APPLICATION FOR EMPLOYMENT

Full Name : Mr / Mrs / Miss / Mdm (Underline Surname) Position Applied for

Home
Home Contact
Office
Address Nos.
Mobile
Email Marital
Single / Married / Divorced / Widowed
Address Status
NRIC /
Date of Birth
Passport Citizenship
/ Age
No.
Country of
Sex
Birth

Immediate Company's Name OR

Full Name Age Sex Occupation Educational Level (if
Family schooling)

Father

Mother
Spouse

List
brothers &
sisters

List
Child(ren)

In Case of emergency, to notify

Name & Relationship Address & Contact No.

Languages / Dialects (Please Spoken Written Knowledge of PC (Please

Excellent Good Fair
tick to indicate fluency) state software applications)
Fluent Fair Good Fair

Personal Interests

Other Qualifications / Hobbies /

Achievements Interests

Any ambitions, goals, or special skills that might help us in considering your application?
Declaration Yes No If Yes, Please give detail

Have you ever been declared a bankrupt?

Have you ever been convicted in a court of law?

Have you ever been treated for mental disorder /

drug addiction?
Have you ever suffered or are you suffering from any
physical illness / diseases?
Have you ever been suspended or dismissed by any
company?
Are you a member of any professional institete / club
/ society?
Have you ever worked for or applied a job in BIC
Group of companies?
May we contact your current or past employer (s) for
a reference?
Period
Please give the names of 2 referees (preferably person in Name Occupation Contact Nos. Known
responsible position and competent to speak about your academic /
working background.)

I declare that the particulars in this application from are true to the best of my knowledge and belief. I have not wilfully witheld
any information required therein. I undersand that provision of false particulars and or wilfully suppression of material facts
will render me liable for disqualification or, if appoitned, for instant dismissal.

Signature of Applicant Date