MAHARANI ENERGY GATEWAY SDN BHD
EMPLOYMENT APPLICATION FORM
Please attach a recent
passport size photo
of yourself
Full name
Post Applied For
Company Maharani Energy Gateway Sdn Bhd (“MEG”)
How did you come to know of this vacancy
Through MEG Website Jobstreet/Other Online Source Walk/Write in
Career Fair / Talk Employment Agency Friends/Relatives
Others (Please specify: )
Have you previously worked in MEG? If yes, please indicate:
Company: Position: Duration:
Have you previously applied for a job in MEG or its subsidiaries? If yes, please indicate:
Company: Position: Month/Yr:
Note-
Please read the form carefully and decide on your reply before attempting to complete the form. A separate sheet may be attached if
there is insufficient space on this form for you to answer the various questions. The reply should be typed, or written in the handwriting
of the applicant, signed and returned with one passport-size photograph. Copies of any certificates or testimonials should be attached
to the form. Original certificates shall be brought during an interview. Referees should not be members of your family. If possible, you
should name of at least one referee who is competent to speak about your academic life.
SECTION 1: PERSONAL DETAILS
1 Date of Birth 2 Place of Birth
3 NRIC/Passport No. 4 Marital Status
5 Gender 6 Race/Religion
7 Address
8 Nationality
9 Telephone No. Home 10 Mobile No.
11 Email Address 12 Name of Spouse
13 Spouse's 14 NRIC/Passport No.
Occupation
15 Children Details
Name Gender Age Occupation
SECTION 2: WORK EXPERIENCE (CURRENT & PREVIOUS)
Please provide and list your work experience for the past five years beginning with your most recent job held. If you were self employed,
please provide the firm's name. Attach additional sheets, if necessary.
PREVIOUS / CURRENT EMPLOYMENT
1 Job Title 2 Employer's Name
3 Address
4 Nature of Business 5 No. of Employees
6 This position reports to 7 No. of staff supervised
8 Date of Employment Date Joined To
9 Employment Status 10 Working Days/Hours
11 Please provide your notice of resignation period required by your present employer
12 Key Duties (You may add additional paper to describe your key duties if required)
CURRENT COMPENSATION AND BENEFITS
ITEM DETAILS
Starting Monthly Basic Salary (RM)
Current Monthly Basic Salary (RM)
Your Expected Monthly Basic Salary (RM)
Fixed Monthly Allowance/Monthly Claims (RM)
Mobile
Parking
Meals
Transportation
Mileage
Others (Please indicate type and amount)
EPF - Employer's Contribution (%)
Annual Leave (Days p.a.)
Bonus (No. of month)
Previous Year's Salary Increment (%)
Company Insurance (RM)
Term Life
Personal Accident
Others
Medical (Annual Limit)
General/Outpatient
Hospitalisation & Surgical
Dental
Optical
Maternity (Coverage)
Others
OTHER RELEVANT WORKING EXPERIENCE
From To
Name of Company Position Salary(RM) Reason(s) for Leaving
(Mth/Year) (Mth/Year)
SECTION 3: EDUCATION DETAILS
Year Award
Primary & Secondary School Brief Results
From To (Dip/Degree/Master/Phd)
College/University
Course(s) Currently Pursuing
Scholarship Awarded - if any Organization/Institution Amount
ACTIVITIES
Primary & Secondary School Sports/Games Membership of Club/Society Responsibility
College/University
At Present
PROFESSIONAL CERTIFICATES
Certificates Institution Year Issued
SECTION 4: REFEREES
1 Please name two referees - your former or current superior(s) that able to verify your behavior and performance
towards your roles and responsibilities.
(i) Name (ii) Name
Designation Designation
Company Company
& Address & Address
[Link] [Link]
SECTION 5: DECLARATION
1 Do you have any relatives/friends working in MEG? If yes, please state who and relationship and in which department do your
relatives/friends work?
2 Are you serving a scholarship bond or loan? (Example PTPTN, YTN, MARA, JPA etc). If yes please indicate the institution
and duration.
3 Have you ever been declared bankrupt or blacklisted? If yes, please state when and have the status been cleared?
4 Have you ever been convicted for any offences? If yes, please state the offense(s)
5 Do you have any physical disability/disease/ major illness(es)?
6 Do you hold any directorship(s) in any company(ies)?
By signing below, I declare that the information given/written by me is true and complete. I understand that any misleading, willful
omission and falsification are sufficient reason for refusal or dismissal from the employment.
I will also allow and authorize inquiries to be made with my current and previous employers based on the facts provided
in this Employment Application form.
Signature of Applicant
Date