Job Application Form Shimano Components Malaysia SDN BHD

Employee No:
Shimano Components (Malaysia) Sdn Bhd

Lot 4550, Lorong A-16, 81500 Pekan Nanas, Pontian, Johor.
Tel: 07-6991599, Fax: 07-6991794
Application Form for Employment

Post Applied For
Date of Availability Please attach latest
Friend Relatives Pamphlet passport-sized

photograph here
Referral Source
Internet Newspaper Others:
A. Personal Details
Full Name
Full Name Gender Male Female
(Chinese Character)
Telephone No. (Handphone) (Home)
Email
New IC No.
(XXXXXX-XX-XXXX)
Date of Birth
Place of Birth
Nationality
Permanent
Address Postcode State Johor
Mailing
Address Johor
Postcode State
Driving License B2 D Others:
Race Malay Chinese Indian Others:
Religion Islam Buddhist Hindu Christian Others:
Marital Status Single Married Divorced Widow
Height cm Weight kg
Pregnant Yes No Blood Group
(For Female only)
No. of Siblings You are no.
Page 1 of 4
B. Family Particulars
Relationship Full Name Telephone No. Occupation
Father
Mother
For Married Candidates Only

Spouse Name
New IC No. Telephone No.

(XXXXXX-XX-XXXX)
Date of Married Occupation
No. of Children < 1 Years Old 1-18 Years Old > 18 Years Old
(Age Group)
Relationship Full Name Telephone No. Occupation
Father In Law
Mother In Law
C. Emergency Contact Person and Next Of Kin

Category Full Name Relationship Telephone No.
Emergency
Contact
Person
Next of Kin
D. Relative/ Friend Working in Shimano

Full Name Relationship Department
E. Linguistic Ability
Ability Spoken Read Written
Language
English
Malay
Chinese
Japanese
Ability Rating: 01 = Poor to 10 = Good
Page 2 of 4
F. Academic Achievements
Period
Level Education Name of Education Institution
From To
(YYYY) (YYYY)
PMR
Secondary
SPM
Diploma
College Course Latest CGPA / 4.00

Loan Period of Year
Course
Degree
University Course Latest CGPA / 4.00

Loan Period of Year
Course
The above qualification has been fully attained or acquired?
Yes No Fully attained but waiting for the final result at the present moment
*Please attach photocopy of above certificates to proof your qualification
G. Extracurricular Activities
i. Clubs/ Societies/ Activities
Year Position Held
(Recent Name of Club/ Society/ Activity (Eg: President/ Secretary/ Institution
on top) Committee/ Member/ etc)
ii. Sports/ Games

Year
(Recent Type of Sports/ Games/ Debate/ etc *Level Represented Institution
on top)
*International/ Country/ State/ Zone/ University/ College/ School
Page 3 of 4
H. Working Experience (if applicable)
Name of Company Place Date Joined Designation Last Drawn Reason of
From To Salary leaving
(MM/YYYY) (MM/YYYY) (RM)
Have you ever/ still under Company Name

employed by Shimano’s vendor
Department
or Shimano Components
(Malaysia) Sdn Bhd? Department Head
Yes No Period to
(MM/YYYY – MM/YYYY)
I. Other Information
1. Are you vegetarian? Yes No
2. Have you ever had any criminal conviction (include narcotics related case)? Yes No
If yes, please give details:
3. Have you ever been refused service by bank (example loan/ credit card)? Yes No
4. Have you ever had or now suffering from any minor/ major illness, accident, physical
disabilities or eye problem? Yes No
5. Have you ever suspended or terminated by your previous employer? Yes No
6. Are you prepare to work overtime? Yes No

7. Are you willing to work in shift? Yes No
8. Do you agree to perform work in standing position throughout working hours, if Yes No
necessary?
9. Are you willing to undertake oversea assignment/ oversea training during the Yes No
employment?
10. Please state any additional information which you feel may be helpful to us in considering your application.
11. Minimum expected basic salary RM
J. Declaration
I certify that information given herein are true and complete to the best of my knowledge. I authorize Shimano
and/ or its’ subsidiaries for the collection, processing, use, disclosure of my personal data and for the
investigation of all statements contained in this application of employment to determine my suitability, eligibility
or qualifications for employment. Shimano and/ or its’ subsidiaries can also share this data with third parties and
third party organizations including background screening agencies, service providers, credit reference agencies or
for the application for work pass. In the event of employment, I understand that false or misleading information
given in my application or interview(s) may result in dismissal without any form of compensation.
Applicant’s Signature: Date:
Page 4 of 4

Job Application Form Shimano Components Malaysia SDN BHD

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Employee No:

Shimano Components (Malaysia) Sdn Bhd

Application Form for Employment

Date of Availability Please attach latest

Friend Relatives Pamphlet passport-sized

Address Postcode State Johor

Driving License B2 D Others:

Race Malay Chinese Indian Others:

Religion Islam Buddhist Hindu Christian Others:

Marital Status Single Married Divorced Widow

For Married Candidates Only

New IC No. Telephone No.

Relationship Full Name Telephone No. Occupation

C. Emergency Contact Person and Next Of Kin

D. Relative/ Friend Working in Shimano

Ability Rating: 01 = Poor to 10 = Good

College Course Latest CGPA / 4.00

University Course Latest CGPA / 4.00

ii. Sports/ Games

*International/ Country/ State/ Zone/ University/ College/ School

Have you ever/ still under Company Name

6. Are you prepare to work overtime? Yes No

11. Minimum expected basic salary RM

Applicant’s Signature: Date:

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