JCL Credit Leasing Sdn Bhd

APPLICATION FOR EMPLOYMENT

PASSPORT-SIZED
POSITION APPLIED FOR
PHOTOGRAPH

(Please indicate the job function you are applying for)

It is important that you answer all questions in your application completely and accurately. The information you have provided shall
be used to determine your eligibility for employment. If there is no information to be given to a particular question, please write "N/A"
which means "not applicable/not available". All information contained in this application will be treated as strictly private and confidential.

Section A - Details of self (* please circle accordingly)

NAME (as per NRIC) CONTACT
(And aliases, if any) HOUSE PHONE

OFFICE PHONE

POSTAL ADDRESS MOBILE PHONE

E-MAIL

NATIONALITY Malaysian/Non-Malaysian *

PERMANENT ADDRESS SEX Male / Female *

DATE OF BIRTH / /

NRIC NO. New: Old ( if any ): AGE

(Yrs)

MARITAL STATUS Single/ Married/ Widowed/ Divorced/ Separated * RELIGION

Section B - Spouse & Family details

NAME OF SPOUSE
SPOUSE IC (New)
(as per NRIC)
SPOUSE
SPOUSE EMPLOYER
OCCUPATION
NAME AGE DATE OF BIRTH SEX

(Yrs) / / Male/Female *

(Yrs) / / Male/Female *

CHILDREN (Yrs) / / Male/Female *

(Yrs) / / Male/Female *

(Yrs) / / Male/Female *

NAME RELATIONSHIP AGE OCCUPATION SEX

(Yrs) Male/Female *

PARENTS, SIBLINGS (Yrs) Male/Female *

(Yrs) Male/Female *

(Yrs) Male/Female *

(Yrs) Male/Female *

(Yrs) Male/Female *

Section C - Own Interests

HOBBIES & GAMES

PLAYED

PROFESSIONAL
MEMBERSHIPS

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Section D - Languages & Dialects (* please circle accordingly)
OTHER LANGUAGES &
SPOKEN WRITTEN SPOKEN WRITTEN
BASIC LANGUAGES DIALECTS (Indicate)

Bahasa Malaysia Fluent / Fair / Slightly* Fluent / Fair / Slightly* Fluent / Fair / Slightly* Fluent / Fair / Slightly*

English Fluent / Fair / Slightly* Fluent / Fair / Slightly* Fluent / Fair / Slightly* Fluent / Fair / Slightly*

Mandarin Fluent / Fair / Slightly* Fluent / Fair / Slightly* Fluent / Fair / Slightly* Fluent / Fair / Slightly*

Tamil Fluent / Fair / Slightly* Fluent / Fair / Slightly* Fluent / Fair / Slightly* Fluent / Fair / Slightly*

Section E - Skills (please circle accordingly ) e.g. Microsoft Office, Technical

DESCRIPTION OF OTHER SKILLS (Indicate) RATING
BASIC SKILLS RATING

Microsoft Word Good / Fair / Slightly / Don't Know Good / Fair / Slightly

Microsoft Excel Good / Fair / Slightly / Don't Know Good / Fair / Slightly

Microsoft Power Point Good / Fair / Slightly / Don't Know Good / Fair / Slightly

Typing Good / Fair / Slightly / Don't Know Good / Fair / Slightly

Section F - Education
SCHOOL/COLLEGE/UNIVERSITY/PROFESSIONAL QUALIFICATION (EXAM BASED ONLY)
DURATION OF STUDY SUBJECT MAJOR
GRADE / CPGA /
NAME OF INSTITUTION QUALIFICATION
From Yr To Yr (if applicable) HONS

Section G - Extra-Curricular Activities / Community Service e.g. Rotary Club, Toastmasters etc.

NAME OF INSTITUTION POSITION HELD NAME OF INSTITUTION POSITION HELD

Section H - Previous Working Experience beginning with earliest (indicate if positions are temporary or contract under 'Remarks')

Duration (Yr)
NAME OF COMPANY LAST POSITION HELD LAST DRAWN REASONS FOR LEAVING/REMARKS
From To SALARY (RM)

Section I - Current Employment (if any) - circle where appropriate, indicate 'n/a' where not applicable

Name of Company Material Benefits and Bonuses (RM or RM equivalent)

Date Joined / / Vehicle Maintenance RM Contractual Bonus Yes/No *

Latest Position Held Petrol RM

Monthly Basic Salary RM Company Car Yes/No *

Total Fixed Allowances RM Mobile Phone RM

Reason for wanting to Medical outpatient RM

leave Subsidies RM

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Section J - Physical & Mental Health (Please circle where appropriate. Indicate 'n/a' where not applicable)
(Describe)

General Health Good / Average / Poor * Major Surgeries

(Describe) (Describe)
Medical Conditions
Major Accidents
(Describe) Others (Incl. (Describe)
Disability/Handicap
Pregnancy)

Section K - Legalities & AMLA (Anti-Money Laundering Act)

a) Have you been involved in any legal suits or police cases (criminal or commercial)? Yes / No *
◄ If yes, provide details

b) Have you ever been declared a bankrupt? Yes / No *

◄ If yes, provide reasons

c) Have you been discharged from your previous employment due to a major misconduct? Yes / No *
◄ If yes, provide details

d) Have you been indicted or involved in any AMLA cases? Yes / No *

◄ If yes, provide details

Section L - General Information

a) Do you have any tattoo(s)/visible ink print(s) on your skin? Yes / No *
◄ If yes, provide details

b) Do you have any current credit facilities with JCL Credit Leasing Sdn Bhd ? Yes / No *
(Hire Purchase, Personal Loan, Credit Sales and i-Fund) ◄ If yes, provide details

Section M - References
a) Do you have any friends or relatives who are currently or previously employed by Jerneh Asia Group of Cos? Yes / No *

Name : Name : If yes, provide details

◄
Position : Position :

b) Do you have any objections for the company to do reference and debt credibility checks on you via various Yes / No *
agencies such as CCRIS? ◄ If Yes, provide reasons

b) Please provide at least two referees who are NOT your family members or close friends. Preferably job-related
Name : Name :

Contact No: Contact No:

Relationship : Relationship :

Section N - Consent and Declaration by Applicant

I declare that all given particulars are true & correct to the best of my knowledge and belief and that I have not wilfully surpressed any material
fact or information.
I understand and agree that if any material fact or information is proven to be untrue or incorrect, the Company reserves the right to dismiss me
instantly. This delcaration shall, if I am employed, constitute an integral part of my contract of service with the Company.
I further understand and agree that any offer of employment from the Company is subject to my passing the Company's standard medical
examination and hereby give my irrevocable consent for the appointed medical practitioner to submit my medical examination report to you.
I authorize JCL and its representatives to verify all information provided, my credit worthiness and creditstanding from any source including,
Credit Bureau Malaysia, FIS Data Reference Sdn Bhd and or other credit reporting agencies where JCL may deem necessary, so long as there is
existing business relationship/credit facilities and we agree irrevocable consent and permit JCL to collect, record, hold, store, use, deal and
process disclose data/information relating to me to Credit Bureau Malaysia, FIS Data Reference Sdn Bhd and or other credit reporting agencies.
Personal Data shall bear the meaning as defined by the Personal Data Protection Act 2010 (“PDPA”).

Applicant's signature : Date: / /

Expected Salary : RM Notice period required :

per month

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