JOB APPLICATION

QA Engineer

JOB DETAIL
EMPLOYEE APPLICATION FORM
Position Applied For *
PERSONAL DATA
Photo *
Full Name as an NRIC *
Date of Birth *
Place of Birth *
Age *
Residential Address (with postcode) *
Contact No *
Home Address With Postcode (if different from above)
Tel No (if any)
Nationality
Race
Religion
NRIC No *
EPF No
SOCSO No
INCOME TAX No
EMERGENCY CONTACT
Name
Relation
Address
Tel No
FAMILY DETAILS
Marital Status
Wife's / Husband's Name
Wife's / Husband's Occupation
Age
Wife's / Husband's Employer And Address
Father Name
Age
Father Occupation
Employer
Mother Name
Age
Mother Occupation
Employer
No Of Brothers
No of Sisters
No of Sons
No of Daughters
HEALTH
Height
Weight
Sight
Hearing
Physical Disabilities Or Handicap, If Any (e.g. Lameness) Major Illness Or Accidents (If Any) Suffered, With Approximate Dates
EDUCATION DETAILS
Primary School
From (Year)
To (Year)
Exam Passed
Secondary School
From (Year)
To (Year)
Exam Passed
Upper Secondary School (if difference from above)
From (Year)
To (Year)
Exam Passed
Institute / University
From (Year)
To (Year)
Exam Passed
Institute / University (if more than one)
From (Year)
To (Year)
Exam Passed
Other Educational Detail (professional qualification) Detail Of Any Course Being Pursued At Present
Language (State whether Excellent, Good, Fair, Weak)
Language
Written
Spoken
EMPLOYMENT
Present Employer
Tel No
Date Employed
Position Held
Basic Salary Upon Joining
Present Basic Salary
Description Of Work
Reason Wanting To Leave Present Job Have You Any Objection To The Company Referring To Your Present Employer Before An Offer Of Emplyment Is Made?
Expected Salary
PAST EMPLOYERS
Name Of Company
Duration
Position Last Held
Last Drawn Salary
Reason For Leaving
EXTRA MURAL ACTIVITIES (SPORTS, GAMES, SOCIETY / ASSOCIATION / CLUB)
Item
At School
At University
At Present
Achievement
OTHER INFORMATION
Have You Applied Tp This Company Before? If So, Please State Date(s) And Position(s) Applied For Why Are You Seeking Employment With This Company? If Offered Employment When Could You Start Work? Will Do Shift Work Of You Were Offered Employment? Are You A Member Of Any Rgistered Trade Union? (if so, give details) Have You Ever Been Charged In Any Court Of Law? (if so, give details)
DECLARATION

I hereby declare that all the particulars given in this Application Form are, to the best of my knowledge and belief, true and correct. This delcaration shall, if i am employed, constitue an integral part of any contract of service between the company and myself. I understand and accept that if this declaration is in any part false or incorrect, the company reserves the right to terminate my services instantly.

Renesas Group

Renesas Semiconductor (Malaysia) Sdn. Bhd.
Renesas Semiconductor (Kedah) Sdn. Bhd.
Renesas Semiconductor Design (Malaysia) Sdn. Bhd.

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