CANDIDATE DATA

PRIVATE & CONFIDENTIAL

PHOTO
APPLICANT INFORMATION
NAME Click here to enter text. IC/ PASSPORT NO:

ADDRESS

DATE OF BIRTH

CONTACT NO HOME MOBILE NATIONALITY

EMAIL ADDRESS

BLOOD TYPE Choose an item. GENDER Choose an item. MARITAL STATUS Choose an item.

PLACE OF BIRTH ETHNIC GROUP RELIGION Choose an item.

DRIVING LICENCE Choose an item. CLASSES Choose an item. OWN CAR Choose an item.

FAMILY/SPOUSE
NAME RELATIONSHIP AGE OCCUPATION / COMPANY

CHILDRENS NAME AGE GENDER

EDUCATION
NAME OF
FROM TO QUALIFICATION
INSTITUTION

NAME OF
FROM TO QUALIFICATION
INSTITUTION

NAME OF
FROM TO QUALIFICATION
INSTITUTION

COURSES CURRENTLY PURSUING/COMPLETED

NAME OF
FROM TO QUALIFICATION
INSTITUTION

NAME OF
FROM TO QUALIFICATION
INSTITUTION

NAME OF
FROM TO QUALIFICATION
INSTITUTION
PROFESSIONAL CERTIFICATION
NAME OF
FROM TO QUALIFICATION
INSTITUTION

NAME OF
FROM TO QUALIFICATION
INSTITUTION

NAME OF
FROM TO QUALIFICATION
INSTITUTION

CURRENT EMPLOYMENT
NATURE OF
COMPANY
BUSINESS

REPORTING
DESIGNATION
TO

STARTING ENDING
DATE JOINED DATE LEFT
SALARY SALARY

ACHIEVEMENTS
& AWARDS

CAREER
PROGRESSION

REASONS FOR
CHANGE

PREVIOUS EMPLOYMENT
NATURE OF
COMPANY (1)
BUSINESS

REPORTING
DESIGNATION
TO

STARTING ENDING
DATE JOINED DATE LEFT
SALARY SALARY

ACHIEVEMENTS
& AWARDS

CAREER
PROGRESSION

REASONS FOR
CHANGE

PREVIOUS EMPLOYMENT
NATURE OF
COMPANY (2)
BUSINESS

REPORTING
DESIGNATION
TO

STARTING ENDING
DATE JOINED DATE LEFT
SALARY SALARY

ACHIEVEMENTS
& AWARDS

CAREER
PROGRESSION

REASONS FOR
CHANGE
LANGUAGE
PLEASE INDICATE LEVEL OF PROFICIENCY: HIGH (H), MODERATE (M) OR LOW (L)

SPOKEN READ WRITTEN

LANGUAGE
H M L H M L H M L

CAREER OBJECTIVE

Click here to enter text.

STRENGTHS

WEAKNESSES

FACTORS FOR EXPLORING THIS POSITON

COMPENSATION PACKAGE
PRESENT MONTHLY NEXT SALARY
BASIC SALARY ADJUSTMENT DATE

BONUS (FIXED) VARIABLE

PROFIT SHARING SHARE OPTION

TRANSPORT
COMISSION
ALLOWANCE
COMPANY CAR
CAR CAPACITY
MODEL
EXPECTED
HOUSING OTHERS
SALARY

AVAILABILITY
EARLIEST
NOTICE REQUIRED
AVAILABLE DATE
OTHER INFORMATION
ARE YOU SUFFERING FROM ANY PHYSICAL DISABILITY OR ILLNESS THAT REQUIRES
YES NO
YOU TO BE ON MEDICATION OR CONSULTATION FOR MORE THAN 3 MONTHS?
HAVE YOU UNDERGONE ANY MEDICAL SURGERY IN THE LAST YEAR?
YES NO
HAVE YOU EVER USED DRUGS OR SUBSTANCES IN AN ILLEGAL WAY OR SUFFERED FROM
YES NO
ALCOHOLISM OR DRUG ADDICTION IN THE PAST YEAR?
ARE YOU UNDER ANY CONTRACTUAL BOND WITH YOUR CURRENT EMPLOYER?
YES NO
ARE YOU CURRENTLY ENGAGED IN ANY PERSONAL BUSINESS OR PART-TIME EMPLOYMENT?
YES NO
HAVE YOU EVER BEEN DISCHARGED OR DISMISSED FROM A PREVIOUS EMPLOYMENT?
YES NO
HAVE YOU EVER BEEN DETAINED, CHARGED OR CONVICTED IN ANY COURT OF LAW?
YES NO
ARE YOU CURRENTLY UNDERGOING BANKRUPTCY, PROCEEDINGS OR AN UNDISCHARGED
YES NO
BANKRUPT?
ARE YOU INVOLVED IN ANY CIVIL LAWSUITS OR THE SUBJECT ON AN INVESTIGATION?
YES NO

IF YOU REPLIED YES TO ANY OF THE ABOVE, PLEASE PROVIDE DETAILS.

REFERENCES

NAME (1) COMPANY

YEARS
RELATIONSHIP CONTACT NO
KNOWN

NAME (2) COMPANY

YEARS
RELATIONSHIP CONTACT NO
KNOWN

NAME (3) COMPANY

YEARS
RELATIONSHIP CONTACT NO
KNOWN

DISCLAIMER AND SIGNATURE

I declare that the information I have provided is true and accurate.

I agree to the cross-border collection, use, disclosure, retention and transfer of personal information by PeopleFirst and
its affiliates for the purposes of identifying suitable employment opportunities for me, business operational use, and for
rendering services to its clients.

Should I be offered a position by you or your Client, I am advised to consider the offer seriously before signing the
Letter of Appointment. If I decide not to start work after acceptance of the offer or to resign within 180 days, an
introduction fee equivalent to 2 months of the offered monthly remuneration (including fixed allowances and sign-on
bonus) subjected to a 6% Government Service Tax, shall be payable by me to PeopleFirst Consulting Sdn Bhd within 7
days from the date of non-acceptance or date of resignation.

Signature Date