Photograph

APPLICATION FOR EMPLOYMENT

POSITION APPLIED FOR:

________________________________________________

PERSONAL PARTICULARS
* Delete where not applicable and if not applicable, please mark NA in the space provided.

Name In Block Letter (Underline Family Name)

*MR/MISS/MDM/MRS

Local Address

Foreign Address (If Applicable)

Gender

Date of Birth

Religion

Nationality

Place of Birth

Marital Status

Home Number

Mobile Number

Email

Type of Passport/No.

Passport Number

Place of Issue

Male / Female*

Restricted / International*

FAMILY DETAILS
Name

Age

Occupation

Relationship

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EDUCATIONAL QUALIFICATION (In chronological order)

Copy of education certificates and testimonials (if any) may be requested.

Name of School/Institute

From

To

Highest Qualification Attained

Presently Attending (if any)

OTHER ACADEMIC/PROFESSIONAL QUALIFICATIONS/MEMBERSHIPS

Copy of education certificates and testimonials (if any) may be requested.

Qualification/Membership

Institution/Country

From

To

LANGUAGE/DIALECTS PROFICIENCY
Proficiency

Written and Spoken

Spoken Only

Very Good
Good
Fair

EMPLOYMENT HISTORY (last employment first)

Name of employer

Position Held

From

To

Reason for Leaving

Last Drawn
Salary

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IF YOU WERE SUCCESSFUL IN THIS APPLICATION

What is the notice period you are require to give your present employer:_____________ month
Expected Salary: _______________________
May we make enquiries to your past employer? Yes / No

REFEREES
Provide two persons who know you well with regard to your character and work performance. One of these should know you in and
official capacity, preferably as your superior in some previous employment.
Relationship
Name
Company / Position Held
Years Known
Contact No.
Colleague / Superior

OTHER INFORMATION
Yes

No

1. Have you been suffering from any physical impairment, disease or illness?
If yes, please give details: _____________________________________________________
2. Have you been convicted in a court of Law in any country?
If yes, please give details: _____________________________________________________
3. Have you ever been discharged or dismissed from the service of any organization (including any
government department or statutory board)?
If yes, please give details: _____________________________________________________
4. Have you previously applied for employment with this Company?
If yes, please state the date of application, position applied and outcome:
__________________________________________________________________________
5. Do you suffer from any pecuniary embarrassment?
If yes, please give details: _____________________________________________________
6. Do you have any relatives currently working in this Company?
If yes, please give details: ____________________________________________________

DECLARATION
I declare that the information in this application and any sheets attached hereto are true to the best of my knowledge
and belief, and that I have not willfully suppressed any material fact. I understand that if after engagement it is found
that I have deliberately made a false declaration with regard to this application, the entity reserves the right to terminate
my service.
I grant permission to the entity acting on behalf to verify the information given on this application form and the sheets
attached.

Applicants Signature: _______________________________

Date:_________________________________

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