TEQUILA-MYALO\Malaysia Employment Application Form

ALL FIELDS MARKED WITH A "*" ARE MANDATORY

Position Applied For:

Name: *

Home Address: *

Office Tel :

Home Tel:

Mobile: *

Email: *

Date of Birth:

New I/C or Passport:

Gender: *

MaleFemale

Race: *

Old I/C No.:

Marital Status:

Nationality: *

Malaysian
Non-Malaysian

EDUCATION

Name of School/College/University

Highest Level Achieved

Year Achieved

1. *

WORK EXPERIENCE (Current or most recent first, followed by last two employers)

Name of Company	Position Held	Date From	Date To
1.		-	-
2.		-	-
3.		-	-

REFERENCES (If you have previous work experience, please include one of your past employers as a referee. A reference check will be conducted prior to any offer or employment.)

Name of Referee

Company where referee
is working

Relationship

No. of years known

Contact No.

Current Salary per month:

Expected Salary: *

Notice period required by current employer:

(months)

Have you ever been convicted of any criminal offence? *

YesNo

Do you have any interest/shareholdings/hold any directorship in any other competitive marketing communication agencies? *

YesNo

Please Note: By clicking the submit button, you hereby confirm that the above information is true and correct.