Record No: ESK-HRA-01-F02

ESK-HRA-01-F01
Revision: 00
JOB APPLICATION FORM Effective Date: 01/01/2020
15/09/2020
Page: 1/4

PLEASE READ THESE INSTRUCTIONS CAREFULLY

1. This form is to be completed before interview session.
2. Do not leave any item blank. If it is not applicable to you please indicate “N/A”
3. Please attach a copy of your IC or passport showing all relevant details.
4. Please attach photocopies of all your educational certificate & present the original
certificate during interview.

POSITION APPLIED FOR : _______________________________________

EXPECTED SALARY : _______________________________________

PERSONAL DETAILS

NAME : ______________________________________________________________
(Please write your name in full as in your IC or Passport)

CURRENT ADDRESS : ___________________________________________________

____________________________________________________________________________

____________________________________________________________________________

PERMANENT ADDRESS : ___________________________________________________

____________________________________________________________________________

____________________________________________________________________________

HOUSE NO : ____________________ HANDPHONE NO : _______________________

EMAIL : ____________________________________________________________________

NEW NRIC : _________________________ AGE :_____________________________

GENDER : __________________________ CITIZEN : _________________________

PLACE OF BIRTH : ____________________ DATE OF BIRTH :__________________

RACE : ________________________________ RELIGION :________________________

HEIGHT :______________________________ WEIGHT : _________________________

INCOME TAX NO : _____________________ KWSP NO : ________________________

 FAMILY & EMERGENCY DETAILS

SPOUSE DETAILS

NAME :_____________________________________________________________________

H/P NO : ___________________________ IC NO :____________________________

SPOUSE (WORKING / NOT WORKING) :

Company Name :_____________________________________________________________

NO OF CHILD : ____________

1) NAME : _________________________ AGE :________ WORKING / NOT WORKING

2) NAME : _________________________ AGE :________ WORKING / NOT WORKING

3) NAME : __________________________AGE :_______ WORKING / NOT WORKING

4) NAME :__________________________ AGE :_______ WORKING / NOT WORKING

5) NAME :__________________________ AGE : ________WORKING / NOT WORKING

PARENTS DETAILS

1) NAME : __________________________ AGE : _______WORKING / NOT WORKING

2) NAME :__________________________ AGE : _______WORKING / NOT WORKING

SIBLINGS DETAILS

1) NAME :__________________________ AGE : _______WORKING / NOT WORKING

2) NAME : __________________________ AGE : _______ WORKING / NOT WORKING

3) NAME : __________________________ AGE : _______ WORKING / NOT WORKING

4) NAME : __________________________ AGE : _______WORKING / NOT WORKING

EMERGENCY DETAILS :

NAME :______________________________________ H/P NO : _______________________

RELATIONSHIP :______________________________
 EDUCATION

SCHOOL / UNIVERSITY COURSE YEARS ATTENDED RESULTS

NAME

OTHER TRAINING AND COURSE CERTIFICATE (IF ANY) :

1) _________________________________________________ YEAR : ___________________

2) _________________________________________________ YEAR : ___________________

3) _________________________________________________ YEAR : ___________________

WORKING EXPERIENCE

COMPANY NAME POSITION FROM TO LAST REASON FOR

SALARY LEAVING

OTHER QUESTIONS :

1) Have you ever been convicted of a crime? YES NO

If yes, please state : ___________________________________________________________

2) Do you have any serious medical issues? YES NO

If yes, please state : __________________________________________________________

3) Do you have driving license ? YES NO

Type of License : _______________________ Expiry date : ________________

4) How do you find about this position?

Jobstreet Mudah.my Website others : Please state _______________________

5) Ever applied to this company before? YES NO

Where / When? Answer : _____________________________________
 6) Ever worked for this company before? YES NO
Where / When? Answer :_____________________________________

7) Do any of your relative(s) / friend(s) work for Eskayvie Sdn Bhd? YES NO
If Yes, please state name and department _________________________________________

8) Are you willing to relocate? if necessary YES NO

9) Are you willing to work in extra hours ? YES NO

10) How long is the notice period you need to give to your employer?
Notice required :______________________ Expected Join date : ______________________

REFERENCES

Please provide 2 references ( not relative to you)

NAME POSITION HP NO ADDRESS

ACKNOWLEDGEMENT AND AUTHORIZATION

I certify that all answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application of employment as

may be necessary in arriving at an employment decision.

I understand that false or misleading information given in my application of interview may

result in company reject the application / termination of service contract.

_____________________ _______________
Signature of Applicant Date