APPLICATION FORM Please affix

your passport size

PETRONAS TECHNICAL SERVICES SDN BHD photo

PETRONAS TECHNICAL
SERVICES SDN BHD
(347848-X)

INSTRUCTIONS:

Please attach the relevant “Certified True Copy of Passport/IC, Certificates & Transcripts
(Phd/Master/Degree/ Diploma, etc) and Three Months Pay slip”.

POSITION APPLIED FOR: __________________________________________________________

I. PERSONAL PARTICULARS

NAME: _____________________________ SEX: ________________________________

(As per IC/Passport)

DATE OF BIRTH: _____________________ AGE: ____________________

PLACE OF BIRTH: ____________________ MARITAL STATUS: __________________

HOMETOWN: ______________________ COUNTRY: __________________

NATIONALITY: ________________________

COUNTRY OF PERMANENT RESIDENCY (IF ANY): ____________________________

II. IDENTIFICATION DETAILS

IC/PASSPORT NO: _________________ DATE ISSUED: ________________________

COUNTRY ISSUED: _________________ EXPIRY DATE: ________________________

PRESENT ADDRESS (in full): PERMANENT ADDRESS (in full):

___________________________________ ______________________________________

___________________________________ ______________________________________

___________________________________ ______________________________________

PHONE : ___________________________ PHONE : ______________________________

E-MAIL : ____________________________ E-MAIL : ______________________________

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 APPLICATION FORM

PETRONAS TECHNICAL SERVICES SDN BHD

PETRONAS TECHNICAL
SERVICES SDN BHD
(347848-X)

III. ACADEMIC QUALIFICATION

Please attach “Certified True Copy of Certificates & Transcripts” (PHD/Master/Degree/ Diploma
Certificate, etc)”
PLACE/
QUALIFICATION INSTITUTION / UNIVERSITY YEAR
COUNTRY

NOTE: If sponsored by PETRONAS during study period, please answer the following, if not continue to

a) State period of sponsorship _______________________________________________________________

b) Reason(s) for not being employed by PETRONAS _____________________________________________

________________________________________________________________________________________

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 APPLICATION FORM

PETRONAS TECHNICAL SERVICES SDN BHD

PETRONAS TECHNICAL
SERVICES SDN BHD
(347848-X)

IV. PRESENT AND PREVIOUS EMPLOYMENT

EMPLOYMENT
COMPANY POSITION PERIOD SALARY STATUS
NAME (AMOUNT) (PERMANENT/
From To Duration USD RM CONTRACT)

a) If you have worked in PETRONAS GROUP, please state the reasons why you resigned:

________________________________________________________________________________________

_________________________________________________________________________________________

b) State the reasons for applying a new job:

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

V. REMUNERATION
AMOUNT REMARKS
ITEM COMPANY
USD RM

LAST DRAWN SALARY

BASIC SALARY EXPEXTED

NOTE: Copy of the Latest Three (3) Months Pay slip Must Be Attached

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 APPLICATION FORM

PETRONAS TECHNICAL SERVICES SDN BHD

PETRONAS TECHNICAL
SERVICES SDN BHD
(347848-X)

VI. FAMILY DETAILS (SPOUSE & CHILDREN)

WORKING IN
DATE OF STUDY/
NAME RELATIONSHIP PETRONAS
BIRTH OCCUPATION
(Please state Dept/OPU)

VII. IF OFFER AN EMPLOYMENT:

1. Earliest date to report duty: ___________________________________________

Reason: ______________________________________________________

2. For Non-Malaysian Only:

a) Indicate your marital status:

i) Single: ii) Married Unaccompanied: iii) Married Accompanied

b) If you are also a permanent resident of other country, state your preference for Annual Home

Leave:

i) Country of Origin: ii) Country of Permanent Residency:

If you chose b (ii) above, state

i) Reason: _____________________________________________________________

ii) Address (in full) :___________________________________________________________

_____________________________________________________________

_____________________________________________________________

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 APPLICATION FORM

PETRONAS TECHNICAL SERVICES SDN BHD

PETRONAS TECHNICAL
SERVICES SDN BHD
(347848-X)

VIII. DECLARATION

1. Do you have any relative(s)*, either by blood, marriage or adoption who is/are currently employed
by PETRONAS and/or its group of companies?

YES NO

If ‘YES’, kindly list their particulars :

Name Relation to You Company Employed

Relative(s) include spouse(s), parents, parents-in-law, siblings, siblings-in-law, aunties, uncles, nieces, nephews, first
cousins and fiancée/ fiancé

2. Have you been declared a bankrupt?

YES NO

If ‘YES’, please state the year of bankruptcy declared upon you : _________________________

VIX. REFERENCES
NAME: _________________________________ NAME: ________________________________

DESIGNATION: __________________________ DESIGNATION: _________________________

COMPANY : _____________________________ COMPANY: ____________________________

ADDRESS: ______________________________ ADDRESS:_____________________________

TELEPHONE : ___________________________ TELEPHONE : __________________________

E-MAIL : ________________________________ E-MAIL : ______________________________

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 APPLICATION FORM

PETRONAS TECHNICAL SERVICES SDN BHD

PETRONAS TECHNICAL
SERVICES SDN BHD
(347848-X)

DECLARATION:

1. I hereby declare that the information I have provided above is true and:-

1.1 I agree to give PETRONAS the authority to investigate any doubtful information that I have
provided, if I am considered for a position in PETRONAS;

1.2 I understand that false or purposely omitted information in this form is reasonable enough
for PETRONAS to revoke the offer of employment or in the event if I have been offered, to
dismiss me from employment;

1.3 I also understand that any employment offered herewith is subject to me:-

a. be certified as medically fit by a qualified medical practitioner acceptable to the

Company for the purpose of employment.
b. obtaining the necessary work permit as required by the Malaysian Governmental
Authorities.

2. I hereby declare that :

2.1 I have never been convicted of any criminal offense and / or been declared bankrupt in any
country.

2.2 I have never directly or indirectly involved in the usage and/or sale and/or addiction of
drugs.

SIGNATURE OF APPLICANT : ___________________________________

NAME OF APPLICANT : ___________________________________

DATE : ___________________________________

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