NCH CORPORATION (M) SDN BHD

APPLICATION FOR EMPLOYMENT

AN EQUAL OPPORTUNITY EMPLOYER
NCH believes that people are an integral part of the company that their economic and
personal growth is closely associated with the dynamics of the entire organization.
The stars of the Company are its sales people. Through in-the-field training, plus a regular
schedule of product seminars, aids the sales people in achieving their financial goals. The
successful sales person has an enviable position they earn an exceptionally high income
in a growth-career opportunity. They are strongly supported by a dynamic research and
development staff assuring their continued success through new product innovation.
We present a genuine challenge to those seeking financial success and personal
development
PHOTOGRAPH

POST APPLIED

_______________________________

DEPARTMENT

_______________________________

(A)

A recent passport
size photograph
which provides a
good likeness
of yourself

NAME & ADDRESS

Full Name

Chinese Character, if any:

Address
Contact Number

(B)

Email

Home

Office

Pager

Handphone

PERSONAL DETAILS

Marital Status

* Single/Married/Divorced/Widowed

NRIC No

Sex

* Female / Male

Passport No

Age

Nationality

Date of Birth

EPF No

Place of Birth

Income Tax No

Race

Height

Religion

Weight

* Pink / Blue
Date of Issue

Private & Confidential Page 1 of 5

(C)

FAMILY DETAILS
Name

(D)

Relationship

Age

Year
From

Highest Level
Attained

To

LANGUAGE / DIALECT
Languages /
Dialect

(F)

Company

EDUCATION DETAILS
Name of Schools
& Institutes Attended

(E)

Occupation

Spoken
Excellent

Well

Written
Fair

Excellent

Well

Comprehension
Fair

Excellent

Well

Fair

COMPUTER SKILLS
Excellent

Well

Fair

Private & Confidential Page 2 of 5

(G)

NATIONAL SERVICE
Appointment / Vocation

Rank

Unit

Period of Service
From

(H)

To

EMPLOYMENT HISTORY
Period
Name of Company

From

To

Position

Last Drawn
Basic Salary

Reason
For Leaving

If you are successful in this application,

What is the length of notice you are required to give
your present employer?

What salary do you expect?

Do you have any objection to reference being made to your

(a)
Past Employer
* Yes / No
(b)

Present Employer

* Yes / No

Private & Confidential Page 3 of 5

(I)

CHARACTER REFEREES (Current or Previous Employer)

Full Name

Full Name

Company

Company

Occupation

Occupation

Relationship

Relationship

Years Known

Years Known

Contact/ E-mail

Contact/ E-mail

(J)

EMERGENCY

In case of emergency / accident, please notify

Full Name

Relationship

Address

Contact Number
Singapore

Home

Office

Pager

Handphone

(K) MISCELLANEOUS
Do you have any illness or medical problems?
If yes, please give details.

* Yes / No

Have you ever been convicted of a criminal offence in court?

If yes, please give details.

* Yes / No

Do you have any friends / relatives in our employment?

If yes, please give details.

* Yes / No

Have you ever applied for a job position with the company?
If yes, please give details.

* Yes / No

Any other information which you wish to support this application?

(L)

DECLARATION

I hereby declare that every statement given by me in this form is true and correct and that I
have not wilfully suppressed any material fact. I also agree that if any false declaration is
made by me, my contract of service may be terminated forthwith without notice.

Private & Confidential Page 4 of 5

___________________________
Date

___________________________
Signature of Applicant

FOR HUMAN RESOURCE DEPARTMENT USE ONLY

Date of Commencement:

Position:

Basic Salary:

Department / Outlet:

Recruited By:

Remarks:

Approved By:

Private & Confidential Page 5 of 5