APPLICATION FOR INTERNSHIP

1. Complete this form in BLOCK LETTERS.

2. All sections are to be filled and where applicable, circle mark off opposite or state NIL.
INTERNSHIP APPLIED FOR :
ALLOWANCE EXPECTED :
INTERNSHIP PERIOD :

WEEKS

FROM:

TO:

PERSONAL PARTICULARS
FULL NAME
(According to NRIC/Passport
and underline surname)

PERMANENT ADDRESS

TEL. (House)
(Office)
(Hp)

MAILING ADDRESS

TEL.

(If different from above)

MARITAL STATUS
DATE OF BIRTH
RELIGION
NRIC/PASSPORT NO.
NO. OF CHILDREN

NATIONALITY
PLACE OF BIRTH
WEIGHT
SPOUSE NAME
OCCUPATION

SEX
RACE
HEIGHT

EDUCATION (Please state with most recent qualification)

NAME OF SCHOOL

YEAR FROM / TO

QUALIFICATION OBTAINED

LANGUAGE ABILITY (Both spoken and written, indicating where necessary)

GOOD
ENGLISH
MANDARIN
MALAY
OTHERS (Please specify)

FAIR

WORKING EXPERIENCE (begin with the present or most recent employment)

NAME OF COMPANY

NATURE OF BUSINESS

FROM/TO

POSITION HELD

1
STATE RESPONSIBILITIES
REASON FOR LEAVING

2
STATE RESPONSIBILITIES
REASON FOR LEAVING

3
STATE RESPONSIBILITIES
REASON FOR LEAVING

4
STATE RESPONSIBILITIES
REASON FOR LEAVING

OTHER SKILLS (please state extent of skill - good /fair/poor/speed

COMPUTER
(state program used)

TYPING SKILLS
SHORTHAND
OTHERS
(Please specify)

REFERENCES (these ought to be people , and not family, that may approach directly)
NAME

OCCUPATION

CONTACT

FAMILY PARTICULARS (please state clearly the full particular of your immediate family)
NAME

RELATIONSHIP

OCCUPATION

In the event of emergency, please state the name and contact of the person the company may notify
NAME
ADDRESS

RELATIONSHIP

TEL NO.

Please answer the following questions

YES

NO

If YES, please elaborate

1. Do you have any illness, physical detect

or handicaps?
2. Have you ever been convicted of any
criminal offences?
3. May enquiries be made to your present/
previous employment?
4. Do you any military obligation?
5. Are you pregnant presently? (for females
only)
6. Do you own a vehicle?
7. Do you hold a driving licence?
8. What type of driving licence?
9. What is your life goal & target?

10. What can you provide for the company?

11. What do you want to achieve in the company?

DECLARATION
I hereby declare that to the best of my knowledge and belief, the information given in this application is correct. I also
understand that if it is subsequently disclosed that I have given incorrect information or withheld information, my application
will be disqualified or if I have been appointed, the company may terminate my employment without any prior notice.
I hereby consent to your Company keeping my personal data under the Personal Data Protection Act 2010.

__________________________________
SIGNATURE OF APPLICANT
DATE:

SC 007 HR

Attach Photo

PHOTO / IC

N OBTAINED

POOR

SALARY DRAWN

YEARS KNOWN

AGE