DAMA Group APPENDIX 2.1 # DAKIN MALAYSIA SON. BHD. # OAIKIN RESEARCH & DEVELOPMENT MALAYSIA SDN. BHD. # DAIKIN STEEL MALAYSIA SDN. BHD. « DAIKIV ELECTRONIC DEVICES MALAYSIA SDN. BHD. # DAKIN REFRIGERATION MALAYSIASON, BHD. # DAIKINMALAYSIASALES & SERVICE SDN. BD. ‘¢ DAIKIN APPLIED (MALAYSIA) SDN. BHD. ACSON MALAYSIA SALES & SERVICE SDN. BHO. APPLICATION FOR EMPLOYMENT Please fil up this form legibly. All details MUST be provided. 4, POSITION APPLIED FOR = serie] Attach Photograph NAME OF COMPANY __ Here EXPECTED SALARY POSSIBLE COMMENCEMENT DATE = 2, PERSONAL PARTICULARS Full Name [ Correspondence Address (Postcode Tal No (se) (Wobile) [Bacorsem [TTT TTTL) = (Pacestainn] ] sexqwey (J Citizenship —_[ Marital Status O Race [ Identity Card No.[ Esmall Address 3. FAMILY PARTICULARS, Full Name [Spouse [Occupation Employer Full Name Father [Occupation Employer Full Name Mother [Occupation’ Employer Please provide the following details of your siblings and children of all ages No Name Relationshi Age ‘Occupation | Namo of Employer (if employed} Page tof &APPENDIX 2.1 ACADEMIC AND PROFESSIONAL QUALIFICATIONS Name Qualification Start & End Year School College University (major For Company Use Please altach all the relevant academic certificates 5. TRAINING COURSES Pease provide details of any specialised training, knowledge or exparience e.g Apprenticeship and Practical Training as part of university work, etc. Name Of Program, Date Duration Venue 6. PROFESSIONAL MEMBERSHIP/AWARD lease indicate professional body memberships/awards relevant (othe postion for which you are applying. Name of Professional B« ‘Typo of Membership Year 7. LANGUAGE PROFICIENCY (Please tick) Language Written ‘Good Bxcallent Excallant English 8, COMPUTER PROFICIENCY Please indicate types of program/software application. CAREER EXPECTATIONS Please describe your career expectations and aspirations in S years: S years = 10 years Page 201410. CURRENT EMPLOYMENT APPENDIX 2.1 Date Of Employment (For Company Use) ‘Company's Name & Ageress “Telephone Number Position Held Reporting to Current Salary (Per Month) Reason for leaving 14. PAST EMPLOYMENT No Name of Company Position Date Joined From | To Last Drawn Sar (Per Mont) Reason for Leaving 412, EXTRA CURRICULAR AND LEISURE ACTIVITIES. ‘current leisure activites ‘State participation in extracurricular activites, postion of responsiilty held and games played at school, university and ‘A Schoo! ‘At University Current 13, REFERENCES (’Compuisory to fil up - Please list two personal referees who are not relatives) No Name & Relationship ‘Occupation Tal Ne. ‘Years Known 14, OTHER INFORMATION 1p yeu have any rend o relative working in DAMA Group? Plaseretert the company stain page ][—] YES [] NO (ifyes, state name, company & rlatonstip) Have you appiod or worked for ay ofthe comparies in DAMA Group before? Cores [2x0 Uifyes, state poston, date & name of company). Have you ever been charged and/convcied in any ciminal cout of aw? Crs [ono Uifyes, please provide details) ‘Do you have any active interest in any business undertaking, inctuding family business? Co ves [7x0 UiFyes, please give details) Page 3.04APPENDIX 2.1 415, MEDICAL AND PHYSICAL STATUS Have you sored from or ae you curenty sufteing fom any seriousness? Cos Con {yes ease provce ora details) ‘ex you suring om any physical eis? Cvs C0 (yes lease provice exact details) 16. PERSONAL DATA The personal Information collected in this application form including sensitve personal data* and any other information on you ‘obtained from other available sources (collectively, ‘Personal Data’) shall only be used by Daikin Malaysia Sdn Bhd and the DAIKIN Group of companies (hereinaiter referred to as DAIKIN Group) to assess your sultbiliy to assume the job duties of the position for which you have applied or for any other vacancies within the DAIKIN Group. You give your consent to the DAIKIN Group to 8. store and process your Personal Data; b. disclose your Personal Data tothe relevant governmental authorities or third parties where required by law or for legal purposes. For the avoldance of doubt, Personal Data includes all data defined within the Personal Data Protection Act 2010 including ll data you had disclosed to the Company inthis Form. “sensitive personal date’ means any personal data consisting of information as to your physical or mental health or your condition, your poltical opinions, your religious beliefs or other beliefs of a similar nature, the commission or alleged commission by you of any offence or any other personal data determined as such under the Personal Data Protection Act 2010. 47. DECLARATION | declare and acknowledge that | have read, understood and agree to the terms of the Personal Data Protection Policy attached to this Application for Employment and hereby give my consent to and authorise Daikin Malaysia Sdn. Bhd, DAMA Group and Daikin Group to collec, obtain, store, use, process and disclose my personal data and sensitive personal data given now or subsequently from time to ime forthe purposes provided in the Personal Data Protection Policy. In addition, | hereby agree and give my consent to have my personal data and sensitive personal data transferred to any related company of Dalkin Malaysia Sdn. Bha., DAMA Group and Daikin Group (including rlatod companies located outside of Malaysia) and third patios located in or outside of Malaysia for the purposes stated inthe Personal Data Protection Policy. Dat: Signature: FOR OFFICE USE ONLY Interviewed By: IName: Signature... : Date: |Comments: Farther Interviewed By: Name: Signature: Date. |Comments: [Status: Successful /KIV / Rejected Position Offered: Department |Commencement Date: [Satary (RM) [Grade: Recommended By: (Name) (Signature) (Designation) (Date) [Reviewed By (HR) (ame) (Signature) (Designation) (ate) |Approved By: . eee nnn (Name) (Signature) (Gesignation) (ate) Pago ot4