Application No		Date Applied
Position Applied For:	--- select anyone --- MD Chief Executive Officer (CEO) Driver Engineer General Manager Executive Japanese Line Leader Manager Officer Operator Security Guard Senior Clerk Senior Engineer Senior Executive Senior L/Leader Supervisor Technician Vice General Manager Asst Technician Asst Engineer Clerk Cleaner Asst Line Leader Asst Manager Asst Officer Asst Supervisor Senior Supervisor Senior Manager Senior Technician Warden Receiptionist Senior Officer Shift Leader System Administrator Personal Assistant Welder Senior Welder Senior Warden Programmer Expatriate Manager Senior Manager-(COO Production Control) Senior Manager-(COO Facility / Prev.Maintenance) Senior Manager-(COO Indirect Operation) Deputy General Manager Duty Officer Assistance Store Keeper Tech Grd.1 Supervisor Grd 1 Senior Officer Engineer Grd 1 Engineer Grd 3 Sr.Shift Leader Clerk Grade 1 OFF GRD 3 OFFICER GRD 1 Exective Grd 1 Enginer Grd 2 Tech Grd 3 Supervisor Grd 2 Technical Operator officer Grd 2 Executive Grd 2 Plant Manager Supervisor Grd 3 Tech Grd 2 Forklift Driver Senior Manager-(COO Production) General Manager (COO) Technical Assistant Store keeper	Name
I/C New No.		I/C Old No.
Address		Hand Phone
Personal Particulars
I/C Colour	--- select anyone --- Blue Red	Sex	--- select anyone --- Male Female
Residence Phone		Nationality	Select Nationality MALAYSIAN INDIAN JAPANESE PAKISTAN INDONESIAN NEPALESE BANGLADESH OTHERS
EPF No.		SOCSO No.
Tax No.		Date Of Birth
Age		Language Spoken
Race	Select Race BANGLADESH INDIAN MALAY CHINESE IBAN INDONESIAN NEPALESE PAKISTAN JAPANESE PORTUGUSE	Religion	Select Religion ISLAM HINDU BUDDHA CHINESE CHRISTINE
Marital Status	--- select anyone --- Married Single Divorced	Country	--- select anyone --- Afghanistan Albania Algeria Andorra Angola Antigua Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Croatia Cuba Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts Saint Lucia Saint Vincent Samoa San Marino Sao Tome Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Western Sahara Yemen Zambia Zimbabwe
Blood Group

IF Single
Relationship	--- select anyone --- Father Mother Guardian	Name
I/C Old No.		I/C New No.
Age		Occupation
Company/School		Phone
IF Married
Husband's/Wife Name		Age
I/C Old No.		I/C New No.
Children Name 1		Age
Children Name 2		Age
Children Name 3		Age
Children Name 4		Age
Children Name 5		Age

Education
Level	Name of school/Institution	Grade	Join Date	Left Date
Primary
Secondary
College/University/Others
Additional Certificate
Sports Activities

Work Experience
Company Name	Tel. No.	Date	Job Title	Duties	Last Salary	Reason For Leaving

Additional Information
Any Serious illness previouly in the Last 5 Years	--select-- Yes No	If Yes,Please Specify
Do you wear glasses?	--select-- Yes No	Vision	--select-- Normal Near Sighted Far Sighted Colour Blind
Do you agree to work shift?	--select-- Yes No	Are You perganant?	--select-- Yes No
Do you own any form of transport?	--select-- Yes No	If Yes?	--select-- Car Motorbike
Have you ever been dismissed or suspended from work?	--select-- Yes No	If Yes,Please Specify
Have you ever been charged or convicted in any court of law?	--select-- Yes No	If Yes,Please Specify
Have you ever applied or worked for MARUWA before?	--select-- Yes No	If you have relatives or friends employed in MARUWA?	--select-- Yes No
Name		Department
Do you have any friend to introduce to MARUWA?	--select-- Yes No	How do you know vacancies in MARUWA?	--- select --- Banner Friend Poster Bus Driver Maruwa Employee Others
Uniform Size	Shirt S M L XL XXL XXXXL Trouser S M L XL XXL XXXXL Shoe 32 33 34 35 36 37 38 39 40 41 42 43 44	Do You take or involved in prohibited drugs?	--select-- Yes No
Do You Smoke?	--select-- Yes No	How Many ?

Reference 1
Name		Company
Designation		Telephone No.
Address
Reference 2
Name		Company
Designation		Telephone No.
Address

Declaration

I hereby declare that the information is true and correct and if any false declaration is made by me,my contact of service shall be terminated without notice.If i am appointed for the job,I will report for duty on the stipulated date. I will inform in advance if i can't start on the agreed date.

Date		Applicant's Signature :