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EMPLOYMENT APPLICATION FORM

Position Applied for: New Brand Officer Expected Salary: RM1200 Date available for work: 25/4/2023

Name: Nur Najwa Batrisyia Bt Rosli No IC: 961022-11-5320 Availability to work at night :

Permanent Address: Lot 1505, Kampung Losong Masjid, Gender: Female H/P No.: 0111-9437483
21000 Kuala Terengganu, Terengganu
PERSONAL INFORMATION

Race: Malay Religion: ISLAM Type of Transport: Car

Weight: 105kg Height: 160cm Email Address: [email protected]

EPF No.: 23237377 Date of Birth: 22 Oktober 1996 Home Tel No.:

SOCSO No.: Place of Birth: Hospital Sultanah Nur Nationality: Malaysia

Zahirah, Kuala Terengganu

Income Tax No.: Name of Bank & Account No.: CIMB Bank 7049088091

Marital Status: Single Spouse's Name: Spouse's Occupation:

Spouse's Income Tax No.: No. of Children: Age range (Children):

Year
School / Institution Country Highest Qualification Achieved
From To
EDUCATION DETAILS

Sekolah Menengah Kebangsaan Sultan Ahmad MY 2009 2011 Peperiksaan Menengah Rendah (PMR)

DKM - Information Technology

SHOWME INTERNATIONAL COLLEGE MY 2012 2015
(Eksekutif Sistem Maklumat) Tahap 4

Terengganu Skill Development Center (TESDEC) MY 2018 2019 SKM Lukisan Pelan Senibina Tahap 3

Year
PROFESSIONAL QUALIFICATIONS

Particulars
From To
OTHER ACADEMIC /

If planning for further education, please explain:

Spoken Written
Languages / Dialects
Fluent Fair Slight Fluent Fair Slight
LINGUISTIC ABILITIES

Bahasa Melayu / /

English / /

Korean / /

Mandarin / /
 Name of Employer From To Position Held Last Drawn Salary Reason(s) for leaving
EMPLOYMENT HISTORY
Pasar Mini Fajar Syaaban Ent. Jan-09 Nov-12 Cashier (part time) RM900 Sambung study

Pembantu Kerani Akauntan

RamEra Technology Sdn Bhd Aug-14 Jan-15 RM100 Tamat Latihan Industri
(Latihan Industri)

Mencari peluang pekerjaan

Arkitek Arman Nov-19 Apr-22 Pelukis Pelan Teknikal RM1,000
yang lebih baik

Pertama Steak & Sushi House May-22 Now Juruhidang RM1,750 Masih bekerja

Indicate past / present duties and responsibilities relevant to position applied for (attached if not enough space):

Name Relationship Age Occupation Employer / School

Rosli Bin Mohd Yusoff Ayah 57 Berniaga -

Saridah Binti Mohamad Ibu 45 Suri Rumah -

Mohd Danial Bin Rosli Adik 26 Rider McDonald, Kuala Terengganu

FAMILY DETAILS

Mohd Faizal Bin Rosli Adik 24 Sale Person Gloco

Mohd Alif Iskandar Bin Rosli Adik 22 Kitchen Assistant Pertama Steak & Sushi House

Abdul Hakim Bin Rosli Adik 20 - -

Alya Syafiqah Binti Rosli Adik 16 Form 4 SMK Sultan Ahmad

In case of emergency, please contact:

Name: Saridah Mohamad Relationship: Ibu H/P No.: 01118934237

Address: Lot 1505, Kampung Losong Masjid, 21000 Kuala Terengganu, Terengganu

Have you been discharged from any position for misconduct? : No

Are you presently pregnant? : No

If yes pregnant, when do you expect to deliver?

State any serious mental or physical illness / disabilities / accident with dates.
HEALTH

Name Relationship Occupation H/P No. Years Known

REFERENCES

I declare that all the information provided above is true. I am liable for immediate dismissal if I am found to have given false information.
DECLARATION

Najwa 4/24/2023
Signature of Applicant Date

Interviewer's Name: Date of Interview:

TERVIEWER'S EVALUATION

Designation:
Selected / KIV / Rejected

Comment / Remarks: Date of commencement:

 Comment / Remarks:

INTERVIEWER'S EV
Salary:

Signature of Interviewer: