EMPLOYEE PERSONAL DATA FORM
Staff No :
Full Name (as per NRIC) Alias (if any)
Company Date Joined
Designation Date Confirmed
Department / Site Job Grade
Permanent Address Correspondence Address
Tel No. : Tel No. :
H/P No. :
Date of Birth Place of Birth Nationality Gender
Male Female
NRIC No. (old) NRIC No. (new) Race / Religion Marital Status
Single Married
Divorced Widowed
EPF No. : SOCSO No. : Income Tax No. / Branch:
Reference: Reference: Reference:
Old NRIC New NRIC Old NRIC New NRIC Old NRIC New NRIC
Bank & Branch : Account No.:
DETAILS OF SPOUSE
Spouse Name Spouse Occupation Employer's Name and Address
Date of Birth NRIC Number Income Tax No. / Branch:
Reference: Old NRIC New NRIC
DETAILS OF CHILDREN (Please attach separate list if not sufficient)
Name Gender Date of Birth Age
FOR FOREIGNER ONLY
Passport No: Visa No :
Nationality: Permit No:
Type of Pass Approved: Expiry Date:
Specimen Signature: Specimen Initial:
IN CASE OF EMERGENCY. Please Contact the following:
Name: Contact No: Relationship:
NEXT OF KIN
Name: Contact No: Relationship:
ACKNOWLEDGEMENT & CONSENT
I hereby acknowledge that the information given above are true and consent given for my salary to be credited to the bank account as stated
above.
Signature : Date :