APPLICATION FOR EMPLOYMENT

Kindly complete all questions in this application.

Please attach copies of resume, testimonials & certificates, etc.
Please affix recent
photograph
(passport size)

APPLICATION FOR THE POST OF:

Referral Source:
Newspaper Friend / Relative (Name: ) Walk In Online Job fair
PERSONAL DATA (provided by you will be used to determine your suitability for a position and if applicable, your terms of employment. Personal data
held by us will be kept confidential in accordance with the Personal Data Protection Act 2010. Your details may be disclosed to third parties to verify or obtain
additional information from education institutions and current/previous employers, for legal obligations, etc.)
Name (As per I.C.) Other/Preferred Name (if any)

Permanent Address Tel No. (Home)

Mobile No.

Correspondence Address (If it is different from permanent address) Email

Nationality

NRIC/Passport No Date of Birth Race/Religion

Gender Marital Status No. of Children

Language Proficiency (proficiency is rated from 1 to 5, 5 being the highest level):

Language Oral Written

Bahasa Malaysia Do you hold a valid driving licence?
Yes No
English
Others: __________________
Class: ______
Others: __________________

EMPLOYMENT HISTORY (State most recent first)

Last Drawn Month / Year
Name of Employer /Location Position Held Reason For Leaving Basic From To
Salary mm / yyyy mm / yyyy

Reason for leaving current employment :

Do you have any objection if our company contacts your previous/current employer(s)?

MEMBERSHIP / AFFILIATION IN CLUB, SOCIETY, PROFESSIONAL ASSOCIATIONS, ETC.

Name Position Held

QUALIFICATION (State most recent first)

Page 1
 Year Achievement
Name of School / College / Institute /
University (local or oversea)
From To Qualification Major

1. Do you have any physical disabilities or handicaps (e.g. sight, hearing, speech, lameness)? If yes, please state.

2. Do you suffer from any illnesses or accidents? If yes, please provide the approximate date.

3. Have you ever been convicted of any crime or offense? If yes, please elaborate.

4. Are you serving any bond with your present employer?

5. Have you ever been dismissed or suspended from any position?

6. Do you have any relatives working in this Company?

7. Are you willing to work on shift duty?

8. Have you been declared a bankrupt?

9. Are you pregnant (applicable for female)?

10. What is the date available if offered employment?

11. Please give names and positions of 2 referees as well as their contact details

Name: Name:
Position: Position:
Working Relationship: Working Relationship:
Tel: Tel:

Expected Basic Salary: RM

Have you ever attended any interview in any subsidiary of the SAM Group before applying for this job?
If yes, please tick the relevant subsidiaries:
SAM Engineering & Equipment Position Applied:
SAM Meerkat Position Applied:
SAM Precision Position Applied:
SAM Tooling Technology Position Applied:
Meerkat Precision Position Applied:
Aviatron Position Applied:

Declaration: I voluntarily grant SAM, the right to make thorough investigation of my past employment and activities. I agree to cooperate
in such investigation, and release liabilities or responsibilities from all parties supplying such information. I consent to have a pre-
employment physical examination and such future physical examination as may be required by the Company. I agree to comply with
the safety rules. I agree that the entire contents of this application form, as well as the report of any such examination, may be used by
the Company in whatever manner it may wish. If employment is obtained under this application, I will abide by all rules, regulations and
policies of the Company. I understand that any fraudulent statements made by me on this application or any supplement thereto, or in
connection with that above-mentioned investigation, will be sufficient grounds for immediate dismissal.

____________________________ __________________
Signature Date

INTERVIEW APPRAISAL

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 FACTOR 0 POINT 1 POINT 2 POINTS 3 POINTS 4 POINTS SCORE
Slovenly dressed
Pleasant, good Smartly attired with poise
and/or rough in A little scruffy/and Neat and tidy though
Appearance voice and and confidence, good
speech and/or untidy but clean not distinguished
manners voice and manners
appearance
Not so fluent but still
Hardly able to express Just able to answer capable of expressing Speak exceptionally
Communication his/her ideas to some A good speaker
himself or herself questions well and convincingly
extent

Qualification
(to meet the post Poor Fair Average Good Excellent
applied for)
Slow, muddled Has difficulty in
Able to grasp issues or Able to contribute Shows sharp and
(thinker) who often grasping issues or
Intelligence questions put questions put to with his/her own analytical mind to see
reaches wrong
to him/her him/her input implications
conclusion
General working
Poor Fair Average Good Excellent
experience
Specific working
experience No idea or
Rather vague about Some working Good relevant Exceptional knowledge
(in relations to post knowledge of this
job knowledge of job experience of this job
applied for) job
Knows what he/she Has made steady An achiever who
Maturity and Does not seem to wants but does not He/she has set realistic
seem to know how to goals and is still progress in seeks a more
motivational know what he/she working towards their
go about achieving some of fulfilling and
adjustment wants attainment
attaining it his/her goals quality life
Other remarks by interviewer Interviewer recommendation (“” where applicable)

a) To employ
b) Consider / KIV
c) Recommended for other position
d) Reject
Reference Check : - Required Not Required Direct / Indirect (Please circle)

Safety Shoes Request: ESD / Normal

Interviewer(s) Designation: Date:

(Name & Signature)

Designation: Date:
(Name & Signature)

(IT SERVICE APPLICATION)

Telephone Password Required (“” where applicable)

New Email
PC Required:-
Account
- New
Required Local Mobile Phone Outstation (Mobile Phone)
International (All) - Replacement
(Yes / No) (04-xxxxxxx) (Local +01x-xxxxxxx) (+ Malaysia + Singapore)

(HR C&B VERIFICATION)

Job Title: (Grade: ) / Dept./Co.: _____________ /

Reporting To:

Salary agreed: Other allowances:

Date of Interview: Date of commencement of work:

Recommended by, Verified by, Approved by,

Dept. Head HR COO / VP / GM / HOC

Date: Date: Date:

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