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JOB APPLICATION FORM (v090727)

Position Applied
Jawatan dipohon

FORM 16 PKU Technology Sdn Bhd PKU Technology (KL) Sdn Bhd
PHOTO
Position Name

:
Seberang Prai, B'Worth

Place of Working
Lokasi bertugas

: : :

Sungai Petani Alor Star

Pulau Pinang Ipoh Kota Bharu

RM

The minimum Salary Request

Gaji minima yang dipohon

How soon can you join us

Bila anda boleh mula berkerja

Date

From where you heard about this vacancy?

Full Name (Mr / Ms / Mdm) : Nama Mengikut KP (En / Cik / Puan) Permanent Address
Alamat Tetap

Handphone No.
Nombor Talifon Bimbit

:
please reconfirm your number

E-mail address
Alamat emel

: : : : : : : : :

Date Of Birth (DD/MM/YY)

Tarikh Lahir (HH/BB/TT)

NRIC No. (New)

Nombor KP (Baru)
Year Month

Age :
Umur

Religion
Agama

Weight / Height
Berat / Ketinggian Badan

: : : :
D Male

kg

cm

Marital Status
Taraf Perkahwinan

Gender
Jantina

Female

Spouse Name
Nama Suami / Isteri

Income Tax No.

Nombor Cukai Pendapatan

No of child
Bilangan anak-anak

Maybank Account No.

Nombor Account Maybank

EPF No
Nombor KWSP

Driving License Classes

Kelas Lesen Memandu

Socso No.
Nombor Perkeso

Transportation
Kenderaan datang bekerja

Car

Motocycle

Vehicle Model
Model Kenderaan

Education Background (Latar Belakang Pendidikan) - Secondary & Tertiary education

Year Start Year End NAME OF SCHOOL & PLACE RESULT

JOB APPLICATION FORM (v090727)

FORM 16 PKU Technology Sdn Bhd PKU Technology (KL) Sdn Bhd

Working Experience (Pengalaman Berkerja) - Latest 3 years only (pengalaman 3 tahun lepas shj.)
YEAR START YEAR LEAVE PREVIOUS COMPANY POSITION SALARY REASON FOR LEAVING

TEL No:

TEL No:

TEL No:

APPLICANT'S

DECLARATION

(Pengisytiharan

permohon)

I HEREBY CERTIFY THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT AND THAT ANY ACT ON MY PART WITHOLDING OR GIVING FALSE INFORMATION, I CAN OR WILL BE DISMISSED FROM THE COMPANY WITHOUT PRIOR NOTICE. I HEREBY GIVEN MY PERMISSION TO PKU TECHNOLOGY SDN BHD TO VERIFY MY INFORMATION WITH RELATED AUTHORITIES. Saya

mengaku bahawa, segala maklumat yang diberikan adalah benar. Jika didapati maklumat tidak lengkap atau palsu, Syarikat berhak menamatkan perkhidmatan saya tanpa sebarang notis terlebih dahulu.Saya membenarkan PKU Technology Sdn Bhd menyemak maklumat saya dengan pihak-pihak yang berkenaan.

Date (Tarikh) Signature (Tandatangan) We thank you for applying job with PC DEPOT. Only shortlisted applicant will be contacted. FOR OFFICE USE Interview Date Time Arrival (Time) Officer In-Charge Position Staring Salary
Comment

Successful : : : : : RM Interview Start (Time) : Interview End (Time) : Date of Commence Branch / Department : :

Rejected