AT&S Austria Technologie & Systemtechnik (Malaysia) Sdn. Bhd.

(202101018497(1418797-X)
APPLICATION FORM FOR EMPLOYMENT
PERSONAL PARTICULARS
NAME IC NO
TEL. NO (H)
EMAIL ADDRESS NATIONALITY
TEL. NO (HP)
CORRESPONDENT PERMANENT
Address Address
(If Different)

ACADEMIC QUALIFICATIONS
NAME OF INSTITUTION
EDUCATION LEVEL FROM (mm/yy) TO (mm/yy) FIELD OF STUDY CGPA/ CLASS
(University/College/School)
PHD

MASTER'S DEGREE

BACHELOR'S DEGREE

DIPLOMA

CERTIFICATE

STPM

SPM

OTHERS CERT

EMPLOYMENT HISTORY (Please start with your present/ latest employer)

SALARY INFORMATION (RM)

FROM REASON FOR

COMPANY NAME TO (dd/mm/yy) POSITION HELD CONTRACTUAL
(dd/mm/yy) LEAVING BASIC TRANSPORT PETROL BRIDGE - TOLL HOUSING HP BAND/ RANK
BONUS / 13
SALARY ALLOWANCE ALLOWANCE ALLOWANCE ALLOWANCE ALLOWANCE ALLOWANCE
MONTH SALARY

TOTAL YEARS OF ESTIMATED ANNUAL

RESIGNATION
EXPERIENCE 0.00 DATE FOR LEAVE EXPECTED SALARY
NOTICE PERIOD
(RELATED TO SEMICON) EMPLOYMENT BALANCE

ADDITIONAL INFORMATION (All questions must be answered)

1. ARE YOU WILLING TO WORK ON 6. HAVE YOU BEEN EMPLOYED BY AT&S

SHIFT? BEFORE?

2. ARE YOU BONDED BY YOUR

IF YES, WHEN?
CURRENT COMPANY

3. HAVE YOU EVER BEEN DISMISSED 7. DO YOU HAVE RELATIVES/SPOUSE

FROM ANY POSITION? WORKING IN AT&S?

4. APPLICABLE FOR TRAVELLING, IS 8. ARE YOU RECOMMENDED FROM

YOUR PASSPORT STILL VALID? REFFERAL PROGRAM?

RAFEREE RAFEREE ID
IF YES, PLEASE INDICATE THE NAME
IF YES, STATE THE DETAILS
PASSPORT EXPIRY DATE

5. ARE YOU TRAVELLING TO WORK BY

OWN TRANSPORT?

EMERGENCY CONTACT

NAME

RELATIONSHIP ADDRESS

TELEPHONE NO

DECLARATION

I hereby declare that all the statements made in this form are to the best of my knowledge and belief, true and correct. Should any information and documents supplied are
incorrect and/ or misrepresented during the interview, I will be disqualified or dismissed by the Company. I hereby agree and allow AT&S Malaysia to conduct reference checks
and/ or criminal background checks on me.

NAME
SIGNATURE
DATE

Revision 2: 23 May 2023