DATE OF BIRTH/AGE: 09/12/1993 PLACE OF BIRTH: HOSPITAL SANDAKAN RACE: KADAZAN NATIONALITY: MALAYSIAN IDENTIFICATION CARD NO: 931209-12-6305 RELIGION: ISLAM HEALTH CONDITION: GOOD NAME OF SPOUSE: AMALINA BINTI AWANG BESAR
(As stated in his/her identity card/passport)
DISABILITIES(IF ANY): SPOUSE’S OCCUPATION: NURSE DATE OF MARRIAGE: 12/09/2014 NO. OF CHILDREN: 4 NAME AND ADDRESS OF NEXT OF KIN: NAME OF FRIENDS OR RELATIVES WORKING IN SCOPETEL: AMALINA BINTI AWANG BESAR SU2772 KAMPUNG JAWA, JALAN AIRPORT, 87000, W.P LABUAN TEL NO: RELATIONSHIP: SPOUSE TEL NO: 0168807563 FATHER’S NAME: ZAINAL BIN ASMUNI FATHER’S OCCUPATION: RETIRE MOTHER’S NAME: MERIAH BINTI AWANG MOTHER’S OCCUPATION: HOUSEWIFE SIBLINGS – NAME,AGE &OCCUPATION: YOUR CHILDREN – NAME, AGE&OCCUPATION: NAME AGE OCCUPATION NAME AGE OCCUPATION MUHAMMAD 26 MEDICAL MUHAMMAD 8 STUDENT RIZUAN BIN ASSISTANCE ADIB FARHAN ZAINAL BIN MUHAMMAD FARID MUHAMMAD 19 STUDENT NUR 7 STUDENT ALIF SYAFIQ HUMAIRA BIN ZAINAL HUSNA BINTI MUHAMMAD FARID MUHAMMAD 17 STUDENT MUHAMMAD 4 SYAHMIRUL AQEEL BIN ZAINAL ASYRAF BIN MUHAMMAD FARID MUHAMMAD 14 STUDENT MUHAMMAD 2 SYAHMIZAN AL-FATEH BIN ZAINAL AULIAN BIN MUHAMMAD FARID
EDUCATION (PLEASE ATTACH COPIES OF ALL CERTIFICATES)
PRIMARY/SECONDARY SCHOOL & FROM TO EXAM PASSED ADDRESS:
SK KEM TENTERA (SANDAKAN) 2000 2005 PMR
SMK TAMAN FAJAR (SANDAKAN) 2006 2010 SPM
COLLEGE/UNIVERSITY: FROM TO DIPLOMA/DEGREE
KOLEJ KOMUNITI TAWAU 2012 2014 CERTIFICATION
MEMBERSHIP OF TECHNICAL OR PROFESSIONAL ASSOCIATIONS:
- CCNA - MCSA / MCP
FURTHER EDUCATION – GIVE DETAILS OF COURSE TAKEN, ETC:
DETAILS OF ACHIEVEMENTS, AWARDS IN SCHOOL/COLLEGE/UNIVERSITY:
DETAILS OF EXTRA CURRICULUM ACTIVITIES IN SCHOOL/COLLEGE/UNIVERSITY:
FROM TO EMPLOYER’S NAME AND POSITION LAST SALARY REASONS FOR
ADDRESS: HELD: TAKEN: LEAVING: 2010 2011 Ikutmaju Sdn Bhd GENERAL RM800 FURTHER (Tawau) WORKER STUDY
2014 2014 Extreme Computer IT SUPPORT RM950 TO GAIN
(Labuan) MORE EXPERIENCE 2014 2019 Neptune Asia IT Technician RM2200 TO GAIN Engineering Services MORE Sdn Bhd (Labuan) EXPERIENCE / KNOWLEDGE 2019 PRESENT Telekom Malaysia Customer RM2460 Berhad (Labuan ) Service/ Tech
EXPECTED SALARY: RM2500
AVAILABILITY FOR EMPLOYMENT: IMMEDIATLY DURATION OF INTERNSHIP(IF APPLICABLE): EXPECTED INTERSHIP ALLOWANCE: ANY OTHER INFORMATION THAT YOU WOULD LIKE TO FURNISH:
REFEREES (NOT RELATED TO YOU AND HAS KNOWN YOU FOR AT LEAST THREE YEARS): NAME & ADDRESS: NAME&ADDRESS:
ISA BIN AHRIS MAHADI BIN BAHRUM
PERUMAHAN KERAJAAN MAIWP, PERUMAHAN KERAJAAN MAIWP, JALAN KINABENUA, W.P LABUAN JALAN KINABENUA, W.P LABUAN TEL NO: 01136179087 TEL NO: 0136449013 I HEREBY DECLARE THAT THE ABOVE INFORMATION SUPPLIED ARE TRUE AND UNDERSTAND THAT THE COMPANY RESERVES THE RIGHT TO TERMINATE MY SERVICES IF, AFTER ENGAGEMENT, IT IS FOUND THAT A FALSE DECLARATION OR MISLEADING INFORMATION HAS BEEN MADE IN THIS FORM.
DATE: 27/02/2023 SIGNATURE OF APPLICANT:
FOR OFFICE USE ONLY SALARY DETAILS: STARTING DATE: INTERVIEWED APPROVED BY: REMARKS: BY: