Office Use:

Company Application Form

*Private & Confidential Date:
Company Information
Principal
Company Name:
Business:
Company
Registration No.
Contact No:
Industry: Fax No:

Principal Address:

City/State:

Factory Address:

City/State:

Worker Application
Number of Workers
Gender Nationality Age Group Sector Remarks
Needed

Factory Information
Manufacturing
No. of Management Workers:
License No.:

Date of Commencement
No. of General Workers:
of Operation:

Working Conditions
Salary Payment Date: Salary:

Working Shift: Morning Shift Afternoon Shift Night Shift

Working Hour:
Accommodation
YES NO Contract Period:
included:
Transport included: YES NO Working Days:

Meal included: YES NO Type of Job:

Training Provided: YES NO Job Position:

Company Documents Checklist

* SSM Docs *Working Place (Façade, Production *Accommodation Photo (Façade,

*KWSP & others
Document Checklist: (Form 9, 13, 24, Line, Machine, Warehouse, Office, Common Area, Rooms, Kitchen,
49) Rest Area) Washroom, Window) with clarity. docs

Company Representative
Full Name: Position:

Contact No.: Email:

HR Consultant
Full Name: Ref No.:

Contact No.: Email:

Company Representative Signature

Date:

HR Consultant Signature Received by HR Assistant Solutions

Date: