MALAYSIA MARINE AND HEAVY ENGINEERING SDN. BHD.

(14558-P) PLEASE
PLO 3, Jln Pekeliling, P.O. Box 77, 81700 Pasir Gudang, Johor ATTACH
(A subsidiary of Malaysia Marine and Heavy Engineering Holdings Berhad) LATEST
PHOTO

APPLICATION FOR EMPLOYMENT Sila Lekatkan

Gambar
PERMOHONAN JAWATAN Terbaru

PLEASE READ THE INSTRUCTIONS CAREFULLY/ SILA BACA ARAHAN BERIKUT DENGAN TELITI:
1. Please fill up the relevant columns in this form by TYPING in BLOCK LETTERS. (Sila lengkapkan maklumat berkaitan di dalam
borang ini dengan MENAIP menggunakan HURUF BESAR)
2. Please attach a photocopy of your NRIC/ Passport, academic certificates/ transcript, latest three months’ pay slips and other
relevant documents. (Sila lampirkan salinan kad pengenalan/ Passport, sijil akademik/ transkrip, slip gaji 3 bulan terkini dan sebarang
dokumen yang berkaitan).

POSITION APPLIED FOR:

(Jawatan Dipohon)

1.0 PERSONAL DETAILS/ BUTIR-BUTIR PERIBADI

Name as per NRIC/ As per NRIC or passport / Seperti di dalam kad pengenalan atau passport)
Passport
(Nama Penuh)
Correspondence
Address
(Alamat Surat-Menyurat)
Phone No. Nationality NRIC/ Passport No.
(No. Telefon) (Warganegara) (No. Kad Pengenalan/
Passport)
E-mail Address Date of Birth Validity Period
(Alamat E-mail) (Tarikh Lahir) (Tempoh Sah Passport)
*Expatriate Only
* Passport No. is applicable for non-Malaysians only. For Malaysians, please provide NRIC.
2.0 ACADEMIC QUALIFICATION/ KELAYAKAN AKADEMIK (Not required if complete details are available in resume provided)
Name of Institution Qualification/ Major Result Year Obtained
(Nama Institusi/ Sekolah) (Kelulusan/ Jurusan) (Keputusan i.e.: CGPA) (Tahun Diperoleh)
PROFESSIONAL/ TERTIARY/ SECONDARY
(PROFFESIONAL/ PENDIDIKAN TERTINGGI/ PENDIDIKAN MENENGAH)

MEMBERSHIP OF PROFESSIONAL BODIES (KEAHLIAN BADAN PROFESIONAL)

3.0 WORKING EXPERIENCE/ PENGALAMAN BEKERJA (Not required if complete details are available in resume provided)
Name Present/ Previous Position Monthly Date Joined Date Left Reason for Leaving
Company (Jawatan) Salary (Tarikh Mula) (Tarikh (Sebab Berhenti)
(Majikan Terkini/ Terdahulu) (Gaji Bulanan) Berhenti)

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 4.0 GENERAL INFORMATION/ MAKLUMAT AM (* Strictly for job risk assessment and suitability)
Yes/ No/
DETAILS (Keterangan)
Ya Tidak
Do you have any physical defects/ medical illness/ chronic disease/ mental illness? If ‘Yes’ please
provide details: *
(Adakah anda menghidapi sebarang kecacatan fizikal atau penyakit kronik? Jika ‘Ya’ sila berikan maklumat terperinci):

Do you depend on any medication? If ‘Yes’ please provide details: *

(Adakah anda bergantung kepada sebarang ubat-ubatan? Jika ‘Ya’ sila berikan maklumat terperinci):

Are you color blind or deaf? If ‘Yes’ please provide details: *

(Adakah anda rabun warna atau hilang pendengaran? Jika ‘Ya’ sila berikan maklumat terperinci):

Have you ever been adjudged a bankrupt or currently have a bankruptcy notice?
(Pernahkah anda diistiharkan muflis atau sedang dikenakan suatu notis kemuflisan?)
Have you been employed by MMHE, MISC Berhad, PETRONAS and/ or its Group of Companies? If ‘Yes’
please provide details:
(Adakah anda pernah berkhidmat dengan MMHE, MISC Berhad, PETRONAS dan/ atau mana-mana anak syarikat?
Jika‘Ya’sila berikan maklumat terperinci):

Do you have any family(s)/ relative(s) working in MMHE and/ or its Group of Companies? If ‘yes’ please
provide details:
(Adakah anda mempunyai ahli keluarga yang bekerja di MMHE dan/ atau di mana-mana anak syarikat? Jika ‘Ya’ sila
berikan maklumat terperinci):

Do you have any family(s)/ relative(s) conducting business activities involving MMHE, MISC
Berhad, PETRONAS and/ or its Group of Companies? If ‘yes’ please provide details:
(Adakah anda mempunyai ahli keluarga yang menjalankan perniagaan yang melibatkan MMHE, MISC Berhad,PETRONAS
dan/ atau mana-mana anak syarikat? Jika‘Ya’ sila berikan maklumat terperinci):

Are you willing to serve anywhere in Malaysia or overseas?

(Adakah anda sanggup berkhidmat di mana-mana lokasi dalam Malaysia atau di luar negara?)

Notice Period Required: Expected Monthly Salary:

(Notis berhenti yang diperlukan): (Gaji bulanan yang dipohon):
RM

REFEREES/ RUJUKAN (Not required if complete details are available in resume provided)
Name Company Name Position Tel No./ Email
(Nama) (Nama Majikan) (Jawatan) (No. Tel/ Email)

DECLARATION & CONSENT/ PENGAKUAN & PERSETUJUAN

I declare that all particulars in this application and the sheets hereto are true in every aspect. I understand that if any
of the particulars supplied by me are proved untrue, I am liable to be summarily dismissed. I have not willfully
suppressed any material fact.

Personal Data Protection (Act 2010 – PDPA)

I, the undersigned, refer to the MMHE Personal Data and Information Notice (“Notice”) which has been provided to
me. I hereby confirm my consent and authorization (and that I have duly received the required consents and
authorizations of all the other parties) for MMHE to process any Personal Data given by me for the recruitment
purposes, as stated and in accordance with the Notice.

Saya mengakui bahawa segala butir-butir di dalam borang ini dan lampiran-lampiran adalah betul dan benar. Sekiranya didapati
butir-butir yang diberikan tidak betul atau benar, saya akan dipertanggungjawab untuk sebarang tindakan (termasuk dipecat dari
jawatan) saya tanpa syarat. Saya akui bahawa saya tidak menyembunyikan sebarang maklumat.

Akta Perlindungan Data Peribadi 2010 – PDPA

Saya, merujuk kepada MMHE Notis Data Peribadi dan Maklumat yang dimaklumkan kepada saya. Saya mengakui memberikan
persetujuan dan kebenaran untuk MMHE memproses sebarang Data Peribadi yang telah saya berikan untuk tujuan
pemprosesan pekerjaan, seperti yang telah dinyatakan di dalam notis.

Signature: Date:
Tandatangan: ______________________________ Tarikh: __________________________

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