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Application Form

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EMPLOYMENT RECORD
APPLICATION FOR EMPLOYMENT
NAME OF PRESENT EMPLOYER COMPANY :
Freescale
Semiconductor
Malaysia
Sdn Bhd (12631D)
NXP Malaysia
Sdn Bhd | Reg
No : 197201001019
(12632D)
DATE STARTED (MTH/YR) : DATE LEFT (MTH/YR) :
PROFESSIONAL/SOCIAL NETWORKS
CAREER FAIR
REFERRAL, REFERRED BY
FREESCALE WEBSITE
JOBSTREET OR OTHER JOB BOARD
PRESENT BASIC SALARY :
RM $
RM $
PER MTH
EMPLOYER BEFORE THAT :
DATE STARTED (MTH/YR) : DATE LEFT (MTH/YR) :
I/C NO (NEW):
CITIZENSHIP :
PASPORT NO. :
MALAYSIAN
COLOR :
OTHER
(NON-MALAYSIAN)
EMAIL ADDRESS
PER MTH
SUPERVISOR'S NAME AND PHONE NO :
EMPLOYER'S COMPANY'S ADDRESS AND PHONE NO :
BASIC SALARY AT START :
PRESENT BASIC SALARY :
RM $
RM $
PER MTH
REASONS FOR LEAVING :
TEL NO (H) :
TEL NO (H/P) :
EMPLOYER BEFORE THAT :
TYPE OF BUSINESS :
JOB POSITION :
PER MTH
SUPERVISOR'S NAME AND PHONE NO :
EMPLOYER'S COMPANY'S ADDRES S AND PHONE NO :
TYPE OF BUSINESS :
(FULL ADDRESS WITH POSTCODE):
DATE STARTED (MTH/YR) : DATE LEFT (MTH/YR) :
(FULL ADDRESS WITH POSTCODE):
BASIC SALARY AT START :
PRESENT BASIC SALARY :
RM $
RM $
PER MTH
REASONS FOR LEAVING :
WORK AT MOTOROLA/FREESCALE/NXP BEFORE? : WHICH SITE/LOCATION? :
YES
JOB POSITION :
OTHERS. PLEASE SPECIFY
FULL NAME (AS SHOWN ON I/C):
CURRENT ADDRESS
BASIC SALARY AT START :
REASONS FOR LEAVING :
PERSONAL DATA
PERMANENT ADDRESS
TYPE OF BUSINESS :
PASSPORT SIZE
PHOTO HERE
(COLORED)
POSITION APPLIED :
HOW YOU KNOW ABOUT THIS JOB :
CHOICES :
ADVERTISEMENT :
EMPLOYER'S COMPANY'S ADDRESS AND PHONE NO :
NO
LAST YEAR WORK :
CID# :
NAME OF PERSON TO NOTIFY IN CASE OF EMERGENCY :
1
2
PHONE NUMBER :
Have you been found guilty in any COURT OF LAW or detained under any written laws?
NO (if Yes, please give details)
Are you bonded by any government/corporate scholarship?
YES
PHONE NO :
RELATIONSHIP :
NAME AND ADDRESS OF SCHOOL
CERT / DIP / DEGREE
(STUDY MAJOR)
NO (if Yes, please give details)
EXPECTED SALARY :
EDUCATION RECORD
TYPE OF SCHOOL
SUPERVISOR'S NAME AND PHONE NO :
OTHER INFORMATION
YES
FRIENDS OR RELATIVES NAME WORKING AT FREESCALE/NXP :
PER MTH
POSITION HELD :
RELATIONSHIP :
ADDRESS (FULL ADDRESS WITH POSTCODE):
JOB POSITION :
ATTENDED DATE
FROM - TO
ACQUIRED
DATE
(mm/yy)
(as shown on
certificate)
(dd/mm/yy)
1.
NOTICE PERIOD :
DATE AVAILABLE
FOR EMPLOYMENT :
REFERENCES
:
LIST 2 (TWO) CHARACTER
& WORK RELATED INFORMATION REFERENCES :
NAME
ADDRESS
TEL. NO.
POSITION
1
SECONDARY
2.
1.
COLLEGE /
UNIVERSITY
PROFESSIONAL
QUALIFICATION
2
INSTRUCTIONS:
2.
I HEREBY DECLARE THAT ALL INFORMATION PROVIDED IS TRUE. I UNDERSTAND THAT IN THE EVENT THAT ANY OF THE ABOVE STATEMENT IS FOUND TO BE
UNTRUE, I AM LIABLE FOR IMMEDIATE DISMISSAL.
1.
2.
ARE YOU CURRENTLY A STUDENT:
LANGUAGE SPOKEN :
ENGLISH
MALAY
PLEASE REVIEW YOUR APPLICATION. ANSWER ALL PERTINENT QUESTIONS COMPLETELY. A COMPLETED APPLICATION IS NECESSARY TO QUALIFY FOR
EMPLOYMENT. READ THE FOLLOWING STATEMENT AND BE SURE TO SIGN YOUR NAME AND DATE BELOW.
CHINESE
OTHER
CHINESE
OTHER
YES
I UNDERSTAND AND AGREE THAT MY PERSONAL DATA, INCLUDING SENSITIVE PERSONAL DATA, MAY BE USED FOR ALL HUMAN CAPITAL RELATED
PURPOSES IN ORDER FOR THE COMPANY TO CONSIDER MAKING AN OFFER OF EMPLOYMENT TO ME.
I FURTHER UNDERSTAND AND
AGREE THAT MY PERSONAL DATA, INCLUDING SENSITIVE PERSONAL DATA, MAY BE DISCLOSED TO THIRD PARTIES TO VERIFY AND/OR
OBTAIN ADDITIONAL INFORMATION INCLUDING EDUCATION, INSTITUTIONS, CURRENT/PREVIOUS EMPLOYERS AND CREDIT REFERENCE AGENCIES.
NO
LANGUAGE WRITTEN :
ENGLISH
MALAY
DATE :
IDL Revision 1.7 – 2015 Malaysia
IDL Revision 1.7 – 2015 Malaysia
Page 1 of 2
SIGNATURE :
Page 2 of 2
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