EMPAYAR AILYQAIRY SDN BHD (1271028-U)
No 18 & 20, Jalan Flora Utama 3, Taman Flora Utama 83000, Batu Pahat, Johor
Tel:+6019 7000 370 Website: [Link]
EMPLOYMENT APPLICATION FORM
Please read these instructions:
1. This form is to be completed before interview session.
Please attach a
2. Do not leave any item blank. If it is not applicable to you, please indicate NA
recent passport
And if you are not sure, please indicate TBC
sized photo
3. Please attach a copy of your cv and all related educational certificates
(Present the original during interview)
POSITION APPLIED FOR:
[Link] DETAILS
NAME (AS PER I/C OR PASSPORT):
IC NO (NEW) : GENDER :
DATE OF BIRTH : RACE :
RELIGION : MOBILE TEL :
AGE : HOUSE TEL :
MARITAL STATUS : OFFICE TEL :
NO. OF CHILD : USERNAME FB :
USERNAME IG : USERNAME TIKTOK:
EMAIL :
HOUSE ADDRESS :
[Link] DETAILS
NAME OF WIFE/HUSBAND/PARENTS (IF SINGLE):
HOUSE ADDRESS:
MOBILE TEL : HOUSE TEL :
[Link] DETAILS
NAME OF SCHOOL/COLLEGE FROM TO QUALIFICATION OBTAINED
1.
2.
3.
[Link] SKILLS
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EMPAYAR AILYQAIRY SDN BHD (1271028-U)
No 18 & 20, Jalan Flora Utama 3, Taman Flora Utama 83000, Batu Pahat, Johor
Tel:+6019 7000 370 Website: [Link]
PROGRAM/SOFTWARE/APPLICATIONS COMPETENCY LEVEL (0 POOR – 10 EXCELLENT)
1.
2.
[Link] HISTORY
NAME OF EMPLOYER & TEL. NO. FROM TO POSITION HELD REASON FOR LEAVING
[Link]
NAME ADDRESS CONTACT NO RELATIONSHIP
1.
[Link] INFORMATION
Have you been found guilty in any COURT OF LAW or detained under any written laws?
No Yes (please give details) _____________________________________
Have you ever suffered from any illness, medical disorder or any other health condition? (e.g: Anxiety)
No Yes (please give details) _____________________________________
Do you have any driving license?
No Yes (please give details) _____________________________________
[Link]
I declare that all above information is true, and I am liable to disciplinary action conducted against me for falsifying or
not declaring any of the above information required. I understand that my employment is subjected to my passing the
medical examination conducted by EMPAYAR AILYQAIRY
. False or inaccurate information given will render any subsequent employment contract null and void.
Signature of applicant: __________________________________ Date: ________________________
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