RANTAU BUMIMAS SDN. BHD.

507, Level 5, Block A, Kelana Centre Point, 3 Jalan SS 7/19, Kelana Jaya, 47301,
Petaling Jaya, Selangor D.E. Malaysia

APPLICATIO N F O RM
BO RANG PERMO HO NAN PEKERJAAN
Please fix
Note 1. Th is form sh ou ld b e com p leted in BLO CK LETTERS and in th e h and w riting of th e ap p licant. Passport Size
2 . All th e q u estions m u st b e answ ered . W h ere not ap p licab le state NIL Photo here

Perh atian 1. Borang ini h end aklah d iisi d engan HURUF -HURUF BESAR d engan tu lisan p em oh on send iri.
2 . Sem u a soalan-soalan yang d ikem u kakan MESTI d ijaw ab . Di m ana yang tid ak b erkenaan,
sila tu lis TIADA

PO ST APPLIED F O R / EX PECTED SALARY / PERIO D O F NO TICE/ TEMPO H

JAW ATAN Y ANG DIPO HO N G AJI Y ANG DIJANG KAKAN NO TIS
FRONTDESK/RECEPTION RM 1650 -

PERSO NAL PARTICULARS/ MAKLUMAT-MAKLUMAT PERIBADI

F u ll Nam e : Mr/Mrs/Miss
ABD. RAZZAK MAHFUZ BIN YUSOF
Nam a Penu h : En/Pn/Cik
NRIC NO . (O ld / New )
960416-01-6937
No. Kad Pengenalan (Baru / Lam a)

Hom e Ad d ress / Alam at Ru m ah Corresp ond ence Ad d ress/ Alam at Su rat-m enyu rat (jika
b erb eza )
153, JLN KUPANG KG SKUDAI KIRI
BATU 4 81200 JOHOR BAHRU

Tel. No./ No. Tel +60142718864 Tel. No./ No. Tel

Date of Birth / Tarikh Lah ir 16 APR 1996 Marital Statu s / Taraf Perkah w inan BERKAHWIN

Nationality / Kew arganegaraan MALAYSIAN EPF No. / No. KW SP 21234014

Incom e Tax No./

SO CSO No. / No. PERKESO
No. Cu kai Pend ap atan

F ath er’s Nam e / O ccu p ation / Pekerjaan

YUSOF BIN IDAR -
Nam a Bap a
Moth er’s Nam e/ O ccu p ation / Pekerjaan
Nam a Ib u SITI SANAWIAH -
Nam e of Hu sb and / W ife O ccu p ation / Pekerjaan
Nam a Su am i / Isteri NUR SALHANA

RECEPTIONIST
900702-01-XXXX
NRIC No. (O ld /New )
 No. Kad Pengenalan (Baru /Lam a)
No. of Ch ild ren / Bil. Anak No. of Broth ers/ Sisters / Bil. Ad ik-b erad ik
1

EDUCATIO NAL DATA & TRAINING / KENY ATAAN PENG AJIAN& LATIHAN

Nam e of Sch ool/ Institu tion/ University Y ear/Tah u n Q u alification O b tained /

Nam a Sekolah , Institu si/ Universiti F rom / Dari To/ Hingga Kelu lu san yang d ip eroleh i
SMK TUN PERAK 2009 2013 SIJIL PELAJARAN MALAYSIA

O th ers cou rses attend ed / Lain-lain ku rsu s yang telah d iiku ti

Cou rses cu rrently p u rsu ed / Ku rsu s yang sed ang d iam b il

F or th ose ap p lying for secretarial or clerical p osts, p lease state/

Kep ad a yang m em oh on jaw atan setiau sah a/ kerani, sila nyatakan
Typ ing sp eed / 100+ Sh orth and sp eed / 50+
Ked erasan m enaip … … … … .w p m / p sm Ked erasan m enu lis trengkas… … … … .w p m / p sm
Driving Licence Softw are
State G O O D, AV ERAG E, W EAK/ Nyatakan kefasih an BAIK, SEDERHANA, LEMAH
Langu age/ Dialect
Sp oken/ Lisan W ritten/ Menu lis Read ing/ Mem b aca
Bah asa/ Logh at
BAIK
Bah asa Melayu BAIK BAIK
Bah asa Inggeris BAIK
BAIK BAIK
O th ers (Sp ecify)

EMPLO Y MENT RECO RD/ REKO D PEKERJAAN

Please state all w orking exp eriences / Sila nyatakan p engalam an b ekerja
Nam e of Em p loyer/ Period Em p loyed / Tem p oh
Reason for
Nam a Majikan Perkh id m atan
Position/ Jaw atan Salary/ G aji Leaving/ Seb ab
Ad d ress & Tel. No./
F rom /Dari To/ Hingga Berh enti
Alam at & No.Tel
FRONT DESK ZOOM INN RM 1200 2018 2020 TAWARAN
BOUTIQUE HOTEL KERJA LAIN
0187888802

THE LEVERAGE RM 1400 2020 2020

RECEPTIONIST PANDEMIC
BUSINESS HOTEL
(P.K.P)
07-550 0555

PERSON IN ZAMBURGER HOTEL RM 1700 2020 2021

ISU GAJI
CHARGE +60 12-293 1371

HAKO HOTEL RM 1900 2021 2023 MENJAGA

FRONT DESK
MOUNT AUSTIN ISTERI
07-556 8888 BERPANTANG
Describ e you r cu rrent job d escrip tion/ Hu raikan tu gas kerja sem asa and a

O THER INF O RMATIO N/ MAKLUMAT LAIN

List h ob b ies and m em b ersh ip of any Clu b , Association, etc./ Sila nyatakan h ob i d an keah lian Kelab , Persatu an, d ll

Have you any oth er sou rce of incom e? If yes, p lease elab orate/ Ad akah and a m em p u nyai su m b er p end ap atan yang lain?
Jika ad a, sila h u raikan.

Do you h ave any illness, p h ysical d efects or h and icap ? If yes, exp lain fu lly/ Ad akah and a m engh id ap i seb arang p enyakit,
kecacatan fizikal atau kerintang? Jika ad a, sila terangkan.

Have you ever b een convicted of any crim inal offence? If yes, w h at offence and w h en?/ Pernah kah and a d isab itkan
kesalah an jenayah ? Jika ad a, nyatakan jenis kesalah an d an b ila?

Person to contact in case of em ergency/ O rang yang p erlu d ih u b u ngi sem asa kecem asan

Nam e/Nam a
Hom e Ad d ress/Alam at Ru m ah
Relationsh ip /Perh u b u ngan
Tel. No./ No. Tel

REF ERENCES / RUJUKAN

List tw o p ersons w h o w e m ay ap p roach for testim onials. Referees sh ou ld not b e m em b ers of you r fam ily/ Nam akan
d u a orang selain sau d ara-m ara yang b oleh m em b eri m aklu m at m engenai d iri p em oh on.

1. Nam e/Nam a 1. Nam e/Nam a

Ad d ress/Alam at Ad d ress/Alam at

Designation/Jaw atan Designation/Jaw atan

Tel. No./No. Tel. Tel. No./No. Tel.

DECLARATIO N/ PENG ISY TIHARAN

I h ereb y d eclare th at to th e b est of m y know led ge and b elief, th e inform ation given in th is ap p lication are correct. I
also u nd erstand th at if it is su b seq u ently d isclosed th at I h ave w illfu lly given incorrect or w ith h eld any inform ation, m y
ap p lication w ill b e d isq u alified or if I h ave b een ap p ointed , th e com p any m ay term inate m y em p loym ent w ith ou t
notice.
Saya d i sini m engisytih arkan b ah aw a seb aik-b aik p engetah u an d an kep ercayaan saya, m aklu m at yang terkand u ng d i
d alam p erm oh onan ini ad alah b enar. Saya ju ga fah am jika m aklu m at yang telah d ib erikan tid ak b enar atau p u n
m aklu m at yang p atu t tetap i tid ak d ib eri, p erm oh onan saya ad alah tid ak layak d itaw arkan p ekerjaan atau jika saya
telah d iam b il b ekerja, p ih ak m ajikan b oleh b erh entikan saya tanp a notis.

………………………………………………………… …………………………………
Signatu re of Ap p licant/ Tand atangan Pem oh on Date/ Tarikh

F O R O F F ICE USE O NLY

1st Interview 2 nd Interview

Date : ___________________________ Date : _______________________________

Com m ents : ___________________________ Com m ents : _______________________________

___________________________ _______________________________
___________________________ _______________________________

Su itab le for Em p loym ent Su itab le for em p loym ent

Recom m end ed for fu rth er Consid eration Keep In V iew (KIV )

(sh ort listed )

Not Su itab le Reject

Interview ed b y: __________________________ Interview ed b y: _________________________

Signatu re Signatu re

Designation: Designation :

IF ENG AG ED
Designation/ Dep artm ent : ______________________________________________

Com m encing Salary : ________________________

Date of Com m encem ent : ________________________

Recom m end ed b y : ______________________

DIRECTO R/ MANAG ER

Ap p roved b y : ____________________
CHAIRMAN/DIRECTO R
F or HR SBU Use O nly

Bu d geted 2 013-2 014 Cu rrent V ariance Total Em p loyees Salary

Em p loyees