UNION CHAIN GROUP SDN BHD
EMPLOYMENT APPLICATION FORM
POSITION APPLIED :
PASSPORT
SOURCE : Recruitment Advertisements / Job Fair / Online / Website / Friend Recommendation SIZE
(Name of friend: ________________________________________________) PHOTO
: Newspaper: The Star / 星洲日报 / Harian Metro / 中国报 / 光华日报 / 光明日报
(Others: ______________________________________________________)
PERSONAL DATA
FULL NAME (as in NRIC) NRIC NUMBER
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
TELEPHONE NO. (HOME) MOBILE PHONE NO.
DATE OF BIRTH GENDER
PLACE OF BIRTH MARITAL STATUS
NATIONALITY EPF NO.
RACE AND RELIGION INCOME TAX FILE NO.
WORKING SPOUSE NO. OF CHILDREN ______ boy(s) ______ girl(s)
FAMILY INFORMATION (PARENT, SIBLING, SPOUSE, CHILDREN)
NAME RELATIONSHIP AGE OCCUPATION PLACE OF WORK
EMERGENCY CONTACT
NAME RELATIONSHIP HOUSE TELEPHONE NO. MOBILE PHONE NO.
EMPLOYMENT QUESTIONNAIRE
1. Can we contact your previous employer? YES / NO
If no, please state your reason. Thank you.
EMPLOYMENT HISTORY
DATE OF LAST DRAWN
CURRENT / PREVIOUS EMPLOYER DATE JOINED STARTING POSITION LAST POSITION REASON FOR LEAVING
RESIGNATION SALARY
EXPECTED SALARY DATE AVAILABLE
EDUCATION BACKGROUND
YEAR
SCHOOL / COLLEGE / UNIVERSITY HIGHEST QUALIFICATION
FROM TO
LANGUAGE PROFICIENCY & SKILLS
WRITTEN SPOKEN
LANGUAGE PROFICIENCY &
COMPUTER LITERACY
SKILLS
GOOD AVG POOR GOOD AVG POOR
ENGLISH
GOOD
MALAY
AVERAGE
CHINESE
POOR
OTHERS
REFERENCES (Please do not include family members, friends or relatives )
NAME RELATIONSHIP CURRENT POSITION CURRENT COMPANY CONTACT NO.
OTHER INFORMATION
Do you suffer any physical defects or have you recovered from serious illness?
YES NO
If yes, please explain __________________________________________
Have you ever been convicted in court of law?
YES NO
If yes, please explain __________________________________________
Have you ever been discharged or suspended from service of employment?
YES NO
If yes, please explain __________________________________________
Are you currently pregnant or planning a pregnancy in the coming 6 months period? YES NO
Are you a member of any Union or association?
YES NO
If yes, please state ____________________________________________
Are you willing to work overtime, shift hours, during weekend and Public Holiday? YES NO
Are you willing to be transferred to other Outlet or Department? YES NO
Have you worked in any of our group of companies before?
YES NO
If yes, please state ___________________________________________
Have you applied for any position in our group of companies before?
YES NO
If yes, the position applied for was:________________________________
Any of your family or relative working with our company?
YES NO
Is yes, please state the name of the employee:__________________________________
I, hereby agreed and authorized the Company to direct bank in my monthly salary into my bank account. YES NO
DECLARATION
I declare that all information given by me in this application for employment is true and correct to the best of my knowledge. I understand that any misrepresentation or omission of
facts will be sufficient cause for cancellation of consideration for employment or dismissal from the Company's service of employment.
Signature : Date :
By signing this application form, you consent to the use and/or processing of the personal data (including the sensitive personal data) provided herein by us, Rhombus Group of
Companies (“Company”) in accordance with the Privacy and Personal Data Protection Notice issued by the Company and agree to be bound by the same. The Notice will be
available upon request.
Signature : Date :
HOSTEL & UNIFORM REQUISITION ACKNOWLEDGEMENT
UNIFORM (CIRCLE WHERE APPLICABLE) OTHERS HOSTEL
TYPE : MANAGEMENT / SERVICE / KITCHEN APRON : REQUEST : YES / NO
SIZE : XL / L / M / S CAP : LOCATION :
QUANTITY : NAME TAG : DEPOSIT :
DEPOSIT : SAFETY BOOT :
I, ________________________________ , I/C ________________________ hereby agreed to deduct RM_________ from my first month salary as for the Uniform (& Others) and
Hostel deposit. I am agreeable that this deposit will only be refundable to me upon my resignation and with the conditions of returning the uniform in good condition to the Company.
Signature : Date :
FOR OFFICE USE
RATING
PERSONAL ATTRIBUTES 1 2 3 4 5 POINTS REMARKS
POOR FAIR AVG GOOD EXC
APPEARANCE
PERSONALITY
ACADEMIC QUALIFICATION
COMMUNICATION ABILITY
WORKING EXPERIENCE
SKILLS ACQUIRED
TOTAL
RECOMMEND FOR 2ND INTERVIEW ACCEPTED KIV REJECTED
REMARKS :
INTERVIEWER NAME : DATE :
FOR MANAGEMENT USE
EMPLOYMENT PACKAGE DETAILS CHECKLIST (FOR HR USE)
COMMENCEMENT DATE : ________________________ 1. I/C PHOTOSTATE COPY
POSITION : ________________________ 2. PASSPORT SIZE PHOTO
DEPARTMENT / OUTLET : ________________________ 3. RESUME/ EDUCATIONAL CERT DOCUMENT
BANK ACCOUNT NO. : ________________________ 4. BANK A/C PHOTOSTATED
BASIC SALARY : ________________________ 5. LATEST MONTH SALARY SLIP COPY
TRAVELLING ALLOWANCE : ________________________ 6. TYPHOID INJECTION COPY
HANDPHONE ALLOWANCE : ________________________ 7. DRIVING LICENSE COPY
ATTENDANCE ALLOWANCE ________________________ 8. UNIFORM ARRANGEMENT
MEAL ALLOWANCE : ________________________ 9. INTERVIEW CHECKLIST
OTHERS : ________________________ 10. CASH HANDLING POLICY
TOTAL : ________________________ 11. TRAINING AGREEMENT
REFERRING EMPLOYEE DETAIL EMPLOYMENT REFERENCE CHECK
YES NO
NAME (As per I/C) : _____________________________________
I/C NO. : _____________________________________ REMARKS : ____________________________________________
OUTLET : _____________________________________ ____________________________________________
RELATIONSHIP : _____________________________________ ____________________________________________
Interviewed By: Verified By: Reviewed By: Final Approved By:
Interviewer Head of Department HR Department
Name : Name : Name : Name :
Date : Date : Date : Date :
