BORANG PERMOHONAN PEKERJAAN

(APPLICATION FOR EMPLOYMENT)

SULIT/CONFIDENTIAL

1. JAWATAN DIPOHON/POSITION APPLIED FOR

Pilihan Pertama/First Preference Pilihan Kedua/Second Preference

2. BUTIR PERIBADI/PERSONAL PARTICULARS

Nama Penuh
Full Name
Nama Lain -
Other Name
Alamat Kediaman
Home Address

No. Telefon/Telephone No. No. Kediaman/Home No. No. Pejabat/Office No.

017-9137006

Tarikh Lahir/Date Of Birth Tempat Lahir/Place Of Birth Email Address/Email

Umur/Age Jantina/Sex Taraf Perkahwinan/Marital Status

Bangsa/Race Agama/Religion Warganegara/Nationality

No. Kad Pengenalan/NRIC No. Tempat Dikeluarkan/Place Issue No. Cukai Pendapatan/Income Tax No.
-

No. KWSP/EPF No. No. Keselamatan Sosial/SOCSO No. No. ZAKAT/ZAKAT No.

3. JIKA BERKAHWIN/IF MARRIED

Nama Suami/Isteri
Spouse’s Name
Pekerjaan Suami/Isteri Suri Rumah
Spouse’s Occupation
Majikan Suami/Isteri -
Spouse’s Employer
No. Telefon No. Kediaman No. Pejabat
Telephone No. Home No. Office No.
Bilangan Anak Nama/Name Jantina/Sex Umur/Age
Number Of Children

4. BUTIR KELUARGA/FAMILY DETAILS

Nama Bapa/Father’s Name Umur/Age

Pekerjaan/Occupation
-
Umur/Age

Pekerjaan/Occupation
-
BUTIR ADIK-BERADIK/BROTHER’S & SISTER’S DETAILS
Nama/Name Umur/Age Pekerjaan/Occupation

5. PELAJARAN/EDUCATION
Tahap Pembelajaran Nama Sekolah/Maktab/Universiti Dari Hingga Kelulusan
Level Of Education Name Of School/College/University Dari To Qualification
Sekolah Rendah
Primary School
Sekolah Menengah
Secondary School
Maktab
College
Universiti
University
Lain-Lain Kelulusan
Other Qualification

6. PENGALAMAN KERJA/WORKING EXPERIENCE

Nama Majikan Dari Hingga Jawatan Gaji Sektor / Sebab Berhenti
Employer Dari To (term) Position Salary Sector Reason For
Leaving

Nyatakan Tugas Utama Jawatan Anda Sekarang

List Down The Key Responsibilities of Your Current Position

7. LAIN-LAIN KEMAHIRAN DAN KEBOLEHAN/OTHER SKILLS

Bahasa/Loghat Pertuturan Penulisan Kefahaman
 Language/Dialect Spoken Written Understanding
Baik Sederhana Lemah Baik Sederhana Lemah Baik Sederhana Lemah
Good Fair Poor Good Fair Poor Good Fair Poor
MELAYU
INGGERIS

Komputer (Ya)
Computer (Yes)

8. SAUDARA-MARA YANG BERKERJA DI KUMPULAN PFCE

RELATIVES EMPLOYED BY PFCE GROUP

Nama/Name Jawatan/Position Hubungan/Relationship

-
-
9. HOBI/KEGEMARAN/MINAT
Hobbies/Interest

10. KECACATAN ANGGOTA (Jika Ada)

Physical Disabilities & handicaps (If Any)

11. PENYAKIT/KEMALANGAN (Jika Ada)

Major Illness/Accidents (If Any)

12. Pernahkah Anda Ditemuduga Untuk Mana-Mana jawatan Kosong Di PfcE? (Ya) (Tidak)
Have You Ever Been Interviewed For Any Position In PfcE? (Yes) (No)

13. Jika ‘Ya’ Nyatakan Jawatan

If ‘Yes’ Please State Position ___________________

14. Adakah Anda Pernah Dihukum Bersabit Apa-Apa Kesalahan Jenayah? (Tidak)
Have You Been Convected Of Any Crimical Offence? (No)

15. Namakan Dua (2) Perujuk Peribadi (Bukan Saudara)

Name Two (2) Personal Reference (Non Relative)

Nama/Name Pekerjaan/Occupation No. Telefon/Telephone No.

16. Notis Berhenti Dari Pekerjaan Sekarang Yang Diperlukan?

Notice Required To Leave Present Employment? ________ __________

17. Gaji Sekarang Lain-Lain Elaun

Current Salary --------
Gaji Diminta
Expected Salary _ ___________
 PERAKUAN PEMOHON
ALLICATION’S DECLARATION

Saya sahkan bahawa segala maklumat dan keterangan yang saya berikan adalah sepenuhnya dan betul. Sekiranya
terdapat mana-mana maklumat ini palsu, pihak Syarikat berhak menamatkan perkhidmatan saya tanpa notis atau
ganjaran.

I hereby certify that above information is accurate and that no pertinent details have been withheld. If any information given
above is subsequently found to be incorrect, incomplete or untrue, the Company may terminate my employment without notice or
compensation.

Tarikh Tandatangan --------------------T.T----------------

Date Signature

KEGUNAAN PEJABAT/OFFICE USE

Catitan Temuduga/Interview Note

Penemuduga Pertama/First Note Penemuduga Kedua/Second Interview

(Sila gunakan kertas tambahan jika perlu/Please use additional paper if required)

Ditemuduga Oleh/Interviewed By Ditemuduga Oleh/Interviewed By

Tarikh/Date Tarikh/Date

Keputusan Temuduga/Result of Interview

Penemuduga Pertama Diterima Ditolak Penemuduga Kedua Diterima Ditolak

First Interviewed Accepted Rejected Second Interviewed Accepted Rejected

Jawatan Ditawarkan Tarikh Mula

Position Offered ________________________ Date Commence ________________________

Gaji Ditawarkan Elaun

Salary Offered ________________________ Allowance ________________________

Tarikh/Date Ketua Jabatan/Department Head

KEGUNAAN JABATAN PERJAWATAN/PERSONNEL DEPARTMENT USE

Gaji Ditawarkan Gred Jawatan Tarikh Mula Tempoh Percubaan

Salary Offered Position Grade Date Commence Probation Period

Tarikh/Date Human Resources & Administration Department

Nama/Name