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B HD
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1. THIS FORM IS TO BE COMPLETED BEFORE INTERVIEW SESSION

2. DO NOT LEAVE ANY BLANK. IF IT IS NOT APPLICABLE TO YOU, PLEASE
INDICATE “NA”
3. PLEASE ATTACH A COPY OF YOUR IC SHOWING ALL RELEVANT
DETAILS.
4. PLEASE ATTACH PHOTOCOPIES OF ALL YOUR EDUCATIONAL
CERTIFICATES AND PRESENT THE ORIGINAL CERTIFICATES DURING
INTERVIEW.

JOB APPLICATION FORM

Application for employment as :

PERSONAL DETAILS
First Name:
(as per NRIC)

Email:

Home Address: Correspondence Address:

Telephone No: Telephone No:

Date Of Birth: Age: Marital Status: Nationality:

Religion: Race:

MyCard No: Passport No:

EPF No: SOCSO No:

FAMILY DETAILS

Relations Name Age Present/Previous Occupation

Spouse

Father

Mother

Children

STRICTLY PRIVATE AND CONFIDENTIAL

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COON
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M HE
HEEA
ALLLT
A TH
T HH
H HO
HOOU
US
U SE
SEES
SD
S DN
DNNB
BH
B HD
HDD

EDUCATION
Highest Standard Passed
Name of School/ Institution/ College/ Date Joined Date Graduated
(Certificate, Diploma,
University (dd/mm/yy) (dd/mm/yy)
Degree/ Grade)

OTHER ACADEMIC OR PROFESSIONAL QUALIFICATIONS (including training courses attended)

Date
Particulars
From To

PROFESSIONAL MEMBERSHIPS (Technical, professional or occupation training etc)

Name of Professional Body Membership Position Date Admitted

LANGUAGE PROFICIENCY
(state: fair, good, excellent) (state: fair, good, excellent)
Language/ Written
Oral Written
Bahasa Melayu

English

Chinese

Other Language

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A TH
T HH
H HO
HOOU
US
U SE
SEES
SD
S DN
DNNB
BH
B HD
HDD

EMPLOYMENT HISTORY
Please give details here of full-time jobs. Start with your present or most recent position.
Dates Name of employer,
Job titles, nature of work, Last drawn Reasons for
address, nature of
From To accountabilities salary leaving
business

BRIEFLY DESCRIBE YOUR CURRENT/ MOST RECENT JOB ROLE & RESPONSIBILITIES

REFERENCE DETAILS (Please provide at least two)

Name Job Title & Employer Telephone No & Email Relationship
Address

LEISURE ACTIVITIES

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H HO
HOOU
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SD
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DNNB
BH
B HD
HDD

ADDITIONAL INFORMATION
Please state any relevant information which will support your application

OTHER INFORMATION
What do you know about ENZO CONSORTIUM HEALTH HOUSE SDN BHD?

Have you any friends or relatives with ENZO CONSORTIUM HEALTH HOUSE SDN BHD? If yes, state name,
designation and dept.

Have you at any time been convicted or found guilty of any serious offence by any court? If yes, state offence or
reasons.

Have you ever been dismissed from any employment? If yes, state reasons.

Have you any serious illness? If yes, indicate nature of illness.

If you are successful for this position, when are you able to start?

Day………. Month ……….. Year ………….

If you are successful appointed, what is your expected salary?

I hereby confirm that the information stated above is true and accurate. I understand that false information may
be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired.

______________________
Signature of applicant Date

Name :

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NZZO
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COON
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N SO
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R TIIIU
T UM
U MH
M HE
HEEA
ALLLT
A TH
T HH
H HO
HOOU
US
U SE
SEES
SD
S DN
DNNB
BH
B HD
HDD

STRICTLY PRIVATE AND CONFIDENTIAL