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JOB APPLICATION FORM

Position Applied for :

1) How did you come to know of this vacancy?

Online Job Portal Employment Agency

Newspaper Career Fair

Friends or Relatives from Silverlake Others (please specify)

2) Have you attended any interview with Silverlake Group? Yes No

If yes, please state for what position? When? (Month/Year)

3) Have you been previously employed by Silverlake Group? If yes, please answer the following : -

Name of Company under Silverlake Group :

Last position held in Silverlake Group :

Please state the period - From : to

A. PERSONAL PARTICULARS
Full Name (as per NRIC / KTP) :

Correspondence Address :

Permanent Address :

Tel No.: Residence : Office : H/P :

Email Address :

NRIC / KTP No. : (New) (old) Age

Date of Birth : (dd/mm/yyyy) Gender: Male Female

Place of Birth : Religion :

Nationality : Race :

E.P.F. / Jamsostek. No. : SOCSO No.:

Income Tax / NPWP No. : International Passport : Yes No

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B. FAMILY DETAILS

Marital status : Single Married Others (please specify)

If married, please complete the followings : -

Spouse's Name : NRIC / KTP No. :

Is spouse working? Yes No Spouse's Inc.Tax / NPWP No. :

Spouse's Occupation :

Name of Company :

No. of Children:

FAMILY BACKGROUND (Parents, Brothers, Sisters & Children)

No. Name Relationship Occupation Company

C. PERSONAL HISTORY
i. Have you ever been convicted / charged of a criminal offence? Yes No
If yes, please state type of offence : when :

ii. Do you have any unsettled court matters? Yes No

If yes, please state type of case : when :

iii. Have you been declared bankrupt? Yes No

iv. Do you have medical problem which require regular medical attention? Yes No
If yes, please specify type of illness :

v. Do you have any physical disability or chronic ailment? Yes No

If yes, please specify :

vi. If you are a female, are you currently pregnant? Yes No

vii Do you have relatives or friends working in Silverlake Group of Companies? Yes No
If yes, please indicate Name : Relationship :

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D. EDUCATION
School, Colleges and Universities attended.
Month / Year
School Name Qualification Achieved (Results)
From To
University

College

School

E. LANGUAGES & DIALECTS (Proficiency: Best = 10, Worst = 1)

Spoken Written Spoken Written

_English________________ ______________________
_Bahasa Malaysia________ ______________________
_Chinese/Mandarin_______ ______________________
____________________ ___________________

F. EMPLOYMENT RECORD
Please indicate the details of previous employment.
Month / Year Last Drawn Salary (RM)
Name of Company Position Held
From To Basic Bonus Fixed Allw.

i. Briefly describe the work you are performing in your current job or if you are unemployed, please describe the work you have done
in your previous job.

ii. State the reason why you are leaving your current employment or if you are currently unemployed, please state the reason for leaving
your previous employment.

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G. PERSONAL REFERENCES
List down two (2) personal referees. Referees should NOT be members of your family or relatives.
Name Occupation Years Known Tel No. / Handphone No.

H. IF YOU ARE SELECTED

i. Are you willing to travel? Yes No If Yes, Local Overseas Both
ii. If offer employment, when will you be able to commence?
iii. Please indicate minimum expected salary. RM

I. DECLARATION
I hereby declare that all the above information given are true, correct and to the best of my knowledge. The
Company reserves the right to terminate my service without notice or compensation at any time should the
company discover that any of the above information was untrue or incorrect.

Name : Important Note to Applicant:

PLEASE KEEP THE COMPLETED JOB APPLICATION
Signature : FORM WITH YOU AND PASS IT TO THE INTERVIEWER
OR HR STAFF DIRECTLY.
Date :

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 For Office Use (To Be Completed by Hiring Manager and /or HR)

Interviewers:
Name of Interviewer 1: ____________________ Name of Interviewer 2: ____________________
Name of Interviewer 3: ____________________

Salary:
Proposed Basic Salary: RM _____ __/mth Approved Basic Salary (HR to fill): RM _ ___/mth
Salary Within Bench Mark Range: Yes By HOD Committee Chairman

No > _______ Amount? Send Alert Chairman

Date of Commencement: ______________ Permanent Contract ___ ___ Months

Position /Job Title: _________________________________________________________ Rank: _________________
Reporting To: __________________________________ Company: ________________________________
Division Head: __________________________________ Department: ________________________________

Probation Required: Yes ______ Months

No

nd nd
2 Interview? Name of 2 Interviewer: ____________________

Request Requisition No: RQ Source: ________________________________

New Replacement

Resigned Staff Details (for Replacement):-

Name: _________________________________ Job Title: _________________ Rank: _________
Date Left: _________________________________ Salary: _________________________________

Documents to be attached for generating the Employment Letter of Offer:-

Interview Evaluation Form Latest Payslip

Resume Test Result

Certificates (from SPM onwards) Authorized email / RQ from AAMS

Hiring Manager: Approved By:

Sign: Sign:

Name: Name:

Upon Confirmation:

Confirmation increment / Adjustment Amount: _______________

Approved By (HOD): ____________ Committee Chairman

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