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    Employment Application Form-DASS

    Uploaded by

    navin212
    This document contains a personal data and family particulars form for a job application. It requests information such as the applicant's name, contact details, family status, previous work experience, health conditions, legal issues, vehicle ownership and a declaration agreeing to fact checks. The purpose is to collect background information on the applicant for consideration in the hiring process.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Employment Application Form-DASS

    Uploaded by

    navin212
    29 views2 pages
    This document contains a personal data and family particulars form for a job application. It requests information such as the applicant's name, contact details, family status, previous work experience, health conditions, legal issues, vehicle ownership and a declaration agreeing to fact checks. The purpose is to collect background information on the applicant for consideration in the hiring process.

    Original Description:

    employment

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    This document contains a personal data and family particulars form for a job application. It requests information such as the applicant's name, contact details, family status, previous work experience, health conditions, legal issues, vehicle ownership and a declaration agreeing to fact checks. The purpose is to collect background information on the applicant for consideration in the hiring process.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    29 views2 pages

    Employment Application Form-DASS

    Uploaded by

    navin212
    This document contains a personal data and family particulars form for a job application. It requests information such as the applicant's name, contact details, family status, previous work experience, health conditions, legal issues, vehicle ownership and a declaration agreeing to fact checks. The purpose is to collect background information on the applicant for consideration in the hiring process.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Position Applied For:

    PERSONAL DATA
    Name (as per 1/C/ Passport):
    Applicant s
    Recent Photo
    NRIC No: Marital Status: Sex:

    Date of Birth: Place of Birth: Age:

    Religion: Nationality: Race:

    EPF No: Socso No: Income Tax No:


    Current Address: Bank A/c No.:

    Permanent Address: Tel:-


    House:
    Mobile:
    FAMILY PARTICULARS
    Fathers Name: Age: Occupation:

    Mothers Name: Age: Occupation:

    No. of Brother(s) : No. of Sister(s) :

    Name Age Occupation Contact No. Relationship

    For Married Applicants


    Spouse Name (Wife / Husband):
    Occupation:

    Spouse IC No.: Age: Contact No.:

    No. of Children:

    Name DOB Studying / Working Name of School / College / Company


    Y/N

    a
    Any physical handicap / disability? If yes, please state conditions
    .

    b .
    . Are you currently pregnant? (for female candidate only) If yes, _________ month
    c. Suffered any long illness /drug addiction?
    d
    Have you held any responsible position in a club/Trade Union?
    .
    If Yes, please state
    e
    Are you a Director of any Private or Public Limited Company or its Subsidiaries?
    .
    If Yes, please
    state:
    f. Do you have any legal case against you currently?
    If yes, please state
    g
    Have you ever been convicted of any criminal offence?
    .
    If yes, please state
    h Do you own a car/motorcycle? If yes, please state License No.
    . ..

    DECLARATION

    I declare that all information given above is correct and true, I understand that any false information given may
    render me liable, if employed, to immediate termination of employment without compensation.

    I consent to approaches being made to my referee(s) as well as to any of my previous employers.

    Date: Signature:

    ..

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