Harvey Nottnan = ELITETRAX MARKETING SDN BHD
— EMPLOYMENT APPLICATION
Pasion applied for:
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fsauses Name Spouse's Occupation
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fathers Name [occupation
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Present Employment
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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
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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
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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.
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Ssenature of Applicant Date