CSC Malaysia Sdn Bhd CSC Private

Ed4/Issue6/Dec08
APPLICATION FOR EMPLOYMENT Page 1 of 6

POSITION APPLIED FOR: Service Desk Analyst Recent

Photo

PERSONAL PARTICULARS (in BLOCK letters)

Full Name (as in NRIC): Hameedur Rahman

Permanent Address: Mailing/Current Address:

(if differ from Permanent Address)
House No.49, Street No. 49, G-11/2, Islamabad-
Pakistan C2-0-9 Cyberia Condo, Cyberjaya, 63000 Selangor,
Malaysia

Telephone No.:       Date of Birth: (dd/mmm/yyyy) 29/Sep/1987

Home:      
Nationality: Pakistani Sex:
Male
Office:      
Female
Handphone: +60133899038 Religion: Islam Age: 23

Email: herorahman771@gmail.com

NRIC No.:
New: AH9157221 Old:      
Languages Spoken: (Please X whichever is applicable)

English Mandarin Bahasa Tamil Others (specify)      

Malaysia
Languages Written: (Please X whichever is applicable)

English Chinese Bahasa Tamil Others (specify)        

Malaysia  
Race: (Please X whichever is applicable)

Chinese Malay Indian Others (specify) Pakistani

Marital Status: (Please X whichever is applicable)

Single Married Widow/Widower Divorced

EPF No:      
Income Tax No:      

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Bank Account No:      

Bank Name: Maybank

I hereby consent to my monthly salary to be credited to this bank account upon employment.

Means of Transport to Office: (Please X whichever is applicable)

Public Motorcycle Own Car Others (specify)      

Vehicle

EMERGENCY NOTIFICATION
Contact Mr.Hukam Khan Contact +92-51-2213348
Person: Number:
Relationship: Father

Address: House No.49, Street No.49, G-11/2, Islamabad- Pakistan

     

     

FAMILY DETAILS
Name of Spouse as per NRIC (if married):      

Occupation:      

Name of Employer:      

Office Telephone       Number of      

No.: Children:

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Please give details of your family (parents, brothers, sisters and children)
NRIC No DOB Occupation
Full Name as in NRIC Relationship Employer
(only for children)
Mr.Hukam Khan       11/11/1 Father EX- High
948 Ambassador Commission
of
Pakistan,Mala
ysia
Mrs.Khan             Mother HouseWife      

                                   

                                   

                                   

EDUCATION
From To
Educational Institutions Highest Qualification Obtained
(year) (year)
Secondary School
                       
                       
College / University
Nottingham University, Malaysia 2010 2012 MBA-Finance &
Marketing
Limkokwing University of Creative 2007 2010 BSC(Hons)Software
Technology Engineering With
Multimedia

Professional Qualification / Certification Year

Mobile software and hardware repairing (Nation Training Board
[NTB])
2006
QT Mobile Developers(Nokia Singapore) 2009
Foundation in IT architecture (International Association of Software
Architects [IASA])
2010

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Other extra curriculum (Activities) Position Held

1s
1. Nokia Widget Competation 2009 t Winnwe

2. Cyberjaya Paintball Champianship League 2010 Runner Up

3. Wrestling (Under19)2005-2006 Runner Up

4. Cricket fastest Bowling Champianship-Malaysia 2008-2009 3rd

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EMPLOYMENT HISTORY

CURRENT EMPLOYMENT
Date: From (mm/yyyy) to (mm/yyyy)
Name of Employer :      
           
to
Position Held :      

Reason for Leaving :       Last Drawn Salary : RM      

      Allowances (if any): RM      

PREVIOUS EMPLOYMENT (start from the most recent)

Date: From (mm/yyyy) to (mm/yyyy)
Name of Employer :      
           
to
Position Held :      

Reason for Leaving :       Last Drawn Salary : RM      

      Allowances (if any): RM      

Date: From (mm/yyyy) to (mm/yyyy)

Name of Employer :      
           
to
Position Held :      

Reason for Leaving :       Last Drawn Salary : RM      

      Allowances (if any): RM      

EXPECTED SALARY : RM       PER MONTH

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OTHER INFORMATION
1. Do you have a contractual commitment which would require you to make *
payment to another party if you join us (i.e. bond)? Yes No
*If yes, specify details:

2. Have you ever been dismissed from a job? *

*If yes, specify details: Yes No

3. Do you have any physical defects or major illness? *

*If yes, specify details: Yes No

4. Have you ever been convicted of any crime or subject to any civil or criminal *
litigation, whether past or pending? Yes No
*If yes, specify details:

5. Have you previously applied to CSC? *

*If yes, state office & date: Yes No

6. Have you been declared a bankrupt?

Yes No
7. Please name anyone in CSC that you know (including your relationship to the person).
     
8. Please state the date available if offered employment by our organization.
End of October 2010

CHARACTER REFEREES : Name two persons (must not be your relatives)

Full Name: Pn.Zarina Mobarak Tel. No.: +60- 12- 2149609

Occupation: Regional Director Relationship: Aunty Years known: 4 years

Address: Beaconhouse Malaysia Sdn. Bhd,1098 Jalan Jejarum Off Jalan SS 23/6,Taman SEA, 47400 Petaling
Jaya
Selangor, Malaysia
Full Name: Mr.Hukam Khan Tel. No.: +92-331-5448643

Occupation: Admin Attache Relationship: Father Years known: 23

Address: Ministry of Foriegn Affairs,Pakistan

DECLARATION
I declare that the information provided is true and correct and I have not knowingly omitted any
related information of an adverse nature. I understand that, if employed, false statements on this
application shall be considered sufficient cause for immediate dismissal.

     
Signature of Applicant Date

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