borang permohonan pekerjaan employment ... - Zoo Negara

SULITCONFIDENTIALKindly attach photo hereZoo Negara / Malaysian Zoological SocietyHulu Kelang, 68000 Ampang, SelangorTel: 603- 41083422 Fax: 603- 41075375Website : www.zoonegaramalaysia.myBORANG PERMOHONAN PEKERJAANEMPLOYMENT APPLICATION FORMNOTA:Sila baca keterangan di borang ini dengan teliti sebelum mengisinya. Jawapan hendaklah ditulis dengan tulisan calon sendiri,ditandatangani dan dikembalikan bersama sekeping gambar ukuran paspot. Salinan sijil-sijil atau surat akuan hendaklah disertakanbersama borang. Sijil-sijil asal perlu dibawa ketika menghadiri temuduga. Perujuk peribadi tidak boleh terdiri dari ahli keluarga pemohon.Sekiranya boleh, salah seseorang perujuk peribadi mestilah terdiri dari seorang yang boleh memberi laporan kemajuan akademikpemohon.NOTE:Please read the form carefully before attempting to complete it. The reply should be written in the applicant's own handwriting, signed andreturned with one passport sized photograph. Copies of certificates or testimonials must be attached to the form. Originals need only bebrought when called for an interview. Referees should not be the members of your family. If possible, kindly name at least one referee whois competent to speak about your academic background.Jawatan dipohon:……………………………………………. Gaji yang diminta : ………………………………………….Position appliedExpected SalaryA. BUTIR - BUTIR PERIBADI / PERSONAL DETAILSNama Penuh :…………………………………………………………………………………………………………………………..Full Name ( Use capital letter )Alamat :….……………………………………………………...Address:.….……………………………………………………....….……………………………………………………...No. Tel ( Rumah/House ) :………………………………………No. Tel ( Pejabat/Office ) :……………………………………….….……………………………………………………...Tarikh Lahir :…………………………………………………No. K.P : ……………………..…………………………………Date of Birth NRIC :Tempat Lahir :…………………………………………………Place of BirthWarganegara : …………………………………………….…….CitizenshipKeturunan :………………………………………………… Agama : ………………………………………………………..RaceReligionJantina :………………………………………….…….. Taraf Perkahwinan : Kahwin / Bujang / BerceraiGender Marital Status : Married / Single / Divorced1 of 5

SULITB. BUTIR - BUTIR KELUARGA/FAMILY PARTICULARSCONFIDENTIALNama Suami / Isteri :….………………………………………………………………………………………………………….Name of Husband / WifePekerjaanOccupationMajikanEmployerNo. TelefonTelephone No.:…………………………………………………………………………………………………………….:…………………………………………………………………………………………………………….:……………………………………………………………………………………………………………Nama Anak-Anak Tarikh Lahir Umur JantinaName of Children Date of Birth Age Sex……………………………………… ………………………. …………….. ……………..……………………………………… ………………………. …………….. ……………..……………………………………… ………………………. …………….. ……………..……………………………………… ………………………. …………….. ……………..……………………………………… ………………………. …………….. ……………..……………………………………… ………………………. …………….. ……………..……………………………………… ………………………. …………….. ……………..……………………………………… ………………………. …………….. ……………..C. BUTIR-BUTIR PENGAJIAN/EDUCATIONAL HISTORYNama Sekolah Jenis Peperiksaan Pencapaian Tahun Sijil AsalName of Educational Institution Examination Award Year Original Certificates………………………………………. …………… ……………… ………… Ya / TidakYes / No………………………………………. …………… ……………… ………… Ya / TidakYes / NoNama Kolej/Universiti Sijil/Diploma/Ijazah Gred Tahun Sijil AsalName of College/University Certificate/Diploma/Degree Grade (CGPA) Year Original Certificates.……………………………………. …………..…………… …………… ..…… Ya / TidakYes / No.……………………………………. …………..…………… …………… ..…… Ya / TidakYes / NoNama Kolej/Universiti Sijil/Diploma/Ijazah Gred Tahun Sijil AsalName of College/University Certificate/Diploma/Degree Grade (CGPA) Year Original Certificates.……………………………………. …………..…………… …………… ..…… Ya / TidakYes / No.……………………………………. …………..…………… …………… ..…… Ya / TidakYes / No2 of 5

SULITD. JAWATAN DAHULU / PAST EMPLOYMENT AND SEKARANG/PRESENT EMPLOYMENTCONFIDENTIALNAMA/ALAMAT MAJIKANNAME/ADDRESS EMPLOYERTAHUN/YEARDARIFROMHINGGATOJAWATAN /POSITIONGAJI TERAKHIR/LAST DRAWNSALARYSEBAB BERHENTI/REASONS FOR LEAVINGE. KEMAHIRAN/ADDITIONAL SKILLSPertuturanLanguage(s) SpokenPenulisanLanguage(s) WrittenKemahiran KomputerComputer SkillsLain-LainOthers:………………………………………………………………………………………:………………………………………………………………………………………:……………………………………………………………………………………….:……………………………………………………………………………………….F. OBJEKTIF KERJAYA/JOB RELATED GOALS1. Apakah objektif kerjaya anda? What are your career objectives?………………..…………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………2. Bagaimana Zoo Negara dapat membantu memenuhi objektif kerjaya anda?How will Zoo Negara fit your career objectives?………………..…………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………3 Sila nyatakan bagaimana kebolehan dan pengalaman anda dapat menyumbang kepada jawatan yang di pohon dan jugaorganisasi ini.Briefly explain how your abilities and working experience will contribute towards the position applied, as well as theorganisation in general.……………………………………………………………………………………………………………………………………………………………………………………….………………………………………………………………………………………………………………………………………………………………………………………..….……………………………………………………………………………………………………………………………………………………………………………………..….…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………...3 of 5

SULITCONFIDENTIALG. RUJUKAN PERIBADI/REFEREESI ) Nama :………………………………………………. II ) Nama :…………………………………………..NameNameAlamat :………………………………………………. Alamat :…………………………………………..Address ……………………………………………….. Address …………………………………………………………………………………….……….…………………………………………………………………………………….……….……………………………………………Telephone :……………………………………………….Telephone:…………………………………………Jawatan :………………………………………………. Jawatan :…………………………………………..OccupationOccupationH. KETERANGAN LANJUT/FURTHER INFORMATION1) Sekiranya anda ditawarkan pekerjaan oleh kami, bila anda boleh mula bekerja? ……………………………If you are offered employment with us, when can you start?2) Berapa lama notis diperlukan ? ……………………………………………………………………………………..What is the notice period you are required to serve?3) Bolehkah kami membuat susulan dengan dua majikan terakhir anda ? Ya / TidakMay we refer with your last two employers?Yes / No4) Adakah anda mempunyai keluarga yang sedang bekerja dengan Zoo Negara? Ya / TidakJika ada, sila penuhkan ruangan berikut :Do you have any relatives working with Zoo Negara?Yes / NoIf yes, please fill-in the following :Sekiranya ya, tolong penuhkan ruang di bawah:Nama Jawatan Jabatan HubunganName Position Department Relationship…………………………………. ……………………….. ………………………… ……………………………………………………………. ……………………….. ………………………… ……………………………………………………………. ……………………….. ………………………… …………………………5) Pernahkah anda memohon jawatan di Zoo Negara sebelum ini? Jika pernah, sila nyatakan tarikh serta jawatan yangdipohon serta keputusan permohonan tersebut.Have you applied any job with Zoo Negara? If so, please state date(s) and position(s) applied:……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………6) Pernahkah anda dipanggil dan menghadiri sebarang temuduga di Zoo Negara? Jika pernah, apakah keputusan temudugatersebut?Have you ever been invited to attend any interview(s) at Zoo Negara? If so, what was the outcome of the interview?……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………7) Dari sumber manakah anda mengetahui mengenai kekosongan jawatan yang dipohon?How did you know about this vacancy?Akhbar Radio Internet LainNewspaper Radio Internet Others4 of 5

SULITCONFIDENTIAL8) Adakah anda seorang muflis atau pernah diisytiharkan muflis?Are you a Bankrupt or have been declared a Bankrupt?…………………………………………………………………………………………………………………………………9) Adakah anda sedang disenaraihitam oleh mana-mana institusi kewangan atau bank di Malaysia?Are you currently blacklisted by any financial institution or bank in Malaysia?…………………………………………………………………………………………………………………………………10) Adakah anda pernah dihukum oleh mana-mana Mahkamah Sivil?Have you ever been punished by any of the civil court?…………………………………………………………………………………………………………………………………11) Adakah anda pernah dituduh atau dihukum di atas kesalahan berkaitan dadah?Have you ever been charged or convicted for drug abused?…………………………………………………………………………………………………………………………………12) Adakah anda pernah mengidapi atau sedang mengidapi apa-apa penyakit yang serius?Have you suffered from or is currently suffering from any serious illnesses?…………………………………………………………………………………………………………………………………13) Adakah anda pernah mengidapi atau sedang mengidapi apa-apa penyakit mental?Have you suffered from or is currently suffering from any mental illnesses?…………………………………………………………………………………………………………………………………14) Adakah anda mengidapi apa-apa ketidakupayaan fizikal?Are you suffering from any physical disabilities?…………………………………………………………………………………………………………………………………15) Adakah anda telah dibuang kerja oleh majikan anda sebelum ini?Have you ever been dismissed from your previous employment?…………………………………………………………………………………………………………………………………I. PENGAKUAN / DECLARATIONSaya sahkan bahawa semua keterangan di atas adalah benar dan jika selepas ditawarkan jawatan, saya didapati membuatketerangan palsu, Zoo Negara mempunyai hak untuk menamatkan perkhidmatan saya.I declare that the above information is true to the best of my knowledge and in after engagement, it is found that I have madea false declaration on the form, Zoo Negara reserves the right to terminate my services.Tandatangan /Signature : …………………………………………………..Tarikh /Date: …………………………………………………..5 of 5