APPLICATION FOR EMPLOYMENT ________________________________________________________________________________ Privacy Notice Notis Privasi Please take note of the following: Sila ambil perhatian yang berikut:(1) the information collected in this application form including sensitive personal data* and any other information on you obtained from other available sources (collectively, ‘Personal Data’) shall only be used by HL Management Co Sdn Bhd (the ‘Company’) and the Hong Leong Group of companies (‘HL Companies’) (the Company and HL Companies shall hereinafter be collectively referred to as, the ‘Group’) to assess your suitability to assume the job duties of the position for which you have applied or for any other vacancies within the Group; maklumat yang dikumpul di dalam borang permohonan ini termasuk data peribadi sensitif* dan maklumat lain tentang anda yang diperolehi daripada sumber-sumber lain yang sedia ada (secara kolektif, "Data Peribadi") hanya boleh digunakan oleh HL Management Co Sdn Bhd (“Syarikat”) dan syarikat-syarikat dalam Kumpulan Hong Leong (“Syarikat-Syarikat HL”) (Syarikat dan Syarikat-Syarikat HL hendaklah kemudian daripada ini dirujuk secara kolektif sebagai, "Kumpulan") untuk menilai kesesuaian anda untuk mengambil alih tugas-tugas jawatan yang mana anda telah memohon atau untuk mana-mana jawatan kosong lain dalam Kumpulan; (2) failure to supply the Personal Data as requested will result in the Group being unable to process your employment applications; kegagalan untuk membekalkan Data Peribadi seperti yang diminta akan mengakibatkan Kumpulan tidak dapat memproses permohonan pekerjaan anda; (3) in the event that your application for employment is successful, the Group may require additional Personal Data to be collected from you from time to time throughout the period of your employment with the Group; sekiranya permohonan anda untuk mendapatkan pekerjaan berjaya, Kumpulan mungkin akan memerlukan maklumat Data Peribadi tambahan yang akan dikutip daripada anda dari semasa ke semasa sepanjang tempoh pekerjaan anda dalam Kumpulan; (4) in the event that your application for employment within the Group is successful, your Personal Data shall be used in accordance with the Hong Leong Group Employees Privacy Policy; sekiranya permohonan anda untuk mendapatkan pekerjaan dalam Kumpulan berjaya, Data Peribadi anda akan digunakan dengan selaras dengan Polisi Privasi Pekerja Kumpulan Hong Leong; (5) you may write to the Head, HR Services at Level 10, Wisma Hong Leong, 18 Jalan Perak, 50450 Kuala Lumpur or fax to 03-2713 2808 on the following matters:anda boleh menulis kepada Ketua Jabatan Perkhidmatan Sumber Manusia di Tingkat 10, Wisma Hong Leong, 18 Jalan Perak, 50450 Kuala Lumpur atau fax kepada 03-2713 2808 tentang perkara-perkara berikut:- (6) (a) to request for a copy of your Personal Data retained by the Group subject to payment of a reasonable fee for each data access request processed; untuk meminta sesalinan Data Peribadi anda yang disimpan oleh Kumpulan, tertakluk kepada pembayaran fi yang munasabah bagi setiap permintaan data akses yang diproses; (b) to request for correction of your Personal Data; untuk meminta pembetulan Data Peribadi anda; (c) any inquiries or complaints that you may have in respect of your Personal Data; and/or apa-apa pertanyaan atau aduan yang anda mungkin ada berkenaan dengan Data Peribadi anda; dan/atau (d) if you do not wish to allow the Group to proceed with the processing of your Personal Data or part thereof in this application form. (However, please take note of Item 2 above). jika anda tidak mahu Kumpulan meneruskan dengan pemprosesan Data Peribadi anda atau sebahagian daripadanya yang terkandung dalam borang permohonan ini. (Walau bagaimanapun, sila ambil perhatian Perkara 2 di atas). your Personal Data may be disclosed by the Group to the following parties:Data Peribadi anda mungkin akan didedahkan oleh Kumpulan kepada pihak-pihak berikut: (a) any of the companies within the Group for processing employment related applications and job placements; mana-mana syarikat dalam Kumpulan untuk memproses permohonan pekerjaan yang berkaitan dan penempatan pekerjaan; (b) your former employers, schools and references; and/or bekas majikan anda, sekolah-sekolah dan rujukan; dan/atau (c) any agencies, enforcement authorities and professional bodies, including but not limited to, credit reporting agencies, police, the road transport department, the Malaysian Bar Council for the purpose of conducting relevant background checks. mana-mana agensi, pihak berkuasa dan badan-badan profesional, termasuk tetapi tidak terhad kepada, agensi pelaporan kredit, polis, jabatan pengangkutan jalan, Majlis Peguam Malaysia bagi maksud menjalankan pemeriksaan latar belakang yang berkaitan. * ‘sensitive personal data’ means any personal data consisting of information as to your physical or mental health or your condition, your political opinions, your religious beliefs or other beliefs of a similar nature, the commission or alleged commission by you of any offence or any other personal data determined as such under the Personal Data Protection Act 2010. * 'data peribadi sensitif' ertinya apa-apa data peribadi yang mengandungi maklumat tentang kesihatan atau keadaan fizikal atau mental anda, pendapat politik anda, kepercayaan agama anda atau kepercayaan lain yang bersifat seumpamanya, pelakuan atau pengataan pelakuan apa-apa kesalahan anda atau apa-apa data peribadi lain yang ditentukan sebagai sedemikian di bawah Akta Perlindungan Data Peribadi 2010. Page 1 of 6 ___________________________________________________________________________________ Please fill up this form legibly. All details MUST be provided. 1. POSITION APPLIED FOR : NAME OF COMPANY : EXPECTED SALARY : NOTICE PERIOD : Attach Photograph Here 2. PERSONAL PARTICULARS Full Name as per IC Preferred Name Correspondence Address Post Code Contact No. Home Address Post Code Contact No. E-mail Address Date of Birth Age Citizenship Marital Status Bumiputra (Y/N) (M=Married / S=Single / W=Widowed / D=Divorced) Race (M=Malay / C=Chinese / I=Indian / O=Others) Religion (I=Islam / B=Buddhism / H=Hinduism / C=Christianity / O=Others / NA=Not Applicable) IC No (New) (Old) Passport No. (non-citizens only) . 3. FAMILY PARTICULARS Spouse’s Full Name Citizenship Occupation Employer Father’s Full Name Occupation Mother’s Full Name Occupation Page 2 of 6 Gender (M/F) Please provide the following details of all your siblings and children Name Relationship Age 4. ACADEMIC AND PROFESSIONAL QUALIFICATION Certificate / Diploma / Name Of School / College / Degree / Professional University Qualification Attained Occupation Twinning / Distant Learning / Full Time 5. PROFESSIONAL MEMBERSHIP / LICENCE Please indicate professional body memberships / license Name Of Professional Bodies Type of Membership / License Name of Employer (if employed) Year Attained CGPA / Grade Year attained 6. LANGUAGE PROFICIENCY ‘WK’ for working knowledge and ‘F’ for fluent WK English F WK Others (please specify) Bahasa Malaysia 7. COMPUTER LITERACY Page 3 of 6 F Please indicate types of programme / software application Elementary Intermediate Advanced MS Word MS Excel MS PowerPoint Others (please specify) 8. PRESENT EMPLOYMENT Date Of Employment (For Company Use) Company’s Name & Address Position Held Starting Basic Salary Current Basic Salary Allowance / Incentive / Commission payable, if any Total Monthly Earnings (inclusive of allowance) 9. PAST EMPLOYMENT Dates From To Name Of Employer Position Held Basic Salary Starting Last Drawn Reason For Leaving 10. EXTRA CURRICULAR ACTIVITIES State participation in extra curricular activities, position of responsibility held, games played at school / university and hobbies School/University Hobbies 11. REFERENCES Page 4 of 6 Please list two (2) referees (preferably previous superiors) Name Relationship Occupation / Employer Contact No. Years Known 12. OTHER INFORMATION Have you a friend or relative working in the Hong Leong Group? YES NO (If yes, state name, relationship and in which company) ___________________________________________________________________________________________________ Have you applied to any of the Hong Leong Group of Companies before? YES NO (If yes, state position, date & name of company) ___________________________________________________________________________________________________ Have you been declared a bankrupt, charged in court and/or convicted YES NO in any criminal court of law? (If yes, please provide details) ___________________________________________________________________________________________________ Are you currently being investigated for fraud / corruption / civil case YES NO by the relevant authorities, ie MACC, police, etc? (If yes, please provide details) ___________________________________________________________________________________________________ Do you have any cases with the Labour Office / Industrial Relations Office / Court? YES NO (If yes, please provide details) ___________________________________________________________________________________________________ Do you have any active interest in any business undertaking, including YES NO family business, political involvement or any other part-time job(s)? (If yes, please provide details) ___________________________________________________________________________ Do you or your immediate family (spouse, parents and children) have YES NO any borrowings from Hong Leong Bank Berhad / Hong Leong Islamic Bank Berhad (If yes, please provide details) ___________________________________________________________________________ (Bank applicant only) 13. MEDICAL AND PHYSICAL CONDITION a. Have you suffered from or are you currently suffering from illness requiring YES NO regular medication? (If yes, please provide details) ________________________________________________________________________ __ b. Are you currently pregnant? YES NO (If yes, please provide details) _________________________________________________________________________ _ (Female applicant only) c. Are you suffering from any physical disabilities? YES NO (If yes, please provide details) ________________________________________________________________________ __ (1) I declare that the information given in this application is true and accurate. My employment may be based on receipt of satisfactory information from former employers, schools and other references. Enclosed are copies of my education / professional qualification certificate / diploma / degree and / or appropriate recommendation letters. If I am selected / employed, I will report to Human Resources Department the changes or additions taking place from time to time. I understand that any misrepresentation of facts given herein (including any uninformed changes) will be sufficient cause for denying employment or summary dismissal from the company’s services if I have been employed. (2) I authorise the Group to conduct relevant background checks (including but not limited to financial check), without liability, in consideration of my application for employment. Page 5 of 6 (3) I hereby further authorize the transfer of any of my Personal Data to any of the companies within the Group and understand that my Personal Data would be used for processing employment related applications and job placements. (4) I agree that if a suitable position is not presently available within the Group, the Group may retain my application and Personal Data for such period as the Group considers appropriate, in case a position that may be suitable later becomes available. (5) I hereby expressly consent to my Personal Data to be processed and used in the manner prescribed hereinabove. Date : ___________________________ Signature : __________________________ FOR COMPANY USE ONLY SOURCE OF REFERRAL : Newspaper / Company’s website / others (please specify) Interviewed By : …..…..………………………………………… Date: …………………………………………… Comments: …………………………………………………………………………………………………………………………… Further Interviewed By : …..…..………………………………… Date: ..……..…………………………………… Comments: …………………………………………………………………………………………………………………………… Status : Successful / KIV / Rejected Position Offered : Name of Company / Dept / Branch : Commencement Date : Salary : Grade : Recommended By : Approved By : .........................……...........………..……………......... (Signature) Name : Designation : Date : Remarks : ................................……....................... ..........................……...........…………………….………..... (Signature) Name : Designation : Date : Remarks : ...............................…………….................... Page 6 of 6