FORM NO: HR-005-R4
(CONFIDENTIAL)
APPLICATION FOR EMPLOYMENT
RECENT
职业申请表格 PHOTO
POST APPLIED FOR 申请职位 : ____________________________________________________
PERSONEL PARTICULARS 个人资料
PERSONAL PARTICULARS
NAME 姓名 (英) __________________________ SEX 性别 MALE 男 FEMALE 女
(中) __________________________ MARITAL STATUS 婚姻状况 _______________
PERMANENT ADDRESS 固定地址 _______________________________ TEL NO. 联络电话 (H 住所) _________________
_______________________________________________________________ (O 公司) _________________
CORRESPONDENCE ADDRESS 书写地址_________________________ HP NO. 行动电话号码 ______________________
_______________________________________________________________
DATE OF BIRTH 生日 __________________ AGE 年龄 _______ COUNTRY OF BIRTH 出生国家 _____________
NRIC 身分证号码 (NEW 新) ________________________________ STATE OF BIRTH 出生州 __________________
(OLD 旧) ________________________________ CITYZENSHIP 公民 _____________________
RACE 种族 _____________________ RELIGION 宗教 ___________________________
EPF NO 公积金号码 ________________________ SOCSO NO 社险号码 _______________________
INCOME TAX NO 个人所得税户口号码 ___________________________
IF MARRIED, PLEASE STATE 如果您已结婚，请填写
SPOUSE’S NAME 配偶姓名 _________________________________ OCCUPATION 职业 _______________________
COMPANY 工作公司 ______________________________________ NO. OF CHILDREN 子女数目 _____
NAME OF CHILDREN 子女姓名 1) _________________________ DATE OF BIRTH 生日 _____________________
2) _________________________ DATE OF BIRTH 生日 _____________________
3) _________________________ DATE OF BIRTH 生日 _____________________
4) _________________________ DATE OF BIRTH 生日 _____________________
5) _________________________ DATE OF BIRTH 生日 _____________________
EDUCATIONAL QUALIFICATIONS 学历 (Please attach photocopies of certificates obtained)
HIGHEST
NAME OF SCHOOL/INSTITUTION YEAR 年 LEVEL
学校名字 FROM 从 TO 到
COMPLETED
完成级别
PRIMARY
SECONDARY
PRE-U/POLY
UNIVERSITY
TECHNICAL
OTHERS
OTHERS
PREVIOUS EMPLOYMENT 资历
NAME OF POSITION SALARY TIME EMPLOYED REASONS FOR LEAVING
EMPLOYER 职位 薪金 雇用时间 离职原因
公司名
FROM 从 TO 到
LANGUAGE 语言
LANGUAGES SPOKEN READ WRITTEN 1. GOOD 好
语言 说 读 写 2. FAIR 普通
3. POOR 差
COMPUTER SKILL 电脑知识
PLEASE TICK, WHERE APPROPRIATED 请在适当的格子里打√
SOFTWARE VERY GOOD GOOD FAIR
软件 很好 好 普通
MS. WORD
MS. EXCEL
POWER POINT
MS. ACCESS
UBS
OTHERS, PLS SPECIFY ________________________________
PROFESSIONAL MEMBERSHIP / OTHER SOCIETIES 专业会员资格
FROM TO POSITION HOLD PROFESSIONAL BODIES / SOCIETIES
FAMILY PARTICULARS 家庭成员资料
RELATION 关系 NAME 名字 AGE 年龄 EMPLOYER 雇主 OCCUPATION 职业
OTHERS INFORMATION 其他
1. HEALTH
A) DO YOU HAVE ANY PHYSICAL DISABILITIES 您身体有任何残缺? YES 有 NO 没有
IF YES PLEASE STATE 若有 请注明 ___________________________________
B) MAJOR ILLNESS 您是否有任何严重疾病? YES 有 NO 没有
IF YES PLEASE STATE 若有 请注明 ___________________________________
C) DO YOU HAVE ANY ALLERGIES? 您是否有任何过敏症? YES 有 NO 没有
IF YES PLEASE STATE 若有 请注明 ___________________________________
D) ARE YOU PRESENTLY PREGNANT 您现在是否怀孕 ? YES 有 NO 没有
IF YES PLEASE STATE HOW MANY MOTNHS 若有 请注明第几个月 ___________________________________
E) HAVE YOU BEEN HOSPITALIZED FOR THE PAST 5 YEARS? YES 有 NO 没有
过去 5 年里您是否曾住院?
IF YES PLEASE STATE 若有 请注明 ___________________________________
2. ARE YOU BANKRUPT 您是破产人士吗？ YES 有 NO 没有
IF YES PLEASE STATE 若有 请注明 ___________________________________
3. FOR SOME POSITION, COMPANY WILL CARRY OUT RAM CREDIT INFO CHECKING AS
PRE-EMPLOYMENT BACKGROUND CHECKING. ARE YOU ALLOWED COMPANY TO DO CARRY
OUT RAM CREDIT INFO CHECKING.
对于某些职位，公司需进行 RAM 信用信息检查作为就业前的背景检查。您是否允许公司进行
RAM 信用信息检查?
IF NO PLEASE STATE 若不 请注明_____________________________________ YES 能 NO 不
4. HOW WERE YOU REFERRED TO DE LUXE GROUPS? 您是如何获知锦合集团的职位空缺?
FRIENDS/RELATIVES 朋友/亲戚 ADVERTISEMENT 广告 OTHERS 其他 _______________________
5. HAVE YOU BEEN CONVICTED OF A CRIMINAL OFFENCE?
您曾有过任何犯罪或是违法的不良记录吗? YES 有 NO 没有
IF YES PLEASE STATE 若有 请注明 _____________________________________
6. HAVE YOU BEEN DISMISSED BY A PREVIOUS EMPLOYER? 您曾被任何一间公司解雇过吗?
IF YES, REASONS 若有, 请注明原因 _____________________________________ YES 有 NO 没有
7. DO YOU HAVE ANY RELATIVES OR FRIENDS WORKING IN HERE?
您有亲戚或是朋友在这间公司就职吗? YES 有 NO 没有
IF YES 若有, NAME 姓名 ________________________ DEPT 部门 ____________
8. ARE YOU DE FRESH MART MEMBER? 您是否拥有锦合的会员卡？ YES 有 NO 没有
IF YES PLEASE STATE MEMBER CARD NO 若有，请注明会员卡号码 _______________________
9. DO YOU HAVE OWN TRANPORT 您是否有自己的交通? YES 有 NO 没有
10. ARE YOU ABLE WORKING IN SHIFT? 您能做轮班质工作吗？ YES 有 NO 没有
11. EXPECTED REMUNERATION 薪金要求 RM _____________
12. IF YOU HAVE SUCCESSFULLY BEEN SELECTED, WHEN YOU CAN COMMENCE TO WORK
如果您成功被入取, 您何时能上班? _______________
EMERGENCY (IN CASE OF EMERGENCY, PLEASE NOTIFY) 如有任何紧急状况发生, 该事先通知谁?
NAME 姓名 : ______________________________________________
CONTACT PERSON 联络人 : ______________________________________________
RELATIONSHIP TO YOU 和您的关系 : ______________________________________________
ADDRESS 地址 : ______________________________________________
______________________________________________
TEL NO. 电话号码 : ______________________________________________
PREVIOUS EMPLOYER 前雇主资料 参考
NAME 名字 : ______________________________________________
POSITION 职位 : ______________________________________________
COMPANY NAME 公司名字 : ______________________________________________
RELATIONSHIP TO YOU 和您的关系 : ______________________________________________
CONTACT NO. 联络号码 : ______________________________________________
DECLARATION 宣告
I certify that the information given by me is to the best of my knowledge true and correct and I declare that
the information contained herein form an internal part of the contract. If I am employed by the company,
I understand and fully accept that any misrepresentation or omission of facts shall cause for instance
dismissal without notification.
__________________________________ ________________________
SIGNATURE 签名 DATE 日期
FOR COMPANY / OFFICE USE ONLY
1st INTERVIEW:
COMMENTS :
RECOMMENDATIONS:
To Hire To Reject, Please Specify Reason _______________________________ KIV
Call For 2nd Interview, Date & Time ____________________________
1st Interviewer Signature : Date :
2nd INTERVIEW:
COMMENTS :
RECOMMENDATIONS:
To Hire To Reject, Please Specify Reason _______________________________ KIV
2nd Interviewer Signature : Date :
FILLED BY ADMIN & HR DEPARTMENT
TO HIRE
1. COMPANY : DE LUXE CIRCLE / DE LUXE CIRCLE FRESH MART /
FRESH PLUS / MACIZO ENTERPRISE
2. DIVISION : ____________________________________
3. DATE JOIN : ____________________________________
4. POSITION : ____________________________________
5. BASIC : RM_________________________________
6. ALLOWANCES:
Attendance : RM___________________________
Position : RM___________________________
Petrol / Transport : RM___________________________
Handphone : RM___________________________
Others, Please Specify : RM___________________________
7. ENTITLED OT CLAIM : YES NO
8. WORKING SCHEDULE :
WORKING TIME : ____________________________________
REST TIME : ____________________________________
REST DAY /OFF DAY : ____________________________________
9. PROBATION : ________ WEEKS / MONTHS
10. PROBATION RESIGNED : ________ WEEKS / MONTHS
11. CONFIRMATION RESIGNED : ________ WEEKS / MONTHS
12. ATTIRE REQUIRED :_____________________________________
NAME ____________________ DATE __________________________ SIGNATURE ________________
APPROVED BY
_________________________
NAME :
POSITION :
DATE :
TO BE FILLED BY HR DEPARTMENT
REPORT TO WORK
EMPLOYEE NO : _____________________________________
BANK ACCOUNT NO : _____________________________________
PHOTO : YES NO
KEY IN SYSTEM : YES NO
REGISTER FINGER PRINT : YES NO
DID NOT REPORT TO WORK
REMARKS:
____________________________________________________________________________________________________
____________________________________________________________________________________________________