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EMPLOYMENT APPLICATION FORM

IMPORTANT NOTE: CTC GLOBAL respects your privacy and will only use the
information collected for the purpose of recruitment and employment in CTC. CTC
will not disclose this information or use this information for any other purpose. This
Employment Application Form will be destroyed within twelve (12) months unless PHOTOGRAPH
your application is successful and you are or will be employed by CTC.

POSITION APPLIED FOR:

HOW DO YOU LEARN ABOUT THIS POSITION?

1. Employee Referral (please provide name of employee and his / her work location) : _______________
2. 3rd Party Agency (please provide name of the 3rd party agency) : ______________________________
3. Direct (please circle the appropriate one) : Newspaper; Career Portal; self-nominate to our managers / HR/
Recruiters)
4. Internet (please provide website address) : __________________________
5. Others (please specify ) : _________________________________________

PERSONAL PARTICULARS (in BLOCK letters)


Full Name (as in NRIC):

Permanent Address: Mailing/Current Address:


(if differ from Permanent Address)

Telephone No.: Date of Birth: (dd/mm/yyyy)

Home:
Nationality: Sex: *
Office: Male
Female
Handphone:
Religion: Age:
Email:

New NRIC No.: Old NRIC No.:

Passport No. (for foreigner):

Languages Spoken: *
English Mandarin Bahasa Malaysia Tamil Others (specify)

Languages Written: *
English Chinese Bahasa Malaysia Tamil Others (specify)

Race: *
Chinese Malay Indian Others (specify)

Marital Status: *
Single Married Widow/Widower Divorced

EPF No: SOCSO No: Income Tax No:


* (Please X which applicable)

CTC GLOBAL Sdn. Bhd. Page 1 of 5


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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 which applicable)

Public Motorcycle Own Car Others (specify)


Vehicle

EMERGENCY NOTIFICATION
Contact Person: Contact Number:

Relationship:

Address:

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

New NRIC No. /


Passport No.(for foreigner):

Date of Birth: (dd/mm/yyyy)

Occupation:

Name of Employer:

Office Telephone No.: Number of Children:

CTC GLOBAL Sdn. Bhd. Page 2 of 5


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Please give details of your family (parents, brothers, sisters and children)

Full Name as in NRIC NRIC No DOB Relationship Occupation Employer


(only for children)

EDUCATION
From To Highest Qualification
Educational Institutions
(year) (year) Obtained(Please include major)
Secondary School

College / University

Professional Qualification / Certification Year

Other extra curriculum (Activities) Position Held

1.

2.

3.

CTC GLOBAL Sdn. Bhd. Page 3 of 5


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EMPLOYMENT HISTORY

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

Position Held :

Reason for Last Drawn R


Leaving : Salary : M
Allowances (if R
any): M

PREVIOUS EMPLOYMENT (start from the most recent)


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

Position Held :

Reason for Last Drawn R


Leaving : Salary : M
Allowances (if R
any): M

Date: From (mm/yyyy) to


(mm/yyyy)
Name of
Employer : to

Position Held :

Reason for Last Drawn R


Leaving : Salary : M
Allowances (if R
any): M

EXPECTED SALARY : RM PER MONTH

CTC GLOBAL Sdn. Bhd. Page 4 of 5


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OTHER INFORMATION
1. Do you have any relative(s) working in the CSC, CTC or related companies? *
* If yes, please provide name(s), designation and department: Yes No

2. Have you previously applied to CSC Malaysia, CTC? *


*If yes, please state when: Yes No

3. Have you ever worked with CSC before in any capacity?


Yes No
4. Do you hold any directorship in any company? *
* If yes, please provide company name(s): Yes No
5. Have you ever been made a Bankrupt? *
* If yes, have you been discharged? Yes No Yes No

6. Have you ever at any time been convicted or found guilty of an offence by any court? *
*If yes, please state when: Yes No
7. Have you ever at any time been convicted or arrested for any crime? *
*If yes, please state when: Yes No
8. Are you bound by any bond to serve any government, statutory board or organization?
Yes No
9. Have you ever been dismissed from any position?
Yes No

10. Have you had any serious illness?


Yes No
11. Do you suffer from any disability/handicap?
Yes No
12. Please state the date available if offered employment by our organization.

CHARACTER REFEREES : Name two persons (must be your former reporting manager or client)
Full Name: Tel. No.:

Occupation: Relationship: Years known:

Address:

Full Name: Tel. No.:

Occupation: Relationship: Years known:

Address:

DECLARATION

I ___________________________________________________________________, with Identification/Passport no. _________________ hereby


declare that all the information provided in this Employment Application Form is to the best of my knowledge and belief, true and correct. I
understand and agree that CTC may process my data in accordance with applicable local laws and that CTC may transfer my data to other CTC
locations worldwide (subject to applicable laws). I hereby consent to and authorize CTC to perform reference checks/criminal checks on my
employment background (including education qualifications, professional certifications and remuneration packages) with my previous employers
and other professional bodies (where applicable) and to the disclosure of my personal data to such organizations/persons. All information provided
on this application form and attached CV must be complete, true, correct and to the best of your knowledge. Should any of the declared
information be found to be false or not declared/disclosed , you shall be liable for disqualification or dismissal, if appointed, and the willful
suppression of any material fact will be similarly penalized. Any appointments/contract of employment, shall be regarded as null and void and the
company reserves the right to recover the value of any salaries, benefits, and payments made to you during this period.

Signature of Applicant Date

CTC GLOBAL Sdn. Bhd. Page 5 of 5


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