ACC KIV REJ

ASE Electronics (M) Sdn Bhd

(212592-H)

Job Application Form PHOTO

(A) POSITION APPLIED FOR :

(B) PERSONAL DATA Please mark (X) in the appropriate box.

Full Name :

( as it appears on your NRIC / Passport )

(New) --- --- To be filled in by foreign national only :

NRIC - :
(Old) Nationality :

Date of Birth: Passport # :

D D M M Y Y Y Y Date of Expiry :
E-mail Address :
Current Address :

Contact # - (Home) : (Mobile) : (Office) :

Permanent or Home Town Address : If same as above, Please mark X

SOCSO # : EPF # : Income Tax # :

(C) PERSON TO CONTACT IN CASE OF EMERGENCY

Name : Relationship :
Address : Tel (Home) :
Tel (Office) :
Tel (Mobile) :
Name : Relationship :
Address : Tel (Home) :
Tel (Office) :
Tel (Mobile) :

(D) PHYSICAL INFORMATION

Height : (cm) Weight : (kg) Wearing glasses / contact lenses : Yes No

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SPEC #81-03-000-061 81-0183 - A

(E) EDUCATION BACKGROUND

Institution Attended Level Year Obtained Grade

Secondary & Pre-U
(SPM / STPM / 'O' / 'A' Level

( eg. SPM )
or equivalent)

Duration of Study Level Year

Institution Attended Field of Study CGPA
(Cert / Diploma / Degree / Master / PHD

Fr To (eg.Degree) Obtained
or equivalent)
Tertiary

(F) EMPLOYMENT HISTORY - CURRENT EMPLOYER

Employer : Start Date :

Nature of Business : Start Basic Salary :

Address : Current Basic Salary :

Tel No : Ext. No : Designation :

Brief Description of Job Duties & Responsibilities :

(G) PREVIOUS EMPLOYMENT HISTORY

Start End Last
Date Date Organisation Name Designation Drawn Reason for Leaving
(mm/yy) (mm/yy Salary
)

(H) TRAINING ATTENDED

Name of Courses Year / Duration Organizer

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SPEC #81-03-000-061 81-0183 - A

(I) WORK EXPECTATION

Notice of resignation required for present employment: 1 wk 2 wk 1 mth 2 mth ____mth nil

Expected Salary: RM Neg: Yes N Earliest date of starting work if offered appointment :

Willing to work Possess own Willing to

Yes No Yes No Yes No
on shift ? transport ? travel ?

(J) OTHER INFORMATION

Languages : (Spoken) (Written)

Special Skills : Hobbies :

May we contact your employer for reference check ? Yes No

Do any of your relatives or friends currently work for ASE ? Yes No

If Yes, please indicate - Name: Relationship: Dept:

How did you know about this vacancy?

Online advertisement Advertisement in newspaper College recruitment______________

Job / Career fair ASE Malaysia website Employment agency_____________

Friend/Relative's recommendation Others _________________

(K) DECLARATION
This application is not complete until the following statement has been read and signed.

I hearby certify that all the information furnished on this form for employment is TRUE, COMPLETE and CORRECT to
the best of my knowledge. This declaration shall, if I am employed, constitute an integral part of any contract of
service between the company and myself. I agree and accept that if this declaration is in any part false or incorrect,
the company reserves the right to terminate my service instantly.

Signature of Applicant :_________________________________________ Date :___________________

HIRING APPROVAL

Interviewer : Dept Manager : Staff Management :

Name:_____________________ Name:_____________________ Name:______________________

Designation:________________ Date:______________________ Date:_______________________

Date:______________________ Signature:__________________ Signature:___________________

Signature:__________________

FOR HR OFFICE USE ONLY

Authorized HR Approval : Job Designation :

Name:________________________________

Date:_________________________________ Starting Pay :

Signature:_____________________________ Job Class : Salary Scale :

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SPEC #81-03-000-061 81-0183 - A