WESTPORTS MALAYSIA SDN BHD

PO BOX 266
PULAU INDAH
42009 PORT KLANG
SELANGOR DARUL EHSAN, MALAYSIA

Name : _________________________

Staff No : _________________________

Date : _________________________

Please fill up the employee details form and attached the photocopies of the following
documents and return the completed form to the Human Resources Department, Level
5,Tower Block Westport.

1. Marriage Certificate

2. Spouse Identity Card

3. Child Birth Certificate

Reminder Please return the form and the attachments as per the stated date.

Thank You.

Human Resource Department

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A. EMPLOYEE DETAILS

Staff No:

Employee Name

Department

Section

Position

B. PERSONAL DETAILS
E-mail

Handphone NRIC Colour

Passport No.

Old NRIC
Passport No .

New NRIC

Bumi Status Yes No Marital Status Widowed Single Married Divorced

Race

Religion

Date of Birth (DD/MM/YYYY)

Sex Male Female

WESTPORTS Forms Employee Details Confidential

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C. PERSONAL DETAILS

Mailing Address

Post Code

City

Country

Telephone

Fax

Income Tax Number

SOCSO Number

Epf Number

SPF Number

WESTPORTS Forms Employee Details Confidential

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D. SPOUSE DETAILS
Spouse Name

If more than one (1) current wife, please indicate Legal Rank :

1 2 3 4 Children Tax Relief Yes No

Working Indicator Yes No Westport Employee Yes No

If Yes, please indicate staff no

Medical Yes No
Entitlement

GHIS Scheme Yes No

GHIS Coverage Date From Date To

Period

Date of Birth (DD/MM/YYYY)

Old
NRIC

New
NRIC

Occupation

Employer

Telephone

Income Tax
Number

EPF Number

Note : If you have more than 1 spouse, please make copies f this sheet before entering the information

WESTPORTS Forms Employee Details Confidential

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E. CHILDREN DETAILS
Childs Name

NRIC or
Birth Cert. Number

Date of Birth (DD/MM/YYYY)

Occupation

Sex Male Female Handicapped Yes No

Tax Deductable Yes No GHIS Scheme Yes No

Westport Baby
Allowance 1 Yes No Date Taken

Westport Baby
Allowance 2 Yes No Date Taken

Note : If you have more than 1 child, please make copies of this sheet before entering the
information.

WESTPORTS Forms Employee Details Confidential

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