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OIL & GAS SDN BHD

Position applied for: Date:

Section 1: Personal Particulars

Name :

Address:

NRIC: Date of Birth: Age:

Nationality: Race: Gender:

Marital Status: Single / Married / Widowed / Divorced Religion:

Class of Driving Licence (if any)

Telephone (Hse) (office) (HP)

EPF No. Socso No. Income Tax:

Bank Acc No. Bank Name:

Email Address ___________________________________

Spoken Language/Dialects

Written:

Spoken:

In case of emergency, please notify:-

Name: Relationship:

Address:

Telephone (Hse) (office) (HP)

TITAN OIL & GAS SDN BHD Page 1


Section 2: EDUCATIONAL/ACADEMIC QUALIFICATION

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2.

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Section 3: EMPLOYMENT HISTORY No. of Years

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5.

Section 4: Any Other Specific Skills

If you are offered employment with us,

(a) What is the earliest date you can start work:

(b) Please state your last drawn salary:

(c) Please state your expected salary:

TITAN OIL & GAS SDN BHD Page 2

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