CREDIT GUARANTEE CORPORATION MALAYSIA BERHAD

EMPLOYMENT APPLICATION FORM

REMINDER

Full explanations must be provided for all information required. Please provide copies of relevant documents to support the explanations. Please bring along original and copy of the following for interview : Identity Card, Latest Pay Slip, Relevant Certificates, Photo and other relevant documents

PHOTO

POSITION APPLIED FOR

PERSONAL DETAILS
Name (as in NRIC) New NRIC no Old NRIC no

Correspondence address

Permanent address

Resident phone no Religion Race Date of birth Nationality Driving license Personal transportation Yes Yes

Office phone no Height (cm) EPF no Place of birth Single No No

Mobile no Weight (kg) Income tax no Male Married If yes, state the class Type (car / motorbike) Female Divorcee

FAMILY DETAILS
Relation Father Mother Name Age Occupation Employer / School / College / University

Siblings

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SPOUSE DETAILS
Spouse name NRIC no Date of marriage Occupation Office tel no Birth date Income tax no Employer Mobile no

CHILDREN DETAILS
Relation Name Birthdate NRIC/birth cert no Employer / School / College / University

Children

Handicapped children (if any)

PERSON TO CANTACT IN CASE OF EMERGENCY

Name Relationship Mobile no

Address

EDUCATION INFORMATION
Year No 1 2 3 4 5 From To University / College / School Course CGPA / Grade

PROFESSIONAL TRAINING & COURSES (IF ANY)

No 1 2 3 4 Training / Course Institution Qualification Year

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LANGUAGE (PLEASE TICK X IN APPROPRIATE BOXES)

Language Fluent 1 2 3 4 Bahasa Malaysia English Spoken Fair Poor Fluent Written Fair Poor

EMPLOYMENT HISTORY (START WITH PRESENT OR LAST EMPLOYER)

Company Position Tel no Brief of duties From To Basic pay Others

Address

Company Position Tel no

From

To

Basic pay

Others

Brief of duties

Address

Company Position Tel no

From

To

Basic pay

Others

Brief of duties

Address

Company Position Tel no

From

To

Basic pay

Others

Brief of duties

Address

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OTHER INFORMATION
Have you ever been convicted in court, apart from traffic offences? Have you ever taken any prohibited drugs? Are you on any prescribed medication or are you currently receiving any medical treatment? Have you ever been declared a bankrupt? Are you pregnant? (applicable for ladies only) If pregnant, please state the due date If yes, state nature Yes No If yes, state nature Yes No If yes, state nature Yes No

Yes Yes

No No

LIST TWO REFEREES WHO KNOW YOU PERSONALLY (EXCLUDING FAMILY MEMBERS)
Name 1 2 Occupation Employer / Address Relationship HP No

OTHERS & DECLARATION

If offered employment, please state the earliest date you can start work / notice required

Expected salary

Do you know anyone working in CGC? If yes, please provide the name

Have you attended any interview in CGC? If yes, for what position and when

I certify that the information given in this application form is to my knowledge true and correct and that I have not willfully misstated any facts. I understand that if I am employed, I shall be liable to immediate dismissal if at any time hereafter it becomes known that I have made false, evasive or given misleading statements in this application. Should my application for employment be accepted, I hereby declare that I shall at all times observe the companys rules and regulations and obey all instructions given by the company.

Signature

Date

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