MQ - Employment Application Form - v1

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AFFIX A CURRENT

PHOTOGRAPH OF
APPLICANT HERE
MQ Learning Wonderland (Pusat Jagaan MQ)

EMPLOYMENT APPLICATION FORM

INSTRUCTION
PLEASE COMPLETE THE FORM IN THE BLOCK LETTERS
*PLEASE DELETE WHERE INAPPLICABLE

Application for employment as

PERSONAL DETAILS
Full Name:

Email:

Home Address: Correspondence Address:

Telephone No: Telephone No:

Date Of Birth: Age: Marital Status: Nationality:

Religion: Race:

MyCard No: Passport No:

EPF No: SOCSO No:

FAMILY DETAILS

Relations Name Age Present/Previous Occupation

Spouse

Children

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EDUCATION BACKGROUND

Name of School/ Institution/ Date Joined Date Graduated Highest Standard Passed
College/ University (dd/mm/yy) (dd/mm/yy) (Certificate, Diploma, Degree/ Grade)

OTHER ACADEMIC OR PROFESSIONAL QUALIFICATIONS (including training courses attended)


Date
Particulars
From To

PROFESSIONAL MEMBERSHIPS (Technical, professional or occupation training etc)

Name of Professional Body Membership Position Date Admitted

LANGUAGE PROFICIENCY
(state: fair, good, excellent) (state: fair, good, excellent)
Language/ Written
Oral Written
Bahasa Melayu

English

Other Language

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EMPLOYMENT HISTORY
Please give details here of full-time jobs. Start with your present or most recent position.
Dates Name of employer,
Job titles, nature of work, Last drawn
address, nature of Reasons for leaving
From To accountabilities salary
business

BRIEFLY DESCRIBE YOUR CURRENT/ MOST RECENT JOB ROLE & RESPONSIBILITIES

REFERENCE DETAILS (Please provide at least two)


Name Job Title & Employer Telephone No & Email Address Relationship

LEISURE ACTIVITIES

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ADDITIONAL INFORMATION
Please state any relevant information which will support your application

OTHER INFORMATION

What do you know about MQ Learning Wonderland?

Have you at any time been convicted or found guilty of any serious offence by any court? If yes, state offence or reasons.

Have you ever been dismissed from any employment? If yes, state reasons.

Have you any serious illness? If yes, indicate nature of illness.

If you are successful for this position, when are you able to start?

Day………. Month ……….. Year ………….

If you are successful appointed, what is your expected salary?

I hereby confirm that the information stated above is true and accurate. I understand that false information may be grounds
for not hiring me or for immediate termination of employment at any point in the future if I am hired.

______________________
Signature of applicant Date

Name:

Please provide these document for the application:

1. A copy of applicant’s IC
2. A copy of applicant’s driving license
3. A copy of applicant’s recent health screening report

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