02 - JOTUN - Job Application Form (New)

JOTUN MALAYSIA
Job Application Form Jotun Protects Property

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PERSONAL INFORMATION

Name as per
NRIC

Address
(Permanent)

Postcode State, Country
Driving License

Telephone Home ( ) Office ( ) Handphone ( )
Email address

Gender: Male Female Date of Birth (dd/mm/yy)

Age

Place of Birth

Marital
Status:
Single Married Separated/Divorced Widowed

NRIC No. (new) (Old)

Ethnic
Group/Race:
Malay Chinese Indian Others:_______________________

Religion: Islam Christianity Buddhism Hinduism Others Kindly state:_____________

How did
you get
to know
this
position:
Online Job
Portals
(Jobstreet)

Newspaper
Job Advert
Referral
Career
Fair
Others Kindly state:_____________

FAMILY PARTICULARS

Name

Relationship

Age

Occupation

Employer

Position applied for: ...
Please ensure the information provided is accurate and up-to-date.

Please attach
passport-size
photograph.
1
st
Interview (Date) : _________
Who: _____________________

2
nd
Interview (Date) : ________

JOTUN MALAYSIA

OTHER INFORMATION

Emergency Contact

Next-Of-Kin
(If other than spouse)
Name

Relationship

Address

Tel No.

EDUCATION BACKGROUND

Highest Education: Primary School STPM/HSC/A-Levels Professional Degree

SRP/PMR/LCE Diploma Masters Degree

SPM/SPMV/SAP/MCE/O-
Levels
Bachelors Degree Doctorate/ PHD

Education

Institution / Country (place
where you pursue the
education)

Period

Qualification

Major

Results

From To

Primary School(s)

Secondary School(s)

College(s)

University (ies)

Professional Membership

JOTUN MALAYSIA

WORK EXPERIENCE
Employer
(Present/Last
Employer first)
Period of
Employment
Position Held
Reporting To
(Name & Position)
Basic Salary
Reason(s) For Change In
Employment From/To
(Month/Year)
Start Last

Last/Current Total Remuneration (In Ringgit Malaysia)

OTHER PAYMENTS
(e.g. Bonuses, Allowances,
etc.)

OTHER BENEFITS
(e.g. Company Car)

PENSION
ARRANGEMENT
(Contribution/ Non-
Contributory)

BASIC
SALARY
(per month)

EXPECTED
SALARY
(per month)

NOTICE
PERIOD

Expected Date of Commencement (if offered):

SKILLS
PC/computer literacy (What software are you familiar with?) :

HOBBIES/ INTERESTS/ SPORTS :

LANGUAGES & DIALECTS PROFICIENCY:

Spoken

Written

DO YOU KNOW ANYONE IN JOTUN?
Employee Name Relationship Department / Contact No.

WERE YOU REFERRED BY OUR EMPLOYEE?
Employee Name Relationship Department / Contact No.

LIST LAST TWO EMPLOYMENT REFERENCES:
Contact Person

Position Employer Tel. No

OTHERS
JOTUN MALAYSIA

1. Are you a declared bankrupt or have been a declared? YES/ NO
If yes, please indicate __________________________________________________________________________________
____________________________________________________________________________________________________

2. Have you ever been arrested, indicated or convicted? YES / NO
____________________________________________________________________________________________________

3. Have you been dismissed from your previous place of employment? YES / NO
____________________________________________________________________________________________________

4. Have you ever filed any claim on wrongful dismissal against your previous employer (s)? YES / NO
____________________________________________________________________________________________________

5. Physical disabilities or Handicap e.g. sight, hearing, speech : YES / NO
____________________________________________________________________________________________________

6. Major illness or accident : YES / NO
____________________________________________________________________________________________________

Please note that: Appointment to this position requires a medical examination.

DECLARATIONS

I certify that the above information is correct and can be treated as part of any subsequent contract of employment. It is also
hereby agreed and accepted that should any of the above statements be found to be false or incorrect, the Company shall reserve
the right to terminate my service. The willful suppression of any material fact will be similarly penalised.

SIGNATURE: __________________________ DATE: ____ /____ / ____

GENERAL

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JOTUN MALAYSIA

Job Application Form Jotun Protects Property

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