APPLICATION FOR EMPLOYMENT

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The purpose of requesting the personal data in this form is to assist us in deciding whether you are a suitable applicant for the position you
have applied for and to process your job application effectively. The information given will be processed for employment selection and
statistical purposes. Access to the information you provide will be strictly on a need to know basis. By providing any personal data &
information on this form, you give your consent to allow personal data and information to be processed securely and confidentially in
accordance with the Personal Data Protection Act 2010. If you choose not to complete all the required sections or do not provide all the
required information, it may not be possible to process your application.

APU (Asia Pacific University of Technology & Innovation)

APIIT (Asia Pacific Institute of Information Technology)
APLC (Asia Pacific Language Centre)

APS (Asia Pacific Schools APIS/APSS)

Position : Receptionist cum Admin

1. Personal Information
Title :

[ ] Dr. [ ] Mr. [ ] Mrs. [ ] Ms.

[ ] Other (please specify) ____________

Please tick ()

Date of Birth :10-02-1982

Age :33

Name :Mogana D/O Thambusamy

NRIC No. / Nationality :820210-14-5894

Sex : Female

For Malaysian & PR

Passport No / Nationality :Malaysian

Contact Tel (Home) :

Marital Status : Married

E-mail Address :mona_mogana@yahoo.com

Contact Tel (Mobile) :016-3580415

Residential Address :No:29,Jalan Rakan 6,
Taman Rakan Cheras Batu 11,
43000,Kajang
Selangor Darul Ehsan

Issue : 1.1
Date : 25 November 2013

Postal Address (if different from Residential Address) :

No:29,Jalan Rakan 6,Taman rakan cheras batu 11,
43000,kajang,
Selangor Darul Ehsan

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APPLICATION FOR EMPLOYMENT

2. Education Qualifications (Verifications of qualifications may be conducted)
Year

School/College/University

Qualification

1989-1994

Sek.Ren.Jenis Kebangsaan Tamil Bangsar

UPSR

1995-2000

Sek.Men.Kebangsaan Bangsar

PMR & SPM

2001-2003

PTPL (kuala lumpur)

Diploma in office management

Grade

3. Current Employment Details (Verifications of employment may be conducted)

From
(Date)

To
(Date)

Employer

Nature of Business

Position

16/7/2012

30/9/2013

BP Asia Pacific (m) Sdn Bhd

Petrol Oil & Gas

Reception /Frondesk Admin

Salary :

Current :RM 2044.00

Benefits :

Car :

Notice

No. of months :

Expected :RM1900.00
Housing :

Mobile Phone : 016-3580415

Others :

Available from :

Previous Employment Details

From
(Date)

To
(Date)

Employer

Nature of Business

Position

3/1/2001

End of april
2001

Malaysian Institute Of Accountantcy

Accounts

Assisstant Finance Dept

4/3/2003

End of may
2003

Metro Security Service Snd Bhd

Security service

Assistant administrative
clerk

25/3/2006

End of dec
2006 under
cont

Epson Trading (m) Sdn Bhd

Service centre

Receptionist

3/1/2007

4/9/2009

Auto Parking Inc Sdn Bhd

Parking service

Receptionish/Audit Assistant

1/10/2009

21/5/2010
under cont

Philip Morris (M) Sdn Bhd

Selling

Receptionish/Frondesk
Admin

4. Professional Membership (Active membership only)

Organisation

Issue : 1.1
Date : 25 November 2013

Membership Category

2
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Member Since

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APPLICATION FOR EMPLOYMENT

5. Language Proficiency (Please indicate your proficiency on a scale of 1 10. (1 being the weakest, 5 being
the average and 10 being the highest) (Verifications of qualifications may be conducted)
Language

Speak

Write

Read

Bahasa Malaysia

Bahasa English

Bahasa Tamil

6. Awards / Publications / Major Accomplishments

Year

Recent Awards / Publications / Accomplishments

7. Skills (If you have specific skills which are related to the position that you are applying that would help us in
hiring decision, please fill in the column below).
Skills area

Remarks

8. Referees (Referees should be work related references. Referees should have your consent to providing your
previous job related information either before or after your employment interview.
Referee 1
Referee 2
Name: guru
Name :hema
Job Title :marketing

Job Title :accountance

Organisation :

Organisation :

Tel No. :016-2147010

Tel. No. :019-2552725

E-mail :

E-mail :

9. Declarations
Issue : 1.1
Date : 25 November 2013

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APPLICATION FOR EMPLOYMENT

a)Are you aware of any of your family members or relatives employed by the APIIT Education Group, EKUINAS or
the SAPURA Group? If yes, please provide details below).
Name

Relationship

Organisation

b)Have you previously applied to or worked with any of the companies in the APIIT Education Group or
EKUINAS? If yes, please state position and year/s.
Yes/No
_________NO_____________________________________________________________________
______________________________________________________________________________
c)Do you have a physical handicap or are aware of any physical or mental medical conditions that may affect your
work? If yes, please provide details. (As a result of the information you have provided, you may be referred to
a panel doctor in the event there is a need to).
Yes/No
________________NO______________________________________________________________
______________________________________________________________________________
d)Are you aware of any current or pending criminal offences that you may have? If yes, please provide details.
Yes/No
______________NO________________________________________________________________
______________________________________________________________________________

10. Teaching capabilities: (If you are applying for the position of teacher, trainer or a lecturer, please state your
main subject area skills and please tick () on the appropriate box below).
Can teach
Can teach
with
Modules /Subjects
immediatel
minimal
y
developmen
t

Applicants Agreement:

Can teach
with some
developmen
t

Long term
developmen
t
opportunity

Signature:

I agree that the above accurately summarises my teaching capability and that I
am willing and able to deliver the modules as shown above.

Issue : 1.1
Date : 25 November 2013

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APPLICATION FOR EMPLOYMENT

I hereby affirm that all the information that I have included in this job application form is truthful and accurate. I
understand that the company also has a right to verify with any third parties any of the information I have
included in this job application form and hereby give consent to the company to secure any information that it
requires and I hereby release any person, firm or institution issuing such information of all liability for any
damage whatsoever. Furthermore, I understand that the company has a right to summarily dismiss me from
service where it is discovered I have misrepresented or omitted any pertinent facts pertaining to my work
experiences and qualifications. I also understand that the company will have a right to recover any monies
spent on me (for example, training or education fees; or other related monetary benefits) during my course of
employment for any misrepresentation/omission of information or facts.
___mogana d/o thambusamy___________________________________
___________________________________________
Name
Signature
Date : 17/8/2015

INTERVIEWER(S) COMMENTS (FOR OFFICE USE ONLY)

Date of Interview:

Comments:
Background & Work Experience :

Communications skills

Knowledge

Skills

Ability

Others:

Recommendation:
Please tick ()
Recommended

Keep in view

Not recommended

Interviewer(s)
Name: _______________________________________ Signature: ____________________________
Name: _______________________________________ Signature: ____________________________
Name: _______________________________________ Signature: ____________________________
Name: _______________________________________ Signature: ____________________________
Issue : 1.1
Date : 25 November 2013

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