PART TIMER APPLICATION FORM

Are you Malaysian *: Yes No

NAME AS PER IC *:

PREFERED NAME TO BE CALL *:

IC OR PASSPORT NUMBER *:

AGE *:

WEIGHT ( kg ) *:

HEIGHT ( cm ) *:

GENDER *: Male Female

EMAIL *:

CONTACT NUMBER 1 *:
Please input valid Contact Number : eg. +6016XXXXXXX

CONTACT NUMBER 2 :
Please input valid Contact Number : eg. +6016XXXXXXX

CORRESPONDENCE ADDRESS *:

RESIDENTIAL ADDRESS *:

LANGUAGES SPEAK *:
(ENGLISH, BM, MANDARIN, CANTONESE, HOKKIAN, HAKKA, OTHERS (PLEASE SPECIFY)

ARE YOU WORKING OR STUDYING CURRENTLY? WHERE? *:

YEAR OF WORKING OR STUDYING? *:

WORKING EXPERIENCE.Please list *

OTHER REMARKS, IF ANY

PHOTO (Max size: 4MB)*:

Important:
By submitting this application form, I hereby declare that all the information submitted are TRUE and CORRECT.

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