U Mobile:

Full Name (as per NRIC/Passport)

First Name

Last Name

Salutation

Preferred Name

Sample UM’s Email ID

.@u.com.my

Marital Status

Gender

NRIC or Passport

Nationality

Race

Personal Mobile No

Secondary Contact No

Date of Birth

Address 1

Address 2

City

Postcode

State

Country

Type	Field of Study	Name of School/Institution	Year Attended From	Year Attended To	Highest Level Obtained	CGPA

Certification Name	Date Obtain	Membership No	Membership Expiry

Date From	Date To	Name of Company	Industry	Position Held	Position Level	Reason of Leaving

Notice Period

Earliest Start Date

Current Salary (RM)

Ringgit Malaysia

Expected Salary (RM)

Ringgit Malaysia

Employer EPF Contribution

Bonus Contractual

Month(s)

Bonus Non Contractual

Month(s)

Type	Amount	Reimbursement / Fixed

How did you get to know this job?

Availability

1. Have you applied for a job with this company before? Were you successful in your application?

2. Do you have the right to work in the country where your intended position with the Company is located?

3. Have you ever worked as a Public Official? If yes, please state:

4. How did the Company come to know you? (If you were recommended, please provide the name of individual who made the recommendation, as well as his or her organization's name). Please state:

5. Are any of your immediate family members an employee of the Company? If yes, please name:

6. Have you ever been employed by or performed services for the Company? If yes, please explain.

7. Have you ever been terminated for misconduct from the service of any of your previous employers? If yes, please give details:

8. Have you ever been detained, arrested, investigated or convicted of any other crime in any country?

9. Are there any legal proceedings of this nature pending? If yes, please give details:

10. Have you been adjudicated a bankrupt before?

11. Are you facing any bankruptcy proceedings now?

12. Are you facing any proceedings in any civil suit?

13. Are you suffering from any physical impairment?

14. Have you been or are you suffering from any serious disease or ailment that had required or requires prolonged treatment? Please take note that serious ailment/disease refers to any sickness that requires prolonged treatment and includes ailments like TB, AIDS, hypertension, heart diseases, cancer, polio, migraine, asthma, etc.

Name	Company Name	Relationship	Years Known	Mobile No	Email

Step 1 of 2

Biodata & Contact Information

Correspondence Address

Highest Qualification

Certificate

Experience

Other Allowance

Additional Information

Additional Questions

Referees