A PPLICATION

Post Applied For: (Level & Subject) Primary School / Secondary School

F ORM

FOR TEACHING POSITION

1.

PERSONAL DETAILS

(please use block capitals)

Surname First Name(s) Address:

Preferred Title Date of Birth (Age) Marital Stat s

Mr. / Ms. / Mrs. / Dr. / Prof.

!nmarried / Married

"o. of Dependants
(if any)

Postcode

Date of Teaching # alification &o ntry of # alification Mo(ile "o. Fa+ "o.

$%mail address

Tel ('ome) Tel ()or*)

www.tanarata.net

Passport "o. / M,sian -&/-D "o.

"ationality

"o. of .ears Teaching

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2.

EDUCATION AND ACADEMIC QUALIFICATIONS

S !""# Secondary (post Age of 14)

From

To

Su$%e t . Qua#i&i ati"ns . 'ra(es. )"n"urs

)i*!er E(u ati"n College / University Basic Diploma / Degree qualifications

From

To

Su$%e t . Qua#i&i ati"ns. 'ra(es . )"n"urs

Date of A1ard

eac!ing qualifications

"urt!er postgraduate qualifications

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+.

PRESENT APPOINTMENT (or most recent)

Post 'eld:

School / &ollege Address:

Tel: " m(er on 3oll: Date Appointed: Date $mployment ceased: (if applica#le) $mployer: 3esponsi(ility (Briefly descri#e responsi#ility if applica#le) & rrent or Final Salary: "otice period re4 ired: &onsent to contact place of employment.

$mail:

.es

"o

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,.

PRE-IOUS TEAC)IN' APPOINTMENTS (please start with most recent)

P"siti"n
6 "ame of school / college / other employer Status F ll%time or Part%time Period of Ser7ice

T./e "& S !""# 0 C"##e*e

and age range

" m(er on 3oll

From

To

1.

PROFESSIONAL DE-ELOPMENT
(please give details of courses attended in the last 3 years that are relevant to this application and indicate any awards earned) C"urse Tit#e Pr"2i(er D ration Dates A1ards (if any)

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3.

OT)ER RELE-ANT 4OR5 E6PERIENCE (please start with most recent)

Period of Ser7ice Nature "& O u/ati"n Em/#".er From To

7.

INTERESTS

(both professional and leisure)

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8.

OT)ER DETAILS
.es "o

'a7e yo e7er (een con7icted (y any &o rt of :a1; -f <.es=> please pro7ide details: .???????????????????????.. Do yo ha7e any case(s) pending (efore a &o rt of :a1; -f <.es=> please pro7ide details: .????????????????????????

.es

"o

)ill yo r spo se/partner and dependant(s) (e @oining yo in A ala : mp r Spo se/ Partner: .es "o -s yo r spo se/partner applying for a position at TiS; .es Dependant(s): .es "o "o BBBB person/s.

-f <.es=> please indicate 1hat position: ????????????????????...

Date of Marriage: (if applicable)

'o1 did yo get to *no1 a(o t the TiS @o( opening;

9.

DECLARATION

- declare that the information - ha7e gi7en on this form is correct and - nderstand that fail re to complete the form f lly and acc rately co ld res lt in an incorrect assessment of salary> and / or e+cl sion from short listing> or may> in the e7ent of employment> res lt in disciplinary action or dismissal.

Name:

Signat re:

Date:

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1:.

REFERENCES
N.;.
3eferences 1ill only (e so ght for short listed candidates. The first reference sho ld (e yo r present or most recent employer

(i)
"ame: Position: Address:

(ii)
"ame: Position: Address:

Tel "o:

Fa+ "o:

Tel "o:

Fa+ "o:

$mail:

$mail:

-f yo 1ere *no1n to either of yo r referees (y another name> please gi7e details:

All applications m st (e accompanied (y a Curri u#um -itae and a Letter "& A//#i ati"n. Tanarata Internati"na# S !""#s
$lanters %rounds& '( mls )a*ang+Serdang ,d-& )a*ang& 4'... Selangor& /alaysiael0 12. (.') 34'4+4'22 "a50 12. (.') 34'4+'343 6mail0 admin7tanarata-net 8e#0 999-tanarata-net Attn: Manager> Admin 6 ' man 3eso rces

FOR OFFICE USE ONLY S (@ect $+pat Teaching # alif. Partner Malaysian $+p

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.$S 3efs

A-E

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