabilfies, demands, claims, actions and proceedings which the Company may incur arising out of a breach of this clause. 11. All additions or modifications fo this Undertaking must be made in writing and must be signed by both the Company and I 12, This Undertaking shall be construed and govemed in accordance with the provisions of Malaysian laws and is subject to the jurisdiction of caurls in Malaysia, ACCEPTED AND SIGNED BY: WITNESSED BY: (Head of tint) Name: Name: WC No: VC No: Date: Date: Appendix 1 é PRIVATE & CONFIDENTIAL CONFLICT OF INTEREST DISCLOSURE FORM SECTION 4: CONFLICT OF INTEREST Employees should avoid any situation where their personal interests directly or indirectly in conflict with the interests of the Company. Employees with a conflict of interest must disclose any obligation, commitment, relationship or interest thet could conflict or may be perceived to coniliét with his or her duties by using this Confict of Interest Disclosure Form. SECTION 2: CONFLICT OF INTEREST DISCLOSURE FORM This form seeks to identify any actuel, potential or apparent conflict of interest situations, and to ensure that they are formally disclosed to Malaysia Airports and appropriately managed. Please ensure full disclosure and feel free to add pages if needed, ‘Submit the completed form to your Head for review; your Heed wil forward the form to Employes Relations of Humen Resource Division or Humen Resource representative at the respective subsidiary or airport This form will be treated with the highest confidentiafty and you must update this form If there ere any significant changes in your external interests or commitments. if you have any questions about the form or about conficis of interest, please feel free to contact Human Resource Division, SECTION 3: CONFLICT OF INTEREST DISCLOSURE A. Financial Relationship with External Organisations: 1. Do you and your family members have an equity interest (including share, share options, or other securities, EXCEPT FOR share owned through unit trusts or share in a public company ifthe share is RM10,000 or less in value), or any ownership interest in any business entity? Yes No (cltele "Yes" or No”) ltyes, please kientify the business organisation(s) end interest, using additional pages if necessary, Appendix 4 PRIVATE & CONFIDENTIAL WALAVELL URPORTS 2. Did you receive financial or personal benefits such 2s salary, royalties, fees, honoraria, loans, ‘ree service or discounts from any peison or entity that is related or potentially related to your job responsibilities at Malaysia Airports? Yes No (citele"yes" or no” ) If yes, please identify the financial or personal benefits and expiain, using additional peges if necessary. B. Fiduciary and Management Activities Do you have a fiduciary or management role (such as @ chairman, president, director or trustee), ‘or other legal obligation to any organisation other then Malaysia Airports? Yes No (circle "Yes" or No” ) If yes, please provide the below information and other information such as estimated time devoted to activity; and annual compensation, iF any. Please use additional pages if necessary. Appendix 4 . PRIVATE & CONFIDENTIAL eMacaysi URPORTS ©. Other Conflicts of Interest Do you have any other conflict of interest situations that have oocurred or may occurrin the future that you believe should be brought to the knowledge of Malaysia Aitports? (For example, family members of Employee working in Malaysia Alorts, outside employment and sctivities et.) Yes No (artle "Yes" or 'No*) If yes, please identify the confict of interest situations and explain, using additional pages if necessary. By signing here, you ae oetiving tht the information thet you provide i this form is accuse fo the best of your nowiedge as ofthe date of you sionatur, ard you comnitf proving en updated for fo your Head whenever ‘mederal cerigs occurs inthe nformaten you have provided. Please take note that tho information provided shall ‘bo subjeced fo management verification, Signature: Namo: Employoo No: Poston: Company: Dhvsion Unit Date: The Heads sioneture hee refccs that he or she has reviowed this form. Hoad's Signature: Heads Name: Head's Pasition: Date:

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