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    Application Form (Cosway)

    Uploaded by

    Kastim Malinjau
    This document contains an application form for a store operator position with Cosway (M) Sdn Bhd. The application includes personal details of the applicant and spouse, education history, employment records, references, and a declaration. It also includes a Section B for a survey of the proposed store area, requesting information on population breakdown, nearby establishments, sales projections, and growth plan. The applicant is applying to open an individual sole proprietorship and must submit the completed form along with photos and documents.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    Application Form (Cosway)

    Uploaded by

    Kastim Malinjau
    298 views4 pages
    This document contains an application form for a store operator position with Cosway (M) Sdn Bhd. The application includes personal details of the applicant and spouse, education history, employment records, references, and a declaration. It also includes a Section B for a survey of the proposed store area, requesting information on population breakdown, nearby establishments, sales projections, and growth plan. The applicant is applying to open an individual sole proprietorship and must submit the completed form along with photos and documents.

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    Application Form(Cosway)

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    This document contains an application form for a store operator position with Cosway (M) Sdn Bhd. The application includes personal details of the applicant and spouse, education history, employment records, references, and a declaration. It also includes a Section B for a survey of the proposed store area, requesting information on population breakdown, nearby establishments, sales projections, and growth plan. The applicant is applying to open an individual sole proprietorship and must submit the completed form along with photos and documents.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    298 views4 pages

    Application Form (Cosway)

    Uploaded by

    Kastim Malinjau
    This document contains an application form for a store operator position with Cosway (M) Sdn Bhd. The application includes personal details of the applicant and spouse, education history, employment records, references, and a declaration. It also includes a Section B for a survey of the proposed store area, requesting information on population breakdown, nearby establishments, sales projections, and growth plan. The applicant is applying to open an individual sole proprietorship and must submit the completed form along with photos and documents.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    You are on page 1of 4

    FOR OFFICE USE ONLY

    SERIAL NO.

    COSWAY (M) SDN BHD


    APPLICATION FORM FOR STORE OPERATOR
    THIS FORM CONSISTS OF TWO
    SECTIONS :
    SECTION A : STORE OPERATOR
    APPLICATION

    PLEASE ATTACH PHOTOCOPIES OF N.R.I.C AND PASSPORT


    SIZE PHOTOGRAPHS FOR APPLICANT AND SPOUSE/PARTNER

    SPOUSES
    PHOTO

    APPLICANTS
    PHOTO

    SECTION B : SURVEY ON PROPOSED


    AREA

    PLEASE ATTACH LOCATION MAP / PHOTOGRAPHS (TOWN


    AREA & THE MAIN STREETS) OF YOUR PROPOSED AREA

    NOTE :

    ALL INFORMATION DISCLOSED IN THIS FORM WILL


    BE TREATED WITH STRICT CONFIDENCE

    SECTION A
    TYPE OF APPLICATION : -

    INDIVIDUAL
    INDIVIDUAL (SOLE PROPRIETORSHIP)

    1. PERSONAL DETAILS
    DETAILS

    APPLICANT

    SPOUSE

    FULL NAME (AS PER NIRC )


    NEW N.R.I.C NO.
    OLD N.R.I.C NO.
    COSWAY MEMBERSHIP NO.
    eCOSWAY MEMBERSHIP NO.
    DATE OF BIRTH
    PLACE OF BIRTH
    AGE
    NATIONALITY
    RACE
    RELIGION
    HANDPHONE NO.
    HOUSE TEL. NO.
    OFFICE TEL. NO.
    EMAIL ADDRESS
    RESIDENCE ADDRESS

    SEX
    MARITAL STATUS

    MALE

    FEMALE

    SINGLE

    MARRIED

    MALE
    WIDOWED

    FEMALE
    DIVORCED

    2. EDUCATION LEVEL
    NAME OF SCHOOL /
    COLLAGE / UNIVERSITY

    YEAR
    FORM
    TO

    QUALIFICATION
    ACHIEVED

    APPLICAN
    T
    SPOUSE

    LANGUAGE & DIALECT PROFICIENCY


    WRITTEN

    SPOKEN

    APPLICAN
    T
    SPOUSE

    3. APPLICANTS EMPLOYMENT RECORDS


    DETAILS

    PRESENT

    PAST (1)

    PAST (2)

    NAME OF COMPANY
    ADDRESS
    NATURE OF BUSINESS
    POSITION HELD
    MONTHLY INCOME (RM )
    YEARS EMPLOYED

    4. SPOUSES CURRENT EMPLOYMENT RECORDS


    NAME OF COMPANY : ______________________________________________________________________
    ADDRESS : _______________________________________________________________________________
    ________________________________________________________________________________________
    NATURE OF BUSINESS : ___________________________
    POSITION HELD : _______________________
    MONTHLY INCOME : RM _____________________________ YEARS EMPLOYED : ___________________

    5. NO. OF CHILDREN
    NAME
    NO (IF APPLICABLE)
    1. _______________________________
    2. _______________________________
    3. _______________________________
    4. _______________________________

    AGE
    _____
    _____
    _____
    _____

    6. OTHER INFORMATION / DETAILS

    _____
    _____
    _____
    _____

    SEX

    IC

    _______________________________
    _______________________________
    _______________________________
    _______________________________

    MEMBERSHIP IN ANY OTHER DIRECT-SELLING


    COMPANY AND HIGHEST POSITION HELD.
    _________________________________________
    _________________________________________

    EARLIEST DATE ABLE TO START OPERATING.

    HAVE YOU BEEN CHARGE OR CONVICTED FOR THE


    VIOLATION OF LAW APART FROM MINOR TRAFFIC
    OFFENCES? IF YES, PROVIDE DETAILS.
    _________________________________________
    _________________________________________

    DO YOU HAVE ANY RELATIVES WHO ARE ALREADY


    COSWAY STOCKIST (S)?

    HAVE YOU BEEN ADJUDGED AS A BANKRUPT IN


    THE PAST.
    IF YES, PLEASE PROVIDE DETAILS.
    _________________________________________
    _________________________________________

    IF YES, PLEASE PROVIDE NAME (S)


    __________________________________________

    ______________________________________________
    ______________________________________________

    YES

    NO

    7. REFEREES (REFEREES PROVIDED SHOULD NOT BE RELATIVES OR PRESENT


    EMPLOYER)
    DETAILS

    REFEREE 1

    REFEREE 2

    FULL NAME
    NEW N.R.I.C
    OLD N.R.I.C
    COSWAY MEMBERSHIP NO.
    eCOSWAY MEMBERSHIP NO.
    ADDRESS
    HOUSE TELEPHONE NO.
    OFFICE TELEPHONE NO.
    HANDOHONE NO.
    RELATIONSHIP

    8. DECLARATION
    I HEREBY SOLEMNLY DECLARE THAT THE INFORMATION DISCLOSED IN THIS APPLICATION IS
    TRUE, COPMLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND UNDERSTANDING. I
    UNDERSTAND AND ACCEPT THAT ANY FALSE STATEMENT OR WITHHOLDING OF ANY
    RELEVENT INFORMATION MAY PROVIDE GROUNDS FOR THE WITHDRAWAL OF ANY OFFER
    OF APPOINTMENT OR FOR ITS IMMEDIATE CANCELLATION IF THE APPOINTMENT HAS BEEN
    ACCEPTED.

    ____________________________________
    ___________________________
    SIGNATURE OF APPLICANT
    DATE

    3
    SECTION B

    1. PROPOSED AREA
    1. ____________________________________________________________________________
    (NOTE: IF YOU WOULD LIKE TO PROPOSED ADDITIONAL AREA (S), KINDLY PHOTOCOPY SECTION B AND
    SUBMIT TOGETHER.)

    2. POPULATION
    MALAY: _____________________ %
    __________%

    CHINESE : ____________________

    INDIAN : ______________________

    OTHERS :

    3. DETAILS OF THE FOLLOWING ESTABLISHMENTS IN THE PROPOSED AREA


    ESTABLISHMENT

    NUMBER

    NAME

    BANK
    SUPERMARKET
    CINEMA
    OTHER DIRECT SELLING
    COMPANY
    GOVERNMENT OFFICES
    RESIDENTIAL GARDENS
    (STATE NO. OF HOUSES IN EACH
    GARDEN IN BRACKETS)

    4. STATE YOUR SALES PROJECTION

    WITHIN 6 MONTHS : RM ______________________ PER MONTH

    MORE THAN 1 YEAR : RM _____________________________PER

    MONTH

    STATE YOUR IDEAS AND GROWTH PLAN TO MEET YOUR SALES PROJECTION OF YOUR PROPOSED AREA

    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________

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