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Personal Data Form - Malaysia
Personal Data Form - Malaysia
The highlighted fields with * is the mandatory field. Otherwise, it will affect the delivery of your Labor Contra
PERSONAL INFORMATION
LEGAL NAME*(Legal Name on
Muhamad Hilmi Bin Mat Saei
I/C or Passport)
LAST* Mat Saei
FIRST* Muhamad Hilmi
MIDDLE
PASSPORT No.(Foreigner's
mandatory field)
PASSPORT validity period (from
… to...)
Employee Pass No.
Employee Pass validity period
(from … to...)
Gender Male
Marital Status* Married
NUMBER OF Children
EPF No.(Native Only) 20610310 SOCSO No.(Native Only)
RESIDENTIAL ADDRESS
LINE1*(Text length less than 60 characters)
No 13 Jalan DD 3A/10 Taman Dato Demang
LINE2*(Text length less than 40 chBandar Putra Permai
PROVINCE/STATE* Selangor CITY*
EMERGENCY CONTACT--- In case of emergency, please notify (For safety reasons, the fields within below 2 rows
EMERGENCY CONTACT STREET*(Text length less than 60 characters)
NAME*
Nur Fazreena Nur Faezal No 13 Jalan DD 3A/10 Taman Dato Demang, Bandar Putra Permai
Wan Mahiran Wan Senik Lot 421 Kampung Keluat, Beris Kubor Besar
BANK ACCOUNT FOR SALARY PAYMENT (Please note that your salary account must be a saving account fro
if you have no the bank account and make sure to submit completed bank details by the 10th of the month to SEA.Onb
SPOUSE INFORMATION (Not required Fixed Term contractor and Regular Contractor. Please fill up "NA" if not applicable.)
NAME (ENGLISH, Legal Name
NUR FAZREENA BINTI NUR FAEZAL GENDER*
on I/C or Passport)*
DATE OF BIRTH*(MM/DD/YYYY) 4/23/1998 NATIONAL ID# (IC/Passport number)*
Employment Status* EMPLOYEE Residence Status*
CHILDREN INFORMATION (Not required Fixed Term contractor and Regular Contractor. Please fill up "NA" if not applicabl
1. NAME (English, Legal Name
NA GENDER*
on I/C or Passport)*
DATE OF BIRTH*(MM/DD/Y NA NATIONAL ID# (IC/Passport number)*
POSTCODE
fety reasons, the fields within below 2 rows are mandatory to fill up)
CITY* COUNTRY* POSTAL CODE* PHONE NUMBER*
BRANCH NAME*
HOLDER’S NAME* Muhamad Hilmi Bin Mat Saei
BRANCH CODE*
DER
ONAL ID# (IC/Passport number)
DER
ONAL ID# (IC/Passport number)
DER
ONAL ID# (IC/Passport number)
DER
ONAL ID# (IC/Passport number)
DER
ONAL ID# (IC/Passport number)
DER
ONAL ID# (IC/Passport number)