APPLICATION FORM

APPLICATION FOR EMPLOYMENT

Position Applied For: Department:

Notice Period: Earliest Availability:

SECTION A – PERSONAL PARTICULARS

Name (as per IC): Other Name (if any):

IC No. (New): Date of Birth:

Place of Birth: Nationality:

Age: Gender:

Mailing Address How do you know of the job? (e.g., Website/

Tel. No: H/Phone No:

Marital Status: Email Address:

No of Child: Own Transportation: Yes / No

SECTION B – EMPLOYMENT HISTORY (Start with most current)

Year
Employer’s Name & Last Drawn
No. Last Position Held Reason For Leaving
Address Salary
From To

Key Duties:

Key Duties:

Key Duties:

Confidential Page 1 of 3
SECTION C – EDUCATION BACKGROUND (From highest to lowest)

Year
Name of University / Qualification Grade /
No. Field of Study
College/School Obtained CGPA
From To

SECTION D – LANGUAGE PROFICIENCY (Please tick where applicable)

Speak Read Write

SECTION E – SALARY PACKAGE

Current Expected

Basic Salary

Allowance/Other Benefits

SECTION G – REFERENCES (Please provide previous employer’s details)

No of Years
No. Name Position & Company Contact No.
Known

SECTION F – OTHERS

1. Have you ever been convicted of a misdemeanor or felony or convicted in any court of law in any
country? (If yes, explain fully)

Confidential Page 2 of 3
2. Do you have family members, friends or relatives in service with this Company? (If yes, please provide
details)

3. Have you ever signed any training bond or non-compete agreement etc. with any company? (If yes,
please provide details)

PRIVACY NOTICE FOR JOB APPLICANTS

As an applicant for a position at MySense Sdn. Bhd. (“hereinafter referred to as “we” or “us” or “our”), you
consent to the use and processing of any and all of your personal data, including without limitation those
provided in this Job Application Form, your Curriculum Vitae and any other personal data that you may
provide during the job application process to us (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; maintaining our recruitment
records and/or other purposes that are appropriate (collectively, “Purpose”).

We also wish to inform you that your Personal Data may be disclosed to third parties, such as to our affiliates
and/or our service providers, which may be located outside Malaysia, for reasons relating to the Purpose. If a
decision has been made not to hire you, we will not retain your Personal Data after the relevant appointment
has been made. If you have been hired, you may be required to provide fresh consent for our processing of
your Personal Data for purposes of your employment or engagement with us.

You may request for access to or correction of your Personal Data or limit the processing thereof at any time
hereafter by submitting such request to the HR Department. Any inquiries or complaints with respect to your
Personal Data should also be channeled to us in this manner. Please note that it will be necessary for us 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., referees, family) whose Personal Data you
have provided and disclosed to us have been sufficiently obtained to allow us to process the same in relation
to the Purpose.

ACKNOWLEDGEMENT AND CONSENT

I have read and understood the terms of this Privacy Notice and consent to the processing of my Personal
Data as described above. I hereby declare that the information given by me in this form is correct and true to
the best of my knowledge. I fully understand and accept that if at any time after employment engagement
with the Company, it is found that false declarations have been made in this form, the Company has
absolute right to terminate my employment forthwith.

Signature of Applicant: _________________________________ Date: _______________________________

Name: _________________________________________________ NRIC no.: ___________________________

Confidential Page 3 of 3