Job Application Form Step 1 of 2 50% Position applied (Jawatan dipohon)* Sales Assistant - Satok Branch Sales Assistant - Stutong Branch Online Sales Officer - Satok Branch Sales Assistant - Serian Branch Member Service Representative - Satok Branch 1 - Personal Details (Butiran Peribadi)Full name as per IC (Nama penuh seperti di dalam IC)* Full name (Nama penuh) Gender (Jantina)* Male (Lelaki) Female (Perempuan) Nationality (Warganegara)* Malaysian (Malaysia) Religion (Agama)* Islam Christian (Kristian) Buddhism (Buddha) Hindu Ethnicity (Bangsa)* Malay (Melayu) Chinese (Cina) Indian (India) Iban Bidayuh Melanau Festival celebrated (Perayaan disambut)* Hari Raya Chinese New Year (Tahun Baru Cina) Christmas (Krismas) Gawai Date of birth (Tarikh lahir)*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920IC number (Nombor IC)* Marital status (Status perkahwinan)* Single (Bujang) Married (Berkahwin) Divorced (Duda/Janda) Fulll name of spouse (Nama penuh suami/isteri) To be filled only if legally married (Untuk diisi sekiranya sudah berkahwin secara sah)Declaration of pregnancy (Pengakuan kehamilan) I hereby declare that I am pregnant at the time of this application. (Saya mengaku bahawa saya mengandung pada waktu pemohonan kerja ini dibuat.) I hereby declare that I, to the best of my knowledge, am not pregnant at the time of this application. (Saya mengaku bahawa saya, sepanjang pengetahuan saya, adalah tidak mengandung pada waktu pemohonan kerja ini dibuat.) To be filled by female applicants only (Untuk diisi oleh pemohon perempuan sahaja)Current address (Alamat semasa)* Current address (Alamat semasa) City (Bandar) Postcode (Poskod) State (Negeri) Permanent address (Leave blank if similar to current address) / Alamat tetap (Biarkan kosong sekiranya sama seperti alamat semasa) Permanent address (Alamat tetap) City (Bandar) Postcode (Poskod) State (Negeri) Phone no. (Mobile) / No. telefon (Telefon bimbit)*Phone no. (Home) / No. telefon (Rumah)Email (Emel)* Do you have a driving license? (Adakah anda mempunyai lesen memandu)* Yes (Ya) No (Tidak) Driving license class (Kelas lesen memandu)* None (Tiada) B/B1/B2 D GDL You may choose more than one answer (Anda boleh pilih lebih dari satu jawapan)Do you know anyone that currently works for Sama Kampung? (Adakah anda mengenali sesiapa yang sedang bekerja dengan Sama Kampung?)* Yes (Ya) No (Tidak) If yes, please state the employee's name (Jika ada, sila nyatakan nama pekerja tersebut) Name of contact person in case of emergency - 1 (Nama orang yang dihubungi sekiranya ada kecemasan - 1)* Emergency contact phone no. - 1 (Mobile) / No. telefon (Telefon bimbit) orang yang dihubungi sekiranya ada kecemasan - 1*Relationship with emergency contact - 1 (Hubungan dengan orang yang dihubungi sekiranya ada kecemasan - 1)* Name of contact person in case of emergency - 2 (Nama orang yang dihubungi sekiranya ada kecemasan - 2)* Emergency contact phone no. - 2 (Mobile) / No. telefon (Telefon bimbit) orang yang dihubungi sekiranya ada kecemasan - 2*Relationship with emergency contact - 2 (Hubungan dengan orang yang dihubungi sekiranya ada kecemasan - 2)* 2 - Health Declaration (Deklarasi Kesihatan)Do you have any illnesses or allergies? (Adakah anda mempunyai sebarang penyakit atau alahan?)* Yes (Ya) No (Tidak) If yes, please specify illness or allergy (Jika ada, sila nyatakan penyakit atau alahan) Have you undergone any medical surgery? (Pernahkah anda mejalani sebarang pembedahan?)* Yes (Ya) No (Tidak) If yes, please insert type of injury or surgery (Jika ada, sila nyatakan jenis kecederaan dan pembedahan) Any known disabilities? (Adakah anda mempunyai sebarang kekurangan upaya?)* Yes (Ya) No (Tidak) If yes, please specify disability (Jika ada, sila nyatakan kekurangan upaya) 3 - Academic Qualification (Kelayakan Akademik)Most recent School/Institution/University/College (Sekolah/Institusi/Universiti/Kolej yang terakhir)* Most recent academic qualification (Taraf pendidikan yang terakhir)* Masters Degree (Ijazah Sarjana) Degree (Ijazah Sarjana Muda) Diploma/Professional Certificate/STPM (Diploma/Sijil Kemahiran/STPM) SPM Course studied (Kurus yang dipelajari)* Date academic qualification was obtained (Tarikh kelayakan akademik diperolehi)*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119204 - Employment History (Sejarah Pekerjaan)Current employment status (Status pekerjaan terkini)* Employed in private sector (Bekerja di sektor swasta) Employed in public sector (Bekerja di sektor awam) Self employed (Bekerja sendiri) Not employed (Tidak bekerja) Current employer (Majikan terkini)* Answer "0" you are currently unemployed (Jawab "0" sekiranya anda tidak bekerja)Current job position (Jawatan kerja terkini)* Answer "0" you are currently unemployed (Jawab "0" sekiranya anda tidak bekerja)Current salary (Gaji terkini)*Answer "0" if you are currently unemployed (Jawab "0" sekiranya anda tidak bekerja)Reason for leaving (Sebab ingin berhenti kerja)* Answer "0" you are currently unemployed (Jawab "0" sekiranya anda tidak bekerja)Phone no. (Office - Current) / No. telefon (Pejabat - Terkini)*Answer "0" you are currently unemployed (Jawab "0" sekiranya anda tidak bekerja)May we contact your current employer? (Bolehkah kita hubungi pihak majikan terkini anda?)* Yes (Ya) No (Tidak) Answer "No" if you are currently unemployed (Jawab "Tidak" sekiranya anda tidak bekerja)Previous employer (if any) / Majikan terdahulu (jika ada) Leave blank if you were previously unemployed (Biarkan kosong sekiranya anda tidak pernah bekerja)Previous job position (Jawatan kerja terdahulu) Leave blank if you were previously unemployed (Biarkan kosong sekiranya anda tidak pernah bekerja)Previous salary (Gaji terdahulu)*Answer "0" if you were previously unemployed (Jawab "0" sekiranya anda tidak pernah bekerja)Reason for leaving (Sebab berhenti kerja) Leave blank if you were previously unemployed (Biarkan kosong sekiranya anda tidak pernah bekerja)Phone no. (Office - Previous) / No. telefon (Pejabat - Terdahulu)May we contact your previous employer? (Bolehkah kita hubungi pihak majikan terdahulu anda?)* Yes (Ya) No (Tidak) Answer "No" if you were previously unemployed (Jawab "Tidak" sekiranya anda tidak pernah bekerja)5 - Ability (Kemahiran)Language spoken (Bahasa pertuturan)* Select All Malay (Bahasa Malaysia) English (Bahasa Inggeris) Chinese (Bahasa Cina) Local dialects (Dialek tempatan) You may choose more than one answer (Anda boleh pilih lebih dari satu jawapan)Written language (Penulisan bahasa)* Select All Malay (Bahasa Melayu) English (Bahasa Inggeris) Chinese (Bahasa Cina) You may choose more than one answer (Anda boleh pilih lebih dari satu jawapan)Knowledge and use of computers (Pengetahuan dan penggunaan komputer)* High (Tinggi) Average (Sederhana) Low (Rendah) Types of computer software and system used (Jenis perisian komputer dan sistem yang digunakan)* Select All Microsoft Office AutoCount Accounting Editing and management of e-Commerce websites Editing and management of e-Commerce platforms (Shopee, Grab, etc.) Photo/Video Editing (Adobe Illustrator, Adobe Photoshop, etc.) You may choose more than one answer (Anda boleh pilih lebih dari satu jawapan)6 - Availability & Remuneration (Ketersediaan & Penggajian)Are you currently registered with EPF? (Adakah anda berdaftar dengan KWSP)?* Yes (Ya) No (Tidak) EPF no. (No. KWSP) Are you currently registered with SOCSO? (Adakah anda berdaftar dengan PERKESO)?* Yes (Ya) No (Tidak) SOCSO no. (No. SOCSO) Expected salary (Gaji yang diinginkan)*Are you able to transfer work locations if required? (Adakah anda terbuka untuk sebarang pemindahan cawangan jika perlu?)* Yes (Ya) No (Tidak) Date available to begin work (Tarikh mula kerja)*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119207 - Submission of documents (Penyerahan dokumen)Copy of IC (Salinan IC)* Drop files here or Select files Accepted file types: docx, jpg, png, pdf, doc, Max. file size: 24 MB. Submit a copy your IC here - both sides (Serahkan salinan kad pengenalan anda di sini - depan dan belakang)Cover letter (Surat permohonan kerja) Drop files here or Select files Accepted file types: docx, jpg, png, pdf, doc, Max. file size: 24 MB. Submit a copy of your cover letter here. (Serahkan salinan surat permohonan kerja anda di sini)Resume/CV* Drop files here or Select files Accepted file types: docx, jpg, png, pdf, doc, Max. file size: 24 MB. Submit a copy of your resume or CV here. (Serahkan salinan resume atau CV anda di sini)Relevant certificates and documents (Sijil-sijil dan dokumen yang relevan) Drop files here or Select files Accepted file types: docx, jpg, png, pdf, doc, Max. file size: 24 MB. Submit a copy of all relevant certificates and documents here. (Serahkan salinan mana-mana sijil dan dokumen yang berkaitan di sini)Reference 1 - Full name (Rujukan 1 - Nama penuh)* Parents/siblings/other family members are not to be listed as references (Ibubapa/adik-beradik/ahli keluarga yang lain tidak boleh disenaraikan sebagai rujukan)Reference 1 - Current job position (Rujukan 1 - Jawatan kerja terkini)* Reference 1 - Phone no. (Rujukan 1 - No. telefon)*Reference 2 - Full name (Rujukan 2 - Nama penuh)* Parents/siblings/other family members are not to be listed as references (Ibubapa/adik-beradik/ahli keluarga yang lain tidak boleh disenaraikan sebagai rujukan)Reference 2 - Current job position (Rujukan 2 - Jawatan kerja terkini)* Reference 2 - Phone no. (Rujukan 2 - No. telefon)*8 - Declaration (Pengakuan diri)Declaration (Pengakuan diri)* I certify that the above information provided is to the best of my knowledge true and correct. (Saya mengaku bahawa segala keterangan yang saya berikan adalah benar sepanjang pengetahuan saya.)CAPTCHAName First Last Δ
