APPLICATION FOR EMPLOYMENT

APU (Asia Pacific University of Technology & Innovation) APIIT (Asia Pacific Institute of Information Technology) APLC (Asia Pacific Language Centre)

APS (Asia Pacific Schools – APIS/APSS)

Position : Receptionist cum Admin

1. Personal Information

Title : [ ] Dr. [ ] Mr. [ √ ] Mrs. [ ] Ms. [ ] Other (please specify) ____________Please tick ()

Date of Birth :10-02-1982Age :33

Name :Mogana D/O Thambusamy

NRIC No. / Nationality :820210-14-5894For Malaysian & PR

Sex : Female

Passport No / Nationality :Malaysian Marital Status : Married

Contact Tel (Home) :

Contact Tel (Mobile) :016-3580415

E-mail Address :mona_mogana@yahoo.com

Residential Address :No:29,Jalan Rakan 6,Taman Rakan Cheras Batu 11,43000,KajangSelangor Darul Ehsan

Postal Address (if different from Residential Address) :No:29,Jalan Rakan 6,Taman rakan cheras batu 11,43000,kajang,Selangor Darul Ehsan

Issue : 1.1 1 AppEmpl.Date : 25 November 2013 Confidential

The purpose of requesting the personal data in this form is to assist us in deciding whether you are a suitable applicant for the position you have applied for and to process your job application effectively. The information given will be processed for employment selection and statistical purposes. Access to the information you provide will be strictly on a need to know basis. By providing any personal data & information on this form, you give your consent to allow personal data and information to be processed securely and confidentially in

accordance with the Personal Data Protection Act 2010. If you choose not to complete all the required sections or do not provide all the required information, it may not be possible to process your application.

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APPLICATION FOR EMPLOYMENT

2. Education Qualifications (Verifications of qualifications may be conducted)

Year School/College/University Qualification Grade

1989-1994 Sek.Ren.Jenis Kebangsaan Tamil Bangsar UPSR

1995-2000 Sek.Men.Kebangsaan Bangsar PMR & SPM

2001-2003 PTPL (kuala lumpur) Diploma in office management

3. Current Employment Details (Verifications of employment may be conducted)From(Date)

To (Date) Employer Nature of Business Position

16/7/2012 30/9/2013 BP Asia Pacific (m) Sdn Bhd Petrol Oil & Gas Reception /Frondesk Admin

Salary : Current :RM 2044.00 Expected :RM1900.00

Benefits : Car : Housing : Mobile Phone :016-3580415 Others :

Notice No. of months : Available from :

Previous Employment Details From(Date)

To(Date)

Employer Nature of Business Position

3/1/2001 End of april 2001 Malaysian Institute Of Accountantcy Accounts Assisstant Finance Dept

4/3/2003 End of may 2003 Metro Security Service Snd Bhd Security service Assistant administrative

clerk

25/3/2006End of dec 2006 under cont

Epson Trading (m) Sdn Bhd Service centre Receptionist

3/1/2007 4/9/2009 Auto Parking Inc Sdn Bhd Parking service Receptionish/Audit Assistant

1/10/2009 21/5/2010 under cont

Philip Morris (M) Sdn Bhd Selling Receptionish/Frondesk Admin

4. Professional Membership (Active membership only)

Organisation Membership Category Member Since

Issue : 1.1 2 AppEmpl.Date : 25 November 2013 Confidential

APPLICATION FOR EMPLOYMENT

5. Language Proficiency (Please indicate your proficiency on a scale of 1 – 10. (1 being the weakest, 5 being the average and 10 being the highest) (Verifications of qualifications may be conducted)Language Speak Write Read

Bahasa Malaysia √ √ √

Bahasa English √ √ √

Bahasa Tamil√ √ √ √

6. Awards / Publications / Major Accomplishments

Year Recent Awards / Publications / Accomplishments

7. Skills (If you have specific skills which are related to the position that you are applying that would help us in hiring decision, please fill in the column below).

Skills area Remarks

8. Referees (Referees should be work related references. Referees should have your consent to providing your previous job related information either before or after your employment interview. Referee 1Name: guru

Referee 2Name :hema

Job Title :marketing Job Title :accountance

Organisation : Organisation :

Tel No. :016-2147010 Tel. No. :019-2552725

E-mail : E-mail :

9. DeclarationsIssue : 1.1 3 AppEmpl.Date : 25 November 2013 Confidential

APPLICATION FOR EMPLOYMENT

a) Are you aware of any of your family members or relatives employed by the APIIT Education Group, EKUINAS or the SAPURA Group? If yes, please provide details below).

Name Relationship Organisation

b)Have you previously applied to or worked with any of the companies in the APIIT Education Group or EKUINAS? If yes, please state position and year/s. Yes/No

_________NO_____________________________________________________________________

______________________________________________________________________________

c) Do you have a physical handicap or are aware of any physical or mental medical conditions that may affect your work? If yes, please provide details. (As a result of the information you have provided, you may be referred to a panel doctor in the event there is a need to). Yes/No

________________NO______________________________________________________________

______________________________________________________________________________

d) Are you aware of any current or pending criminal offences that you may have? If yes, please provide details.Yes/No

______________NO________________________________________________________________

______________________________________________________________________________

10. Teaching capabilities: (If you are applying for the position of teacher, trainer or a lecturer, please state your main subject area skills and please tick () on the appropriate box below).

Modules /SubjectsCan teach

immediately

Can teach with minimal

development

Can teach with some

development

Long term development opportunity

Applicants Agreement:

I agree that the above accurately summarises my teaching capability and that I am willing and able to deliver the modules as shown above.

Signature:

Issue : 1.1 4 AppEmpl.Date : 25 November 2013 Confidential

APPLICATION FOR EMPLOYMENT

I hereby affirm that all the information that I have included in this job application form is truthful and accurate.  I understand that the company also has a right to verify with any third parties any of the information I have included in this job application form and hereby give consent to the company to secure any information that it requires and I hereby release any person, firm or institution issuing such information of all liability for any damage whatsoever.  Furthermore, I understand that the company has a right to summarily dismiss me from service where it is discovered I have misrepresented or omitted any pertinent facts pertaining to my work experiences and qualifications.  I also understand that the company will have a right to recover any monies spent on me (for example, training or education fees; or other related monetary benefits) during my course of employment for any misrepresentation/omission of information or facts.

___mogana d/o thambusamy______________________________________________________________________________

Name Signature

Date : 17/8/2015

INTERVIEWER(S) COMMENTS (FOR OFFICE USE ONLY)

Date of Interview:

Comments:

Background & Work Experience :

Communications skills :

Knowledge :

Skills :

Ability :

Others:

Recommendation:Please tick ()

  Recommended   Keep in view   Not recommended

Interviewer(s)

Name: _______________________________________ Signature: ____________________________

Name: _______________________________________ Signature: ____________________________

Name: _______________________________________ Signature: ____________________________

Name: _______________________________________ Signature: ____________________________

Issue : 1.1 5 AppEmpl.Date : 25 November 2013 Confidential