INTERVIEW / OFFER DECLARATION FORM

1. Have you attended any interview with any company under Sime Darby Group* / Group of
Companies, including its subsidiaries, in the past 6 months ?

No

Yes. Company : ______________________________________

Position : ______________________________________

2. Have you been offered any employment by any company under Sime Darby Group* / Group
of Companies, including its subsidiaries in the past 6 months, whether verbally or in writing ?

No

Yes. Company : ______________________________________

Position : ______________________________________

I confirm that the information provided above is accurate and understand that failure to provide the
correct information, could subject me to the necessary action to be taken by the Company, including,
but not limited to, withdrawal of any offer made and / or dismissal.

Yogendran A/L Sundrasaigram

Name: Signature: __________________________
930120105167 12/01/2023
NRIC No.: Date: ______________________________

Sime Darby Group refers to the following and its subsidiaries :

1. Sime Darby Berhad
2. Sime Darby Motors
3. Sime Darby Lockton
4. Sime Darby Industrial
5. Sime Darby Healthcare