Internship form - iPhone Repair Malaysia by iMalaysian.com

Internship

Online Internship Application Form
Interview Date*
DD slash MM slash YYYY

Please select the date of Interview. Our interview will be started at 9.30 am.
Time Slot*
Please select the time slot that you are available.
Internship Field*
Personal Particulars
Hidden
Name (as in NRIC/Passport):*
First Middle Last
Name (as in NRIC/Passport):*
NRIC/Passport No.*
Date of Birth:*
Place of Birth:
Age:*
Gender:*
Race:*
Please state:
Religion:*
Current Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Malaysian?*
If you are citizen or permanent resident of other countries, please state:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
House Telephone No.:
H/P No.:*
Contact Person (in case of emergency):*
Emergency Person Relationship:*
Emergency Person H/P No.:*
Are You Travelling By Your Own?*
Do you own a Driving License?:*
Driving License No.:
Type of License:
*if more than one, use 'Command' key then click the license type that related.
Renewal No.:
Expiry Date:
DD slash MM slash YYYY

*dd/mm/yyyy
GDL No.:
GDL Expiry Date:
DD slash MM slash YYYY

*dd/mm/yyyy
Marital Status:*
Email*
Enter Email Confirm Email
First Day of Internship:
DD slash MM slash YYYY
Last Day of Internship:
DD slash MM slash YYYY
Total Weeks of Internship
Hidden
First Day of Internship:*
Hidden
Last Day of Internship:*
How did you found about our internship programmes:*

Eg:www.indeed.com
Banking Information
Bank*
Bank Account No*
Bank Account Holder Name*
Immediate Family Particulars
Father's Name: Occupation:
Mother's Name: Occupation:
Sibbling's Name: Occupation:
Hidden
EDUCATION LEVEL*
Year: School/Institution/College/University Name: Qualification Obtained: Grade:

*click '+' button on the right to add more education level you have achieved.
PROFESSIONAL QUALIFICATION*
Year: University/College/Institution: Highest Achievement: CGPA:

*click 'plus' button on the right to add information.
LANGUAGE:
Spoken: Written:

*e.g: Spoken: Malay, Chinese, English, Written: Malay, Chinese, English,
OTHERS
Extra Skill: Hobbies:
REFERENCE
1) Name Address & Contact No. Occupation Year of Relationship Relationship
2) Name Address & Contact No. Occupation Year of Relationship Relationship
General Information
1. Have you suffered from any disease or illness? Being hospitalized or involve in an accident? If 'Yes', please state.*
- Yes
- No
2. Have you been convicted by any court? If 'Yes', please state*
- Yes
- No
3(i). Have you been served a disciplinary action by any company that you have worked with? Example: Termination, if 'Yes', please state.*
- Yes
- No
3(ii). Others or police case?*
- Yes
- No
4. Is there any information that you would like to share with us?
- Yes
- No
Please answer all the questions below by click the right box (please state if required)
1. Have you being involved with drug or having a mental problem or physical illness? If 'Yes', please state.*
- Yes
- No
2. Do you have a friend or family member working with this company? If 'Yes', please provide their name.*
- Yes
- No
2. Do you smoking or vaping? If 'Yes', please provide the brand.*
- Yes
- No
For female applicants only
1. Are you currently pregnant? Please state the months/weeks of your pregnancy?
- Yes
- No
2. Are you suffering from any disease or illness? If 'Yes', please state.
- Yes
- No
Do you need to take off day when you got period pain? If 'Yes', please state.
- Yes
- No
Others - To be filled by disabled candidates
1. Type of disability (eg. learning disability, hearing impairment, etc.)
2. JKM Registration No.:
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. 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 paid to me during my course of employment for any misrepresentation/omission of information or facts.*
Full Name (as NRIC/Passport) Date

Pelangi Sentral - Mutiara D'sara
PS-G-10, Pelangi Sentral Damansara,
PJU 6 Persiaran Surian,
47800 Petaling Jaya, Selangor.

MidValley Megamall - KL
NP1-005, Level P1 North Court, Mid Valley Megamall, Mid Valley City, Lingkaran Syed Putra, 59200 Kuala Lumpur.

Sunway Velocity - Cheras
Lot 3-12, 3rd Floor, Lingkaran SV, Sunway Velocity, Jalan Cheras, Maluri, 55100 Kuala Lumpur.

Appointment & Consultation

603-9779 7878

From North to South Malaysia , West to East Malaysia, iMalaysian.com ready to let you REuse your devices, from 11am - 9pm, Daily.

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Internship

Online Internship Application Form

Personal Particulars

Banking Information

Immediate Family Particulars

General Information

Please answer all the questions below by click the right box (please state if required)

For female applicants only

Others - To be filled by disabled candidates

SERVICES

MENU

Year:	School/Institution/College/University Name:	Qualification Obtained:	Grade:

Year:	University/College/Institution:	Highest Achievement:	CGPA:

1) Name	Address & Contact No.	Occupation	Year of Relationship	Relationship

2) Name	Address & Contact No.	Occupation	Year of Relationship	Relationship

Father's Name:	Occupation:

Mother's Name:	Occupation:

Sibbling's Name:	Occupation:

Spoken:	Written: