Employment Application- Personal Particulars Position Applied *Full Name *IC Number *Age *Gender *-Select-MaleFemaleDate of Birth *Status *Race *Religion *Correspondence Address *Permanent Address *Email Address *Phone Number *Education Level (Highest) *Course Name *Name of Institution/School *CGPA *ExperienceEDUCATION BACKGROUND (Begin with The Most Recent Education)School Name/ InstitutionCourse AttendedQualificationYear Start & EndOTHER COURSES ATTENDEDCourse AttendedInstitution/OrganizerYearPROFESSIONAL MEMBERSHIPName of Professional BodiesMembership TypeMembership No.Year Start & EndLANGUAGE PROFICIENCY of 1 (Poor) to 5 (Excellent)SkillsMalayEnglishOthers, Please SpecifyEMPLOYMENT HISTORY (Begin With The Most Recent Employer)Name of EmployerYear StartYear EndLast Position HeldReason for LeavingLast Drawn SalaryREFERENCES (Other Than Family Members / Relatives)NameYears KnownRelationshipTel. No.Would you allow us to contact your current employer?YesNoADDITIONAL INFORMATIONNotice Period *Expected Salary(RM) *GENERAL INFORMATION1) Have your ever been diagnosed with any serious illnesses or suffering from any physical disability, mental illness (i.e. bipolar disorder / depression / schizophrenia or related), impairment, disease, serious illness or on medication? (if so, state what illness and when) *YesNo2) Have your ever been dismissed or suspended from the service of any employer? (If yes, please specify) *YesNo3) Have you ever been convicted in a court of law in any country? (If yes, please specify) *YesNo4) Do you possess a driving license? (If yes, please specify: Year obtained and class: ) *YesNo5) Have you ever been declared bankrupt? (If yes, please specify) *YesNo6) Are you pregnant at this moment?(for female applicant only-if yes, please give details) *YesNo7) Do you have friends or relatives who work with Muqminin Design centre? (If yes, please specify name and position held *YesNoDECLARATIONI ACKNOWLEDGE THAT PERSONAL INFORMATION PERTAINING TO ME WILL BE USED BY MUQMININ DESIGN CENTRE FOR THE PURPOSE OF HIRING MY SUITABILITY FOR ANY POSITION I APPLY. I AUTHORISE MUQMININ DESIGN CENTRE (IN THEIR REASONABLE DISCRETION) TO :MAKE ENQUIRIES AND COLLECT SUCH INFORMATION FROM SOURCES WHICH ARE DEEMED APPROPRIATE.KEEP MY COPY OF PAYSLIP AND RESUME FOR HIRING PURPOSES. The particulars which I have stated above are true and correct to the best of my knowledge and belief. I understand that my employment is subject to my passing the medical. Yes, I have read the data privacy statement and I agree to it. Examination conducted by the Company's doctor. I agree to be transferred to any branch or subsidiary of the Company throughout Peninsula Malaysia, Sabah & Sarawak. False or inaccurate information given will render any subsequent employment contract null and void. *YesNoSupporting Documents UploadUpdated Resume *Drag and Drop (or) Choose FilesApply
