Application Form Outlet

EMPLOYMENT APPLICATION FORM

PHOTO

POSITION APPLIED: _______________________________________________

PERSONAL PARTICULARS

Full Name:
Address:

Date of Birth: Age:

Place of Birth: IC/Passport Number:
Mobile Number: Email address:
EPF No: Acc Bank Name & No:
SOCSO No: No of children:
Sex: Female / Male Marital Status: Single / Married / Divorced
Nationality: Malaysian / Others Spouse Working Status: Working / Not Working
Race: Malay / Chinese / Indian / Others Religion: Islam / Buddha / Hindu / Christian

FAMILY PARTICULARS
Name Relationship Occupation Name of Employer

EDUCATION BACKGROUND
Institution Course Year Result

LANGUAGE PROFICIENCY Spoken Written

Bahasa Malaysia Fair/Good/Excellent Fair/Good/Excellent
English Fair/Good/Excellent Fair/Good/Excellent
Others. Kindly specify: Fair/Good/Excellent Fair/Good/Excellent

EMPLOYMENT HISTORY

Company Name: Joined Date:

Position: Last Date:
Reason for leaving: Last drawn salary:
Company Name: Joined Date:
Position: Last Date:
Reason for leaving: Last drawn salary:
 Application Form Outlet

EMERGENCY CONTACT

Name:
Address:
Relationship: Contact number:

MISCELLANEOUS & DECLARATION

Have you ever been convicted for any criminal offence? YES NO
Are you suffering from any disease/illness/disability? YES NO

Are you willing to work overtime? YES NO

Are you willing to travel? YES NO

Are you willing to relocate? YES NO

Do you have your own transport? YES NO

Expected Salary (RM)

Availability Date

I solemnly declare that all the information given in this application form is correct and true. I agree and accept that if the
declaration is in any part false, incorrect or incomplete, the company reserves the right to terminate my service immediately
without any resource to any claims or wages against LOOB HOLDING SDN BHD.
I hereby give my consent for LOOB HOLDING SDN BHD and its group of companies including its joint venture, affiliate
and associate companies to process and to disclose to any relevant third party my personal data for the purpose of employment
application and anything directly or indirectly related to it pursuant to requirements of Personal Data Protection Act (PDPA)
2010.

………………………………… ……………………….......
Signature Date
Name:
IC No:

-------To be filled by Team Leader/Supervisor/Person in Charge------

POSITION : ____________________________________
TYPE OF
EMPLOYMENT : (FULL TIME / PART TIME)
COMPANY : ____________________________________
OUTLET : ____________________________________
JOIN DATE : ____________________________________
BASIC SALARY : RM ________________________________
ALLOWANCE
TYPE & AMOUNT : RM ________________________________
HOSTEL : YES / NO