EMPLOYMENT APPLICATION FORM

HOW DID YOU KNOW ABOUT OUR JOB VACANCY? (Tick where applicable)

Online Job Portal: Walk-In (Location): Resume Deposit

Referral (Please indicate details) Name: Staff Code:

Others (Pleaseindicate):

POSITION APPLIED: Sales Assistants

TYPES OF EMPLOYMENT: Full Time/Permanent Part-Time Contract Internship

1. PERSONAL DETAILS (CAPITAL LETTERS ONLY)

NAME (As per NRIC): Nurul Hidayah Bt Ahmad Yusmin

CHINESE NAME (If Applicable): NRIC/PASSPORT NO.: 010120-08-1036

AGE: 21 GENDER: Male Female NATIONALITY: Malaysia RELIGION: Islam

RACE: Malay Bumiputera Non-Bumiputera WEIGHT: 48 KG HEIGHT: 155 CM

HOUSE CONTACT: MOBILE CONTACT: 017-464 4676 EMAIL: nurulhdyh.ysmn@gmail.com

CORRESPONDENT ADDRESS: NO 40, LALUAN ROKAM 22, PEKAN RAZAKI, 31350 IPOH PERAK

EPF NO.: INCOME TAX NO.: SOCSO NO.:

MARITAL STATUS: Married ** Single Divorced Widow/Widower

**
NAME OF SPOUSE: Mohd Faiz Bin Mohd Nazri NRIC/PASSPORT NO.: 881014-08-6267

CONTACT NO.: 016-8066267 AGE: 33

Semi Government Executive

EMPLOYER: OCCUPATION:
13.01.2021 One (1)
MARRIAGE DATE: NUMBER OF CHILD:

NAME OF CHILD GENDER DATE OF BIRTH AGE

Muhammad Afiq Mikhail Bin Abdul Hafiz Male 22.03.2019 3 Year

FAMILY BACKGROUND:

FATHER'S NAME AGE OCCUPATION

Ahmad Yusmin Bin Abdul Hamid 53 Hardware Driver

MOTHER'S NAME AGE OCCUPATION

Sarina Binti Mohamed Shah 51 House Wife

SIBLINGS'S NAME GENDER AGE OCCUPATION

Nor Syazana Binti Ahmad Yusmin Female 26 FACTORY OPERATOR

Ahmad Nawawi Bin Ahmad Yusmin Male 19 Clerk

NAME Mohd Faiz Bin Mohd Nazri RELATIONSHIP Husband

ADDRESS NO 40, LALUAN ROKAM 22, PEKAN RAZAKI, 31350 IPOH PERAK CONTACT NO. 016-8066267

LAST
DURATION REASON(S) OF
EMPLOYER(S) POSITION DRAWN
LEAVING
FROM TO SALARY

Econsave 2021 2021 Casheir 1,200.00 During PKP

Impiana Hotel 2018 2021 F&B

Assistance 1,200.00 Take care
of My Son

Upgrade
Impiana Hotel 2016 2018 Hotel Crew 900.00 Position

DURATIONS
LEVELS SCHOOL/COLLEGE/UNIVERSITIES QUALIFICATIONS & GRADE
FROM TO

Primary SK Manjoi Dua 2007 2013 UPSR (2A,3B)

Secondary SMK Doktor Megat Khas 2014 2018 SPM (1B,2C,3D)

Tertiary

Others:
 LANGUEGES READ WRITTEN SPOKEN
English 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

Bahasa Malaysia 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

Chinese 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
Others:
1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

SKILLS / QUALIFICATIONS YEAR ACHIEVED LEVELS ACHIEVED

MICROSOFT WORLD 2014 INTERMEDIATE

MICROSOFT POWERPOINT 2016 BASIC

MICROSOFT EXCEL 2018 BASIC

NAME OF ASSOCIATIONS / ORGANIZATIONS YEAR ACTIVE POSITION

5. EMPLOYEMENT RELATED DETAILS

DESIRED WORKPLACE:

EXPECTED SALARY: RM1,600.00 EARLIEST AVAILABLE DATE: ASAP

POSSESS DRIVING LICENSE: YES Please state the type/class of driving license: NO

POSSESS OWN TRANSPORT: YES Please state type of vehicle: Motocycle NO

HAVE YOU WORKED WITH SENHENG / senQ OR OTHER RELATED SUBSIDIARIES BEFORE THIS APPLICATION?
YES (Re-applying with this company or it's subsidiaries because: ) NO

PLEASE PROVIDE TWO (2) REFERRERS WHO CAN GIVE OPINIONS OF YOUR PERFORMANCE AND/OR POTENTIAL.
NAME CONTACT NO.: RELATIONSHIP OCCUPATION

Mohd Faiz Bin Mohd Nazri 016-8066267 Husband Executive

Sarina 011-24251934 Mother House Wife

May we contact your previous employer other than stated above? YES NO

BANK ACCOUNT DETAILS (CIMB PREFERED)

BANK NAME BANK ACCOUNT NUMBER BANK HOLDER NAME

CIMB BANK 7627927753 NURUL HIDAYAH BINTI AHMAD YUSMIN

I hereby nominate the person(s) named in schedule of Nominees to receive the amount standing to my credit in Group Personal Accident Insurance Schemes if I
am employed by this company. In the event of any nominee who predeceases me his/her shall pass to such of nominees as are living at the time of my death and
shall be shared in the same proportion as their respective shares.

NRIC NO. / BIRTH

NOMINEE'S NAME RELATIONSHIP PERCENTAGE (%) CONTACT
CERT NO.

Muhammad Afiq Mikhail 190322-08-1035 Son 50% 016-8066267

Mohd Faiz 881014-08-6267 Husband 50% 016-8066267

I hereby certify that all statements made in this application are true and complete to the best of my knowledge and have not withheld any information that might
influence the consideration of this application. I understand that any misrepresentation/false declaration will be sufficient cause for rejection of consideration for
employment. I also authorize the company to conduct any verification of the above information for the purposes of employment application. If employed, any false
information or significant omissions shall be considered sufficient cause for termination. I hereby to authorise the company to crediting my salary to the bank as
stated in this application form if I am employed by this company.

By providing the personal data of your parents/guardian(s)/sibling(s)/referee(s) as requested in the employment application form, we deem that you have obtained
the consent from the relevant parties.

10.10.2022

Short-list / Hire SIGNATURE: Short-list / Hire SIGNATURE:

NAME: NAME:
KIV KIV
POSITION: POSITION:

Reject DATE: Reject DATE:

DOCUMENTS ENCLOSED

PERSONAL DATA PROTECTION ACT 2010
Processing Personal Data SENHENG
ELECTRIC (KL) SDN BHD and the group
of companies, herein after refer as the
Company needs to collect and process your
personal data in order to generally perform the
Employment Contract / potential Employment
Contract to which you are/ maybe a party to.
Generally, your personal data that we collect
and process include:
x Name
x Identification number (NRIC)
x EPF/SOCSO numbers
x Address
x Contact numbers
x Gender
x Date of birth
x Family information
x Education
x Personal email address
x Photo
x Passport number
x Previous employers’ data
x Salary package
x Bank account numbers
x Vehicles information
Some of the personal data that we collect and
process may include what is defined as
'sensitive personal data' under the Act and
these include, but not restricted to:
x Race & religion
x Health
x Political opinion
x Records of criminal offence
HOW DO WE USE YOUR DATA?
Generally, the Company will be using your
personal data to discharge its obligations as
your Employer/ potential Employer.
Specifically, the purpose for which your
personal data may be used and further
processed includes, but not restricted to, the
following:
x For assessment of your health assessment
and job application to the Company;
x For administration purposes related to
employment;
x For the purpose of complying with the
Companies Act 1965;
x For the purpose of complying with the
Credit Reporting Agencies Act 2010;
x For the purposes of our corporate
governance;
x For all other purposes in relation to or
incidental to performing the Employment
Contract such as:
Payroll, Medical Benefits/ Insurance
coverage, Training needs analysis,
Restructuring exercises including promotions,
demotions, transfers, secondments, etc,
Disciplinary action, Performance
Management, and any other employment
related purposes.
Other than what is stated above, we will not maintain confidentiality of your information
use your personal data for any other purpose that we may disclose to them.
unrelated to employment.
HOW IS YOUR DATA COLLECTED?
Most, if not all, of your personal data was
obtained from you, either from the following
sources or from any other information you
provided:
x Resume;
x Application Form;
x Personal Particulars Form;
x Related Certificates;
x Past Training Certificates. In some
instances, your personal data may
have been obtained from external
sources including, but not restricted
to the following:
x Reference Checks / Verification
Source (personal or private);
x Third party service providers and
any other future third parties in
relation or incidental to the above.
YOUR RIGHTS
You may request access to and request
correction of your personal data. Any request
to exercise your rights shall be administered
as per the Act. Please be informed that
pursuant to the Act, your request may be
rejected in certain circumstances.
TO WHOM WE MAY DISCLOSE YOUR
INFORMATION
Your personal data will be kept confidential
but it may be provided or disclosed to third
parties for the purposes stated above. Whilst
we do not disclose your information to any
third parties unless it is within the ambit of
permitted disclosures under prevailing
laws/guidelines and/or you have consented to
such disclosure, we may disclose your
information to the categories of parties as
listed below (not restricted to) :
x Third party service providers for the
purposes of performing reference
checks
x The company's appointed medical
practitioner(s); Statutory bodies
such as Employee Provident Fund,
Social Security, Income Tax,
Human Resource Development
Fund.
x Professional advisors including
lawyers, accountants, auditors,
insurers & brokers on a need to
know basis for the purposes of
providing their services/advices to
us;
x Agent or contractors acting on our
behalf or appointed by us to act on
our behalf for purposes of
performing a contract
employment.
We will ensure that reasonable steps are taken
by the above categories of parties to protect or
STRICTLY PRIVATE & CONFIDENTIAL
LIMITING THE PROCESSING OF
PERSONAL DATA
Although, as stated above, we only process
your personal data for purposes related to
performing a contract of employment, in the
event, your personal data is being processed
for other purposes (with your consent), you
have a right to request us to stop such
processing. You may exercise this right by
contacting the officer aforementioned. This
right extends to stopping the processing of
your personal data which relates to the
personal data of other persons.
PROVISION OF INFORMATION
As an employee/ job applicant, you have the
right to decide what information that you wish
to provide. However, please be informed that
all the information that we request for, as
stated above, are mandatory information for
us. If you choose not to provide and/or fail to
supply us with such personal data, we will not
be able to perform the Contract of
Employment/ offer you employment with us.
Accordingly, if you decide not to provide the
mandatory information to us, it may
necessarily mean that the Contract of
Employment will have to be terminated or that
an offer of employment will not be made.
The Company reserves the right to review
and/or amend this Notice from time to time
and will communicate such changes along
with the updated Policy on the Company's
website, and/or other appropriate
communication means as may be determined
by the Company.
Nothing in this Notice shall limit the rights of
the Company and employees under the
Personal Data Protection Act 2010.
DECLARATION OF CONSENT FOR
PERSONAL DATA TO BE PROCESSED
AND STORED IN THE COMPANY
I hereby give consent to the Company for
processing my personal data, including
sensitive personal data, as described above. I
also acknowledge that I have read and
understand the contents herein.
Signature : ……………………………………
of Nurul Hidayah Binti Ahmad Yusmin
Name : ……………………………………
010120-08-1036
NRIC No.: ……………………………………
13-10-2022
Date : …………………………………….