10006/HRM/F2 (Rev.

11)

PRIVATE AND CONFIDENTIAL

APPLICATION FOR EMPLOYMENT

1.

This form is to be completed and signed by the applicant and returned with
two (2) coloured passport sized photographs.

2.

Copies of applicants identity card, birth certificates, all educational

certificates, testimonials and other documents should be attached to this
form.

3.

Any additional information should be written on supplementary sheets of

paper.

Photographs
of applicant
to be
attached

POSITION(S) APPLIED FOR:

1st Choice:

Highest Qualification:

2nd Choice (If Any):

Expected Salary:

State the source where you get information regarding this job vacancy?

PERSONAL DETAILS (WRITE IN FULL AND IN BLOCK LETTERS)

Name:

Date and country of birth:

Address:

Mobile no.:

Other Contact no.:

Identity Card
No. & Colour:

Gender:

E-Mail Address:
Religion:

Citizenship:
Race:

Marital Status:

Driving License:
YES ( )

NO (

Number of Siblings:

Sibling Ranking:

Fathers name:

Mothers Name:

Fathers Occupation & Name of Employer:

Mothers Occupation & Name of Employer:

IF MARRIED, STATE PARTICULARS OF SPOUSE AND CHILDREN

Name of spouse:

Citizenship:

I.C No. & Colour:

Occupation & Name of Employer:

Childrens Names

10006/F2(R11)

Date of birth

AUG 11

10006/HRM/F2 (Rev.11)

PRIVATE AND CONFIDENTIAL

ACADEMIC QUALIFICATION(S)
Year Attended
From
To

Name of College/University

Qualification Awarded

A Level

O Level
Name of School:

Name of College:

Subject

Grade

Other Qualification(s) or
Course(s) Attended

Year

Subject

Grade

Grade / Level
(if applicable)

Name of Institution

Year

Year

Language Proficiency (Please tick [] in the box provided)

SPOKEN

WRITTEN

10006/F2(R11)

Malay

Very Good

Good

Average

English

Very Good

Good

Average

Others. (Please State):

____________

Very Good

Good

Average

Malay

Very Good

Good

Average

English

Very Good

Good

Average

Others. (Please State):

____________

Very Good

Good

Average

AUG 11

10006/HRM/F2 (Rev.11)

PRIVATE AND CONFIDENTIAL

EMPLOYMENT HISTORY (Work Attachments, Part-Time and/or Full-Time)

Name of Employer /
Main responsibilities and reason for
Duration
Organisation / Position &
Salary

1.
Employer:

leaving

(Day/Month/Year)

From

To

Responsibilities:

Position:

Basic Salary:
Reason for Leaving:

Allowance:
2.
Employer:

From

To
Responsibilities:

Position:

Basic Salary:
Reason for Leaving:

Allowance:

3.
Employer:

From

To
Responsibilities:

Position:

Basic Salary:
Reason for Leaving:

Allowance:

4.
Employer:

From

To
Responsibilities:

Position:

Basic Salary:
Allowance:

Reason for Leaving:

[Please attached a separate sheet if given space is not sufficient]

10006/F2(R11)

AUG 11

10006/HRM/F2 (Rev.11)

PRIVATE AND CONFIDENTIAL

ADDITIONAL INFORMATION
Please tick () where appropriate:
1. Have you ever been convicted in a Court of Law in any country? If yes, provide details.
YES [ ]
NO [ ]
2. Do you suffer from any physical impairment or are you under any medical treatment? If yes,
provide details.
YES [ ]
NO [ ]
3. Have any disciplinary investigations / actions have been commenced or made against you in all of
your previous employments.
YES [ ]
NO [ ]
If yes please state reason for such action and the outcomes:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Please attached a separate sheet if given space is not sufficient]

4. Do you have any relatives and/or friends that are currently working for this company? If yes, state
their names and their relationship to you.
YES [ ]
NO [ ]
Name

Department

Relationship

1
2
5. Please provide details of your referees:
Name

Position

Organisation

Contact No.

1
2

DECLARATION AND SIGNATURE

I declare and certify that all the information given on this application form are complete and true
to the best of my knowledge, and acknowledge that if any information found to be untrue would
be sufficient grounds for dismissal from employment with this company. I also authorise this
company to verify the information given with the relevant persons or organisations.
...............................................
Signature

...............................
Date

FOR OFFICE USE:

Written test Date:

Interview Date:

Aptitude Test Date:

Remark:

The completed form should be returned to:

Human Resource Management (Recruitment)
DST Headquarters, Jalan Tungku Link, BE3619
Bandar Seri Begawan Negara Brunei Darussalam
10006/F2(R11)

AUG 11