AFFIX RECENT

RENGO PACKAGING MALAYSIA SDN BHD PHOTOGRAPH

APPLICATION FOR EMPLOYMENT

1. Please write in block letters. Tick ( √ ) in the appropriate boxes.

(Please write your name
2. No space should be left blank. If it is not applicable, write ' NA ' or ' NIL '
at the back)
3. Copies of I.C, certificates, testimonials & last pay slip should be attached to the form.

POSITION APPLIED FOR:

How did you come to know of this vacancy?

The Website Jobstreet/Other online source Walk/Write-in Newspaper/Magazine (please specify: ) FOR OFFICE USE ONLY

Career Fair/Talk Search Agent/Employment Agency Professional Associations Friends/Relatives from the company

Others (please specify: )

RECOMMENDATION:
Have you previously applied for a job in Rengo Packaging Malaysia Sdn Bhd before? Yes No
If yes please indicate DEFINITE OFFER
Co: Position : Location : Year :
K.I.V
Have you been previously employed by Rengo Packaging Malaysia Sdn Bhd? Yes No
If yes please inidicate REJECTED
Co: Last position held: Period: From To
Reason(s) for leaving:

A. PERSONAL PARTICULARS
NRIC NO.(NEW) - - (OLD)
PASSPORT NO. Please indicate if you are a Permanent Resident Status
Yes No

FULL NAME (According to I/C) CITIZENSHIP

RESIDENTIAL ADDRESS
TEL (HOUSE)

CORRESPONDENCE ADDRESS
TEL (MOBILE)

EMAIL ADDRESS TEL (OFFICE)

RELIGION RACE

PLACE OF BIRTH (TOWN/STATE) DATE OF BIRTH

SEX MALE AGE INCOME TAX REF NO.

FEMALE

SOCSO NO. EPF NO. TAX BRANCH

MARITAL STATUS: SINGLE MARRIED OTHER, PLEASE STATE

NAME OF CHILDREN SEX (M/F) DATE OF BIRTH

SPOUSE'S NAME
NOT WORKING WORKING

If working, please indicate

SPOUSE'S EMPLOYER OCCUPATION / POSITION
FATHER'S NAME FATHER'S OCCUPATION

NEXT OF KIN (For contact in case of emergency)

NAME: RELATIONSHIP:
ADDRESS: OFFICE TEL:
HOUSE TEL:

1. Have you been convicted of a criminal offence in a court of law including trafic offence or declared a bankrupt ? Yes No
Remarks:

2. Are you currently involved in any IR cases in your company, Ministry of Industrial Relations/Human Resources and the Industrial Court ? Yes No
Remarks:

3. Do you have any friends / relatives working in Rengo Packaging Malaysia? Yes No
If yes, please indicate
Name: Position: Co: Relationship: Yes No

4. Do you hold a driving licence? Yes No

If yes, please tick
Car Motorcycle Lorry/Van State Class :

5. Sports/ Hobbies/ Interests

6. Physical disabilites Yes No Major illness suffered since birth Yes No

Surgery/ Hospitalisation Yes No

If yes to any of above items, please indicate

7. Are you pregnant? Yes No

8. Other information which is important to you and to us: aims, ambitions, special aptitude etc.

B. EDUCATION AND TRAINING

Duration Graduated Type of Degree, Diploma or

Type of school Name And Address Of School From To Yes No Certificate and Major/Minor
(MTH/YR) (MTH/YR) fields of study

Secondary School
(Last
attended)

Vocational School &

Technical Institute

College Or University

Training Courses attended /

Currently pursuing

Academic Achievements And Activities

Please list academic honors, scholarships or fellowships; membership in academic honorary societies; participation or offices held in extra-curricular activities you consider significant.

C. LANGUAGE/ DIALECTS Proficiency

Written Spoken Rate Proficiency
Bahasa Malaysia 1. Excellent
English 2. Above average
3. Average
 4. Fair
5. Poor

D. PRESENT EMPLOYMENT RECORD

Present Employer : Date Joined :

Address :
Nature of Business : No. of employees :

Commencing Position
Job Title : Basic Salary (RM) :
Reporting to (Position) : Allowance (RM) :

Current Position
Job Title : Basic Salary (RM) :
Reporting to (Position) : Allowance (RM) :
Key Responsibities : Last Bonus : (Mths)

No. Of Staff Supervised :

Reason(s) for wanting to leave:

E. PAST EMPLOYMENT RECORD List most recent job first and indicate any period in which you were not employed
Salary (RM) Date
Name of Employer Last Position held Joined Left Reason(s) for leaving
Commencing Last Drawn
(MTH/YR) (MTH/YR)

Do you have any objection to our contacting your present employer to verify the above?
No, you may contact any time. Contact Person: Tel. No:

Do not contact now, you may contact at a later date. (please specify when)

F. REFEREES
List two (2) referees whom we may approach for reference. Referees should not be members of your family.

Name Occupation Address & Tel.No Years Known

If offered employment, when can you join us?

State mininum salary per month expected: RM

(fringe benefits should be separately treated and classified during interview if desired)

G.DECLARATION

I hereby declare that the information given by me in this form is correct and true to the best of my knowledge.
I fully understand and accept that if at any time after engagement, it is found that a false declaration has been made in this form, the employer has the absolute right to terminate
my employment forthwith.

Name Signature Date

FOR OFFICE USE ONLY

Commencing salary: RM per month

Job Position:
Salary Range High Mid Low
Executive Grade Non-Executive Grade
RM : RM : RM :

Date of commencement: Type of Allowances:

Permanent Contract Month(s) Car RM :

Site RM :
Department : Motorcycle RM :
Section : Others, Please specify RM :
Machine :
Reporting to : Probationary period: months
(Designation)

Reference Check (compulsory for E1 & above)

Documents to be attached for generating of Offer of Employment letter
Conducted: Yes No
Conducted by : Date :

Note: Job Description

Application letter / resume
All Reference Check documents must be attached and kept in Personal Files.
Interview Assessment form
Reference Check documents (compulsory for staff at grade E1 and above)
Copy of IC
Name & Signature of Interviewer Certificates & testimonials
Date: Last pay slip
Bank passbook with the bank account no

Name & Signature of HR Personnel

Date:

APPROVED FOR EMPLOYMENT

Name Position Signature Date

Dept Head
HR Head *

MD

* where applicable