PRIVATE & CONFIDENTIAL

EMPLOYMENT APPLICATION
POSITION APPLIED :
PASSPORT SIZED
PHOTOGRAPH
FOR OFFICIAL USE ONLY
Employee Number (CCMS ID) :

HOW DO YOU KNOW ABOUT THIS VACANCY: (TICK WHERE APPLICABLE)

JOBSTREET RECOMMENDED BY TP's EMPLOYEE OTHERS

PERSONAL PARTICULARS

Full Name

Alias (If any)

Permanent
Address

Corespondence Address

Tel. No. (Home) Date Of Birth

Tel. No. (Office) Place Of Birth

Mobile Phone No. Age

Email Nationality

MyKad No. Passport No.

Passport Expiry Date

LANGUAGE PROFICIENCY (State whether weak, fair, good or excellent)

Languages / Dialects Spoken Written

EMERGENCY CONTACT
Name Relationship

Address Contact No.

PERSONAL REFERENCES (Ex-Superiors)

Name Company Tel. No. Email Position Period Known

SCHOOLS / INSTITUTIONS ATTENDED
Year
Schools / Institutions Highest Qualification/ Field of Study
From To

MEMBERSHIP OF PROFESSIONAL INSTITUTION

Name of Institution Year of Admission Membership Status

EMPLOYMENT HISTORY (Please start with your present / latest employer)

Period Basic Salary
Name of Employer Position Held Reason
From To Start End

Expected Salary MYR

Resignation Notice Period
Date Available For Employment

ADDITIONAL INFORMATION (All questions must be answered, circle appropriate answer)

1. Have you previously applied for employment with Teleperformance ? Indicate Date of Last Interview _______________________ YES NO
2. Do you have any outstanding loan with PTPTN ? YES NO
3. Have you ever been charged or convicted in any Court of Law ? YES NO
4. Are you bound by any bond to serve any government, statutory board or organization ? YES NO
5. Have you ever been dismissed from any position ? YES NO
6. Are you able to perform shift work ? YES NO
 COMPENSATION AND BENEFITS PACKAGE IN CURRENT COMPANY

Current Basic Salary: MYR

Entitlement
Monthly Allowances Amount (MYR)
Yes No
Car

Petrol / Transportation

Handphone

Meal

Language

Others (Pls specify)

Performance Bonus: MYR (Monthly/ Quarterly/ Bi-annually/ Annually)

Contractual Bonus: MYR (Annually)

DECLARATION

I, hereby declare that all the statements made in this form are to the best of my knowledge and belief, true and correct. Should any
information and documents supplied is incorrect and/ or misrepresented during the interview, I shall be disqualified or dismissed by the
Company without any severance. I hereby agree and allow Teleperformance to conduct reference check or criminal background check or
bankruptcy check on me.

___________________________________ ___________________________
Signature of Applicant Date

FOR OFFICIAL USE ONLY

TO BE FILLED BY THE INTERVIEWER/HIRING DEPARTMENT

INTERVIEW APPRAISAL FORM

RATING POINT
1 BELOW AVERAGE
2 AVERAGE OR MERELY SATISFIED
3 ABOVE AVERAGE BUT NOT OUTSTANDING
4 GOOD OR OUTSTANDING

CHARACTERISTIC POINTS
APPEARANCE (grooming & attire)

EDUCATION (any relevance to the job applied)

PERSONALITY (poise, confidence, manners & disposition)

EXPRESSION (speech, diction, gesture & mannerism)

WORKING EXPERIENCE (any relevance to the job applied)

JOB KNOWLEDGE (current knowledge & perception to job applied)

JOB INTEREST (enthusiasm to job applied)

CREATIVITY (imaginative, innovative, capable of original thinking)

LEADERSHIP POTENTIAL (authoritative, tactful, possess the necessary qualities of leadership)

REASONING (logical, rational, practical and showing good judgement)

TEAMWORK (interaction, reasoning, cooperation)

EMOTIONAL INTELLIGENCE

INTERGRITY

WILLINGNESS TO LEARN

GROWTH POTENTIAL (future plan & goal)

GRAND TOTAL
 FOR OFFICIAL USE ONLY

Candidate Name Date of Interview

Interviewer's
Comments

Interviewed By

Offer KIV Rejected

Status

Verification of Documents Qualification Certifications Payslips (3 months)

Position Proposed Band Proposed Shift Work Yes No

Department Client Project

Approved By Hiring Manager Department Head CEO

Signature

Name

Date

Interviewer/ Hiring Manager to complete and return this form and other document(s) to HR Department immediately after the interview

TO BE FILLED BY HUMAN RESOURCE

Salary MYR Position Band

Approved By:
Commencement Offer Letter
Date Collection Date
Signature

Name
Remark(s)
Date