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Harvey Nottnan = ELITETRAX MARKETING SDN BHD — EMPLOYMENT APPLICATION Pasion applied for: Frau Name (as peri - Peter Name lene apron en stom prefor nan) [er se tf on ac acto) feurent ress [Pace oraian [Date of inh awe Male J Female face ation Iatenaty Wrartal sian Single Nari / Divorced Widow fc Wo: Pace We mai [bank ATC. iF, vate Oring Liemsee Yes J No Frame of Sane Income Tax Wo. yes, Class fsauses Name Spouse's Occupation Iau Contact Naber [pause Emplayor W working) Tame OF caren ‘Gender ~Occpation? Epioyer Schoo Callas fathers Name [occupation Haters Name [occupation Tame OT Brats 7 Sars ‘Gecapation/ Employer Schaal Caeae University College’ Schoo! Education Level / Courses Taken Tiny eter education nvoemation er Poessional Course eg. Couses or studies curenty beng pursued) [CANGUAGE PROFICIENCY (Pease Wk (7) were appieabve ‘water Spake Languge/ Dialect Toene_[_fair [Sight | Foon [rat [Stare PS Present Employment Period [Emptover [at Drawn Salary From [To Postion [Reason for leaving ast Employment Period [Emptover [st Draw Salary From [To Postion [Reason for leaving Period ae From [To Position [Reason foc leaving Feriod——impiover [st ora Sane | From [To [Postion [Reason for leaving IF) OTHER INF Yer [No aire you pregnant tte tine of is aplation yes, please state the de dae: [Do you com a car motereyle? rave you ever been assed of pena by any preva EnpOye orareyouinanypecuiay debts ~ ferve you ever ben unr police wvesgnin, creed or cowie na Cou af aw nary couny ve you been deciored anu —— fs) 00 you have or had any physical er mental impairment, serous ailment or sabi? [nar you carey undergoing any ong tern medical reat [Are you wing to work shit hous - |) Have you ape for any job with is company before? lk) 0 you know anyone werking ints Company? yes, pease state Tis /her nave, losition, department and your elatonship with this person. Name Department rane [Rtatonship Please state at least 2 referees whem we can contact a this pint of time. Referees should not be a member ‘of your family or someone related to you and shoud preferably be a person holding a responsible position Including at east one who Is competent to speak abut your academic / working background. mame apa re Famer pap ova yer naw lasioersrone 8 orem rats [Beeaar rpm Fare Tare By soins tro, cciare ta hr tow nfrmation pen bye ue and conte Lunrstand htsymiendns Inert, fsteaton, wif son fice reson for refusal or amis rom mployet ato heey eho letra tating Sn tof tho acer bacarond checking on my porn and ps erloymen, ‘dual and pesaalfematon 5 pat ofthe enploment pees. Ssenature of Applicant Date

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