Hitachi Ebworx: Application For Employment

Hitachi eBworx
Kindly attach your

recent passport size
Photograph
APPLICATION FOR EMPLOYMENT here
Application for the post :
1. PERSONAL PARTICULARS ( *Delete where necessary )
Full Name : *Mr/Mrs/Miss

(please underline your surname)
NRIC No (New) : Passport No :
(Old) : Passport Country Issued :

Correspondence Address :
Postcode : Tel No:

Permanent Home Address :
Postcode : Tel No:
Contact Number : Email Address :

(Mobile)
Date Of Birth :
Race :
(DD/MM/YY)
Age : Sex : Religion :
(*M=Married / S=Single / W=Widowed / D=Divorced)

Place Of Birth :
Marital Status :
Sosco No : Nationality :
EPF No : Income Tax No :
Name :
Person to notify in case of emergency
Tel No:
2. SPOUSE PARTICULARS (Husband/Wife)
Name : Age: Date of Birth:(DD/MM/YY)
Name of employer : Citizenship :
Occupation : Contact No:

Page 1 of 5 HR/Dec14
3. CHILDREN PARTICULARS
Name Date of Birth Name of School / Name of Employment

No Age
(DD/MM/YY)
4. FAMILY PARTICULARS (Parents, Dependents, Brother(s), Sister(s))

Profession/ Name of
Date of Birth Contact
No Name Age Relationship Employer
(DD/MM/YY) Employment Number
(if Employed)
5. LANGUAGE PROFICIENCY
"E" for Excellent, "G" for Good and "A" for Average
English Malay Language Mandarin

Writing
Reading
Spoken
Other Language/Dialects, (Please specify) :
6. EDUCATION BACKGROUND
Name of School/Institution/College Date Certificate/Diploma/Degree Grade/
University (Please list down from primary school to Join Left Master/Professional Attained CGPA/
highest level of studies) DD/MM/YY DD/MM/YY Result
Page 2 of 5
Date Of
Qualification or Certificate or Proficiency sought Commencement Expected Completion
7. CURRENT EMPLOYMENT
Date Of Employment (For Company Use Only)
Company's Name &
Address
Position Held
Job Function
Person to report
Starting Salary Salary :
Allowance :
Current Salary Salary :
Allowance :
Reason for Leaving
8. DETAILS OF PREVIOUS EMPLOYMENT (In Chronological Order)

Date (DD/MM/YY) Name & Address Of Gross Income Per month Reason
Job Title
Employer For Leaving
From To Salary Allowance
9. CORPORATE REFEREES
(Please list two personal referees who are not relatives)
Full Name : Full Name :

Occupation : Occupation :
Company Name : Company Name :
Tel No : Tel No :
Relationship : Years Known : Relationship : Years Known :
Page 3 of 5
10. EXTRA CURRICULAR & LEISURE ACTIVITIES
(State participation in extracurricular activities, position of responsibility held and games played at school, universities and current leisure
activities)
At School At University Current
11. SUPPLEMENTARY INFORMATION

A) Do you have any friend(s) or relative(s) working in the Hitachi eBworx?
(If YES, please give the name, position of your friend(s)/relative(s) and the nature of your relationship)
B) Are you suffering from any physical disabilities ? (If

YES, please provide exact details)
C) Do you have any persistent or recurring health issue? (If

D)Have you suffered from or are you currently suffering from serious illness ? (If
E) Have you ever been convicted of any offence, criminal or civil or have any legal cases, industrial relation or
disciplinary cases or bankruptcy in Malaysia or elsewhere?
Other information which you consider important and helpful to us in assessing your suitability for the appointment
that you have applied for.
Page 4 of 5
Car/Motorcycle ownership If selected, when can you
Salary Expected
(Yes / No) start work ?
12. DECLARATION, ACKNOWLEDGEMENT & CONSENT
A)I declare that the particulars in this application and sheets attached hereto, are true in every respect. I
understand that if any of the particulars supplied by me are proved untrue, I am liable to be summarily
dismissed. I have not willfully suppressed any material facts.
B) I have read and understood the terms in the attached Appendix A on Privacy Notice and consent to process
my Personal Data.
C) I have read and understood Appendix A and do not required Bahasa Malaysia translation.
APPENDIX A
PRIVACY NOTICE FOR JOB APPLICANTS
As an applicant for a position at Hitachi eBworx Group of Companies (“Hitachi”), you consent to the use and
processing of any and all of your personal data, including without limitation those provided in this Application for
Employment form, your Curriculum Vitae and any other personal data that you may provide during the job
application process to Hitachi (collectively, “Personal Data") for the purposes of processing of your job
application and evaluating your qualifications and eligibility for the vacancy; contacting you, such as by telephone
or e-mail, with a decision in relation to your job application; and/or maintaining Hitachi’s recruitment records
(collectively, “Purpose”).
Hitachi also wishes to inform you that your Personal Data may be disclosed to Hitachi’s affiliates which may be
located outside Malaysia and to third parties, such as service providers and governmental agencies, for reasons
relating to the Purpose.
Please note that it will be necessary for Hitachi to process your Personal Data for the Purpose, without which it
will not be able to consider your job application.
You represent and warrant that the consent of third parties (e.g. emergency contact persons and references) whose
personal data you have provided in this Application for Employment form and disclosed to Hitachi have been
obtained sufficient to allow Hitachi to process the same in relation to the Purpose.
Date : Signature :
Page 5 of 5

Hitachi Ebworx: Application For Employment

Uploaded by

Copyright:

Available Formats

Hitachi Ebworx: Application For Employment

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Hitachi Ebworx: Application For Employment

Uploaded by

Copyright:

Available Formats

Hitachi eBworx

Kindly attach your

Application for the post :

1. PERSONAL PARTICULARS ( *Delete where necessary )

Full Name : *Mr/Mrs/Miss

NRIC No (New) : Passport No :

(Old) : Passport Country Issued :

Postcode : Tel No:

Postcode : Tel No:

Contact Number : Email Address :

Age : Sex : Religion :

(*M=Married / S=Single / W=Widowed / D=Divorced)

EPF No : Income Tax No :

2. SPOUSE PARTICULARS (Husband/Wife)

Name : Age: Date of Birth:(DD/MM/YY)

Name of employer : Citizenship :

Occupation : Contact No:

Name Date of Birth Name of School / Name of Employment

4. FAMILY PARTICULARS (Parents, Dependents, Brother(s), Sister(s))

English Malay Language Mandarin

Other Language/Dialects, (Please specify) :

8. DETAILS OF PREVIOUS EMPLOYMENT (In Chronological Order)

Full Name : Full Name :

At School At University Current

11. SUPPLEMENTARY INFORMATION

B) Are you suffering from any physical disabilities ? (If

C) Do you have any persistent or recurring health issue? (If

12. DECLARATION, ACKNOWLEDGEMENT & CONSENT

PRIVACY NOTICE FOR JOB APPLICANTS

You might also like