EMPLOYMENT APPLICATION FORM

Please read this application THOROUGHLY and complete it HONESTLY.

IMPORTANT NOTICE: If you need assistance in completing this application or for any phase of the employment process, please notify PEOPLE
Division and every effort will be made to accommodate your needs in a reasonable amount of time. Applicants should be careful as they complete this
application. Should it be determined that the application contains any inaccurate or incomplete information, it will result in disqualification from
employment with the Company, or in termination if the inaccuracies are discovered subsequent to your employment with the Company. Please
complete the entire form.
The Company is an equal opportunity employer and will not discriminate against an employee or applicant for employment in any manner
prohibited by law.

NOTE: All applicants will be required to furnish proof of identity and legal work authorisation to be considered for employment.

Position Applied SECTION A

The position I’m applying for

Personal Details SECTION B

Name (as per NRIC)

Address

NRIC / Passport No. Date of Birth (DD / MM / Nationality Marital Status

YYYY)
Single Married

Contact Number Mobile Number Email Address

Highest Education Achieved SECTION C

Standard / Certification Obtained

Name of School /
Institution

Date Date City

Started Finished

Employment History (current & previous) SECTION D

Company Period Position Basic Salary Reason for
To Start Current
From (RM) Leaving

Salary Expectation (RM) Notice Period

PPLFM-27 Employment Application Form v11.0 Version 11.0

CONFIDENTIAL
EMPLOYMENT APPLICATION FORM
Please read this application THOROUGHLY and complete it HONESTLY.

REFEREES (must have supervised you in Employment Capacity) SECTION E

Name Contact Number Occupation Years Known Email Address

Other Information SECTION F

1 Do you have friends / relatives working in TIME?
Yes No
If yes, please state their names & relationship

2 Do you have relatives currently employed with other Telco operators / vendors?
Yes No
If yes, please state position & organisation name

3 Have you been in employment with TIME before?

Yes No
If yes, please specify Division / Department / Section

4 How did you hear about this position? Please State

JobStreet LinkedIn TIME Career Site WOBB Others

Declaration SECTION G
I HISTORY OF CRIMINAL CHARGES AND / OR INDICTMENT / ACQUITTAL

1 Have you ever had any criminal action instituted against you?
Yes No
Action: Year
Charged Indicted Acquitted

Type of Crime

2 Have you ever been found guilty by any COURT OF LAW either in Malaysia or outside of Malaysia?
Yes No
If yes, please state details

3 Do you have poor performance conduct in the last 3 years or dismissed or any employment
case with your previous / current employment? Yes No
If yes, please state conduct

4 Have you ever been found guilty by anyE MPLOYMENT LAWS i.e. Domestic Inquiry / Termination?
Yes No
If yes, please describe the misconduct

PPLFM-27 Employment Application Form v11.0 Version 11.0

CONFIDENTIAL
EMPLOYMENT APPLICATION FORM
Please read this application THOROUGHLY and complete it HONESTLY.

SECTION H
Declaration
II MEDICAL & PHYSICAL STATUS
1 Have you fully completed your COVID-19 vaccination?

Yes No

1st Dose Date: 2nd Dose Date: Booster Dose Date:

If No, may we know your concern/challenge to get vaccinated?

2 Have you ever suffered or currently suffering from serious illness?

Yes No
If yes, please specify

3 Do you have any physical disability?

If yes, please specify Yes No

4 Have you ever taken drugs / are currently taking drugs?

Yes No
If yes, please specify

III DECLARATION

My signature certifies that all information in this application and the answers given by me during the interview process
are accurate and complete to the best of my knowledge and subject to verification by TIME. I further understand that if
the judgment of the company, I have included any misrepresentation or omission of the facts or circumstances, this
false information will result in the refusal and/or termination of my employment if discovered after date of hire.

I understand that this application is good only for 60 days from today's date. If I still desire a position with the company
after the application expires, it will be my responsibility to complete a new application and submit it to the company.
Otherwise, the company will not consider me for employment after this application expires.

I authorise TIME to communicate with persons named as references; as well as any third parties such as financial
institutions,
credit or public record agencies of TIME's choice.

In order to complete a thorough investigation of the information included on this application, my education,
employment, financial, and credit history may be verified to obtain information regarding my character and
qualifications. I hereby release all employers, schools, third party agencies, and individuals contacted from any liability
for any damage whatsoever resulting from giving such
information.

I also understand that I am required to abide to all policies, procedures, rules and regulations of TIME.

Signature Date

PPLFM-27 Employment Application Form v11.0 Version 11.0

CONFIDENTIAL