PUBLIC BANK GROUP
APPLICATION FOR EMPLOYMENT
PLEASE NOTE :
ALL INFORMATION SUPPLIED WILL BE HELD IN STRICTEST
CONFIDENCE
WRITE NIL WHERE NOT APPLICABLE
ATTACH APPENDIX IF SPACE PROVIDED IS INSUFFICIENT
Please affix recent passport size photograph here
(nonreturnable)
I. PERSONAL PARTICULARS
Full Name as in I.C.
(include aliases, if any)
Residential address
(include postcode)
Postal address
(if different from residential address)
E-mail address
Telephone No:
i)
House
ii)
Handphone
iv)
iii)
Office
Other convenient place
(Please indicate name of contact person)
Socso No.
Income Tax No.
EPF No.
Sex
I.C. No.
(Enclose photocopy)
Nationality
Date of Birth
Race
Weight (kg)
Hometown
Age
Height (cm)
Religion
Place of Birth
Driving Licence No. & Class
(Please state whether licence is a full or provisional “L” licence)
II. FAMILY PARTICULARS
i)
Marital Status : Single/Married/Widowed/Separated/Divorced (please circle)
If married, please complete the following :
Spouse’s Name
Spouse’s Occupation
(REV 10/15)
I.C. No.
Name of Company
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II. FAMILY PARTICULARS, cont.
Name of Children
Sex
Age
Date of
Birth
School/Occupation
Father’s/Guardian’s Name
Occupation
Mother’s Name
ii)
Occupation
Parent’s/Guardian’s Address
Name of Brothers/Sisters
Sex
Age
Occupation
Name of Firm/School
III. EDUCATIONAL/PROFESSIONAL QUALIFICATIONS
(Please attach copies of testimonials/certificates/transcripts)
i)
Name of School, College and/or
University
(REV 10/15)
From
(Year)
To
(Year)
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Qualifications
Achieved
Grade (include CGPA where applicable)
III. EDUCATIONAL/PROFESSIONAL QUALIFICATIONS, cont.
ii) PROFESSIONAL/COMMERCIAL COURSES BEING UNDERTAKEN
Name of Course
Manner of
Study
Stage/Sections successfully completed
Self imposed target date for full completion of the course
IV. LANGUAGES AND DIALECTS
(Please indicate your mother tongue within brackets)
i) Spoken ii) Written
V. EMPLOYMENT HISTORY
(List current/latest employment first)
Date
From
(REV 10/15)
Name & Address of Employer
To
Position(s)
Held
Basic Salary &
Name, Designation
Allowances
& Contact No. Of
Initial
Last drawn Immediate Supervisor
-3-
Reasons for
Leaving
VI. OTHER INFORMATION
(Please circle)
i)
ii)
Have you any outstanding loans/credit line?
Do you or any of your immediate family members * have any borrowings from any
Company in the Public Bank Group?
Yes/No
Yes/No
* Immediate family members include parents, spouse, children, their spouse, siblings and their spouse.
iii) iv) v) vi) vii) viii) Have you ever been charged or convicted of a criminal offence?
Are you a bankrupt?
Do you have any independent means of other sources of income?
Are you currently holding any directorship in any Company?
Do you have any physical disabilities, chronic ailment or handicap?
Have you suffered from any major illness, nervous breakdowns or accidents which require hospitalisation?
Have you been on constant / long term medication due to any illnesses?
ix)
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
If you have answered Yes to any of the above, please provide details in the space provided.
x)
Have you ever applied to or been interviewed by any Company in the Public Bank Group?
(If yes, please indicate position applied, date interviewed (if any) and name of Company)
Yes/No
VII. RELATIVES
List below any of your relatives who are (i) working in the Public Bank Group, or (ii) Unit Trust/Insurance
Agents, or (iii) both of the aforementioned.
Name of Relative
Relationship
VIII. SHOULD YOU BE SELECTED PLEASE INDICATE
i)
ii) iii) Expected Salary (RM)
Period of Notice Required
Date able to commence duty
(REV 10/15)
:
:
:
-4 -
Name of Company/Agency
IX. COLLECTION, RECORDING AND RETENTION OF PERSONAL DATA
1.
I understand that in order for the Company to consider my application for employment herein my personal or credit information (“My Personal Data”), whether relating directly or indirectly to me, may be collected, recorded, stored by the Company. I hereby further consent and authorise the Company to obtain and verify any information about me including My Personal Data from any parties deemed relevant for purposes of this application including reference checks with previous employers.
2.
I understand that the Company will not be able to consider/ process my application herein for employment or continue to employ me, as the case may be, unless the Company can disclose to, share with or receive My
Personal Data from the relevant parties in compliance with Personal Data Protection Act 2010 and Credit
Reporting Agencies Act 2010.
X. DECLARATION
I hereby declare that the particulars and answers given in this application form are to the best of my knowledge and belief true and correct. I further declare that my personal data and/or information that have been made available in this Application for Employment and/or all other information or documentation submitted by me for the purposes of my employment with the Company may be processed for the purpose of employment as follows:
i)
verification of any of the personal data provided in this application form including reference checks with previous employers
ii)
In the event of there not being an immediate offer of employment from the Company, my application will be kept for future consideration or may be referred to the other entities within the Group for their consideration.
I understand that the Company reserves the right to terminate my service without notice or compensation at any time should the Company discover that any of the said particulars and answers were false, untrue or incorrect at the time of completion of this form.
I hereby undertake to notify the Company immediately should the particulars supplied above be changed in any way in future.
Signature of Applicant :
(REV 10/15)
Date :
-5- 