SCAOKL Interview Application

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CONFIDENTIAL

SUMITOMO CORPORATION ASIA & OCEANIA PTE. LTD.


Unit No. L35-01, Level 35, TSLAW Tower
No. 39, Jalan Kemuning
55100 Kuala Lumpur
Photograph
Tel : 012-6077100

APPLICATION FOR APPOINTMENT

POSITION(S) APPLIED FOR


(In Order of Preference)

A) ______________________________________ B) ______________________________________

PERSONAL PARTICULARS

A) FULL NAME (As in NRIC) : _______________________________________________

PREFERRED NAME (if applicable) : ______________________________________________

CHINESE CHARACTER (if applicable): ______________________________________________

B) ADDRESS : _______________________________________________

_______________________________________________

E-MAIL ADDRESS : _______________________________________________

C) TELEPHONE NUMBER : (RES) ____________________(HP) ________________

D) SEX : _______________________________________________

E) RACE : _______________ ( F ) DIALECT : _________________

G) AGE : _______________ (H) RELIGION: ________________

I) NRIC NUMBER : __________________ (J) OLD IC NO: _____________

K) NATIONALITY : _______________ (L) MARITAL STATUS: _________

M) HOBBIES : _______________________________________________

N) SPOUSE’S PARTICULARS (if applicable)

NAME : ____________________________________ OCCUPATION : _____________________________

CONTACT : __________________(RES) ____________________ (OFF) _____________________(HP)

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O) NEXT OF KIN’S PARTICULARS

NAME : ____________________________________ OCCUPATION : ______________________________

CONTACT : __________________(RES) ____________________ (OFF) ____________________(HP)

RELATIONSHIP : _________________________

EDUCATION/ACADEMIC QUALIFICATIONS

NAME OF DATE DATE HIGHEST STANDARD YEAR


SCHOOL/INSTITUTION/COLLEGE FROM TO PASSED

EMPLOYMENT HISTORY

DATE DATE NAME & ADDRESS POSITION LAST REASON(S) FOR


FROM TO OF EMPLOYMENT HELD DRAWN LEAVING
SALARY

OFFICE SKILLS

A) TYPING SKILLS (if applicable) : ____________ wpm

B) COMPUTER KNOWLEDGE : ___________________________________________________


(please lists the soft wares)
________________________________________________________

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FAMILY PARTICULARS
(Please state your parents, spouse, siblings and children’s particulars)

NAME RELATIONSHIP AGE OCCUPATION PLACE OF EMPLOYMENT

LANGUAGES/DIALECTS
(in terms of fair, good and excellent)

SPOKEN WRITTEN LEVEL OF PROFICIENCY

HEALTH

A) DO YOU SUFFER FROM ANY PHYSICAL DISABILITIES/HANDICAP?

YES ( ) NO ( ) IF YES, PLEASE SPECIFY : __________________________________

B) HAVE YOU SUFFERED FROM ANY SERIOUS ILLNESS BEFORE?

YES ( ) NO ( ) IF YES, PLEASE SPECIFY : __________________________________

C) HAVE YOU BEEN HOSPITALIZED DUE TO ILLNESSES DURING THE LAST 2 YEARS?

YES ( ) NO ( ) IF YES, PLEASE SPECIFY : __________________________________

D) DO YOU SMOKE?

YES ( ) NO ( )

CHARACTER
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A) HAVE YOU EVER BEEN MADE A BANKRUPT?

YES ( ) NO ( ) IF YES, PLEASE SPECIFY : __________________________________

B) ARE YOU CURRENTLY IN DEBT?

YES ( ) NO ( ) IF YES, PLEASE SPECIFY : __________________________________

C) HAVE YOU BEEN DISMISSED FROM ANY POSITION?

YES ( ) NO ( ) IF YES, PLEASE SPECIFY : __________________________________

D) HAVE YOU EVER BEEN CONVICTED OR FOUND GUILTY OF AN OFFENCE BY ANY COURT
AT ANY TIME?

YES ( ) NO ( ) IF YES, PLEASE SPECIFY : __________________________________

ADDITIONAL INFORMATION

A) CURRENT SALARY : _________________________

B) EXPECTED SALARY : _________________________

C) NOTICE PERIOD : _________________________

DECLARATION

I HEREBY DECLARE THAT ALL THE STATEMENTS MADE IN THIS APPLICATION FORM
ARE TRUE, COMPLETE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.

I AGREE AND ACCEPT THAT IF THIS DECLARATION IS IN ANY PART FALSE OR


INCORRECT, I SHALL BE LIABLE FOR DISQUALIFICATION OR DISMISSAL, IF APPOINTED.
WILFUL SUPPRESSION OF ANY MATERIAL FACT WILL BE SIMILARLY PENALIZED.

I ALSO UNDERSTAND THAT A STRICT MEDICAL EXAMINATION IS A CONDITION


PRECEDENT TO SELECTION FOR APPOINTMENT AND I EXPRESS MY WILLINGNESS TO
BE SO EXAMINED AND TO FURNISH THE CONSULTING PHYSICIAN WITH FULL DETAILS
OF ANY PREVIOUS MEDICAL HISTORY.

SIGNATURE OF APPLICANT : ______________________________________

DATE : ______________________________________

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