PRIVATE & CONFIDENTIAL

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Application for Employment

Post Applied For : ________________________________ Employee No : __________________________

(For Office Use Only)

Company/Brand : ________________________________ Outlet/Department : __________________________

PERSONAL DATA
Full Name:
(as in IC/Passport)

Current Address: Permanent Address:

Email Address: Tel No. / HP:

Sex: Male / Female* NRIC / Passport:
Age: Marital Status:
Place of Birth: Date of Birth:
Race: Religion: Nationality:
MBB A/C No.: EPF No.: Income Tax No.:
Type of Driving License: Driving License No.: Expiry Date:

FAMILY INFORMATION
Name Relationship Age Occupation Employer

Father
Mother
Brother/Sister

Spouse Name :
NRIC/ Passport :
Work Status : YES / NO Occupation :

No. of Children : Age of Children :

 EDUCATION AND PROFESSIONAL QUALIFICATIONS
Name of Schools/University Attended From To Highest Qualification Attained

Extra Curriculum Activities:

Special courses attended/Training Received:

Activities participated in colleges/University:

MEMBERSHIP OF PROFESSIONAL & OTHER SOCIETIES

Name of professional body/society Position Appointment Held (If any)

NATIONAL SERVICE
Are you liable for National Service: Yes No
Details: part time Full Time Completed Serving
Period: From To Last Rank Held:
Vocation: Current Reservist Status:
OTHER INFORMATION

1. What languages /dialects can you speak fluently?

_______________________________________________________________________________________

2. What is your present state of health?

_______________________________________________________________________________________

3. Have you ever had any serious illness? Please give details:
_______________________________________________________________________________________

4. Are you currently pregnant? (For female candidates) if yes, how many months? _______________________

5. Have you ever had any accident? Please give details: ___________________________________________

_______________________________________________________________________________________

6. Have you ever been terminated from any position? _____________________________________________

_______________________________________________________________________________________

7. Have you ever been convicted of any criminal offence or declared a bankrupt in any country? If yes, please
specify and provide supporting document (if any). ____________________________________________

8. Can you work on shifts? ___________________________________________________________________

9. Present recreation, sporting, activities and hobbies ______________________________________________

10. If offered a post, when can you join our company? ______________________________________________

11. Minimum salary expected: _________________________________________________________________

12. Kindly provide information of relatives working in Robinsons, Marks & Spencer, RSH or Inditex Group

1) ____________________________________ (Name) ______________________ ( Relationship)

13. How did you get to know about this vacancy?

Newspaper * Online Advertisement * Refer by friend * Others _________________

*Please state
GLORY HR SOLUTIONS
______________________________________________________________________________________

14. Have you ever worked in any of the companies under the Robinsons & RSH Group of Companies? If yes,
please provide details.

_______________________________________________________________________________________
 EMPLOYMENT HISTORY: (In Chronological Order)

Name of Company Position Held Period Brief Duties and Basic Allowance/ Reason for Leaving
Responsibilities Salary Commission
From To

1. Briefly state your career goals ______________________________________________________________________________________________________________

2. Why do you wish to join us? ________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

REFEREES:
Name Address Tel. No. Occupation Company

(Character referees should preferably be present/past employers or superior. Contact will be made only after permission is granted by the candidate.)
 IN CASE OF EMERGENCY, PLEASE CONTACT:

Name Relationship Contact No.

1.

2.

DECLARATION

1. I DECLARE THAT ALL INFORMATION GIVEN IN THIS APPLICATION FOR EMPLOYMENT IS TO THE
BEST OF MY KNOWLEDGE AND BELIEF, TRUE AND CORRECT. THIS DECLARATION SHALL, IF I AM
EMPLOYED, CONSTITUTE AN INTERGRAL PART OF ANY CONTRACT OF SERVICE BETWEEN THE
COMPANY AND MYSELF.I AGREE AND ACCEPT THAT I WILL BE LIABLE FOR IMMEDIATE DISMISSAL IF
I AM FOUND TO HAVE GIVEN FALSE INFORMATION.

2. I HEREBY GIVE MY CONSENT TO THE ROBINSONS & RSH GROUP OF COMPANIES, AND THE
AUTHORIZED AGENTS THEREOF, TO CHECK REFERENCES LISTED ON MY APPLICATION AND FROM
MY PAST EMPLOYERS, AND TO CHECK MY BACKGROUND IN ANY WAY, INCLUDING BUT NOT
LIMITED TO CONTACTING ANY AND ALL PERSONS AND BUSINESS ENTITIES IN ORDER TO INQUIRE
REGARDING ANY AND ALL INFORMATION RELATING TO MYSELF, PROVIDED THAT SAID INQUIRIES
BE LIMITED SOLELY TO THE PURPOSE OF CONSIDERATION OF MYSELF FOR POSSIBLE
EMPLOYMENT.

3. I UNDERSTAND THAT ANY INFORMATION AND DATA PROVIDED BY ME TO THE COMPANY MAY BE
USED BY THE COMPANY IN ACCORDANCE WITH THE PERSONAL DATA PROTECTION ACT.

SIGNATURE :________________________________ DATE :______________________________________

FOR OFFICE USE ONLY

1. Interviewed by:
(1) ______________________________________________________________ Date: ____________________
Comments _________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
(2) ______________________________________________________________ Date: ____________________
Comments _________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

2. Position offered: _____________________________________________________________________________

3. Department: ___________________________________ Store: _____________________________________

4. Date of Commencement: _________________________ End Date (if applicable): _______________________

5. Starting Salary: _____________________________________________________________________________

6. Probationary Period: _________________________________________________________________________

7. Approving Officer’s Signature: __________________________________________________________________

All information in this form will be used solely for the purpose of recruitment and shall not be disclosed to any third
party. If a candidate is being recruited, information contained herein shall be retained for Human Resource
purposes. However, in the case of unsuccessful candidate, the company undertakes to retain this information
confidentially up to 12 months and will destroy it thereafter.

September 2017