PC CARE DISTRIBUTION SDN BHD (467507-K)

No 41, Jalan Manis 7, Taman Segar, 56100 Cheras, Kuala Lumpur

Tel: 03-91307500 Faks: 03- 91319026
Email: info@pccare.com.my Website: www.pccare.com.my

* PLEASE FILL UP FORM USING ONLY CAPITAL LETTERS
* FALSE INFORMATION WILL BE DISQUALIFIED, IF APPOINTED,
RENDER YOU LIABLE TO IMMEDIATE DISMISSAL
EMPLOYMENT APPLICATION FORM PHOTO

Position Applied For: Introduced by: (Compulsory)

Through Advertisement
A. PERSONAL PARTICULARS

NAME/NAMA :
(as in IC)

ADDRESS/ :
ALAMAT

POSTCODE/ : HOME PHONE/ TEL RUMAH  : ‐
POSKOD H/P : ‐

OLD IC/LAMA :

I/C NO/ NO K.P : ‐ ‐
EMAIL :
RACE/KETURUNAN: MALAY /BUMIPUTERA RELIGION: CHRISTIAN SEX/JANTINA: F/M
CHINESE / CINA ISLAM AGE/UMUR:
INDIAN/ INDIA BUDDHA /HINDU
LAIN‐LAIN/OTHERS__________________ LAIN‐LAIN,_______________________

MARITAL STATUS/TARAF PERIBADI: SINGLE/BUJANG PREGNANT: YES/MONTHS,_______________________

MARRIED/KAHWIN NO
DIVORCED/JANDA
OTHERS,______________________

VALID DRIVING LICENSE: YES/NO, CLASS: OWN TRANSPORT:
Sickness : Yes/No, If Yes, Types of sickness

B. ACADEMIC QUALIFICATION

Education Name of School/ Year Certificate/

Background College /University From To Diploma/Degree
Secondary
Post Sec
Professional

OTHER SKILL (Computer Knowledge):

Indicate below your knowledge in language ‐ Good (G), Fair(F), Poor (P)

Spoken Bahasa Malaysia Spoken English Spoken Mandarin, Others,

Written bahasa Malaysia Written English Written Mandarin, Others,

PC CARE DISTRIBUTION SDN BHD (467507-K)
No 41, Jalan Manis 7, Taman Segar, 56100 Cheras, Kuala Lumpur
Tel: 03-91307500 Faks: 03- 91319026
Email: info@pccare.com.my Website: www.pccare.com.my

C. EMPLOMENT'S HISTORY

Latest /Present
Company Name : ℡ Tel No:
From: To: Position Held: Salary:
? Reason for  Leaving :

Company Name : ℡ Tel No:
From: To: Position Held: Salary:
? Reason for  Leaving :

Company Name : ℡ Tel No:
From: To: Position Held: Salary:
? Reason for  Leaving :

 Kampung Address :
Post Code : ℡ Tel No:
Relative in K.L Not Living Together:‐
Name : Relationship:
 Address :
Postcode : ℡ Tel No:

RELATIVE/PERSON TO CONTACT IN CASE OF EMERGENCY:‐
1. Name :  ℡ Tel No: Relationship:
2. Name :  ℡ Tel No: Relationship:

D. QUESTIONAIRE (Compulsory)

1 Are you prepared to work entirely based on commission?
Answer: Yes/No, Why
2 Would you be able to work on contract basic?
Answer: Yes/No, Why
3 Where do you see yourself 5 years from now?
Answer:
4 What kind of incoe fo you expect from this job?
Answer: RM to RM

I, confirm that the above information about myself is correct.

Signature of Applicant Date

For Office Use

Interviewer: Department: Salary: Commencing On:

Remarks: