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Employee Form CORS

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CHAMBERS OF RAIDAH SALWA

EMPLOYEE DETAILS FORM

PERSONAL PARTICULARS
Name : Date Joined :
Current Address : Employee No. :
Designation :
Grade :
Company : Telefon. No. (Hse) :
Department : NRIC No. (old) :
Date of Birth : H/Phone No. : (New) :
Place of Birth : Sex : Nationality :
Race : Religion : Date Expired :
Passport No. : Date Issued : EPF No. :
Are you a SOCSO member? Yes/ No Socso No. : Income Tax Branch :
Marital Status : Income Tax No. :
ACCUMULATED CURRENT YEAR REMUNERATION FROM PREVIOUS EMPLOYER
Gross Salary : Schedular Tax Deduction :
Employer EPF Contributior: Zakat Contribution :
Period : From: To:
EDUCATION DETAILS
Highest Qualification: (Pls attach copies of the relevant certificate)Year :
Ongoing Courses : (if any) Date of Completion:
BANK DETAILS
Bank Name :
Bank Address :
Account No. : Account Type:
SPOUSE DETAILS
Name : NRIC No. :
Date of Birth : Tel. No. :
Date of Marriage : Income Tax No. :
Occupation : Income Tax Branch :
CHILDREN DETAILS
No. of Dependent Children :
No. of Children Below 18 Years Old:
(if more than 18 years old) pls
stated whether pursuing
Name Sex Date of Birth Birth Certi/NRIC No.
study,inside or outside
Malaysia.
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NEXT OF KIN DETAILS OTHER THAN THE SPOUSE


Name : Relationships :
Address : Tel :

DECLARATION
I hereby declare that all information given are correct and true

Signature of Employee Date


FOR GHR DIVISION USE ONLY
Remarks,
Receive by: Reward Acknowledge:

Date: Date:

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