Employment Application Form - Strictly Private & Confidential - Instructions and Sections

Sep 19, 2026

Employment Application Form provides a structured, fillable layout for collecting candidate information under “Strictly Private & Confidential.” It includes guidance for accurate completion, full-date formatting, and required submission items such as a recent passport-sized photo and the candidate’s signature. The form captures personal particulars, educational qualifications, professional memberships, employment history with salary details and notice period, and a Siemens-related employment declaration with eligibility and compliance questions, including foreign entry, health, legal convictions, bankruptcy, prior Siemens employment, and potential conflicts of interest.

LanguageEnglish

CategoryResumes

FormatPDF

Pages3

Reading Time1 min

AccessFree to download

Application Instructions

Personal Particulars

Educational Qualification

Professional Membership/Qualification

Employment History

Employment Declaration

Screening Questions

Employment Application Form (Strictly Private & Confidential) 􀀴 You are advised to provide accurate and complete information. 􀀴 All dates should be written in full: eg. 01-JAN-2016. 􀀴 You are required to attach a recent passport-sized photo of yourself in your email application 􀀴 You are required to provide your signature to complete this application Application Source: 􀀍 Company Website 􀀍 LinkedIn 􀀍 JobStreet 􀀍 Recruitment Agency 􀀍 Career Fair 􀀍 Others: 􀀍 Referral Program: (Indicate Full Name of referee) * This is a fillable PDF form. Click on any field to start and use the Tab key to move from field to field. Clear All Fields | Position Applied: | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | 1. Personal Particulars
Please provide your full name in accordance to your NRIC/Passport. | | | | | | | | | | | | | | Salutation: | | Mr Ms Mrs | | | Preferred Name:
(Alias or others) | | | | | | | | | Given Name(s): (First and/or Middle Names) | | | | | Family Name:
(Surname) | | | | | | | | | NRIC/
Passport Number: | | | | | Gender: | | | Male Female | | | | | | Nationality: | | | | | Date of Birth: | | | (DD-MMM-YYYY) | | | | | | Telephone: | | (mobile) | | | Email Address: | | | | | | | | | Current Malaysian Residential Address:
Current Overseas Residential Address: | | No.: | Street Name: | | | | | | | | | | | | | Post
code: | City: | | | State: | | | | Country: | | | | Permanent Address:(Same as above) | | No.: | Street Name: | | | | | | | | | | | | | Post
code: | City: | | | State: | | | | Country: | | | | 2. Educational Qualification
Please provide the highest qualification or award which you have attained. Do not use abbreviated terms or initials. | | | | | | | | | | | | | | Type of Award (SPM, GCE O-levels, Diploma, Degree, Masters, etc) | Name of Institution
(University Malaya, Sunway University, Universiti Tunku Abdul Rahman, etc) | | | Country
(Malaysia) | | | Field of Study
(e.g. Major in Engineering) | | From
(e.g.
Nov 2007) | | To
(e.g. Dec 2011) | GPA Score
(e.g. 3.9/4 .0) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 3. Professional Membership/Qualification
Please provide any professional membership or qualification attained. | | | | | | | | | | | | | | Membership/
Qualification
(e.g. ACCA,CPA, PMP) | Name of Qualifying Body
(e.g. ACCA, PMI) | | | | | | Country
(e.g. Malaysia) | | Date of Qualification
(e.g. Nov 2013) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 4. Employment History
Please provide information about your current or previous employer. Previous employer(s) will be contacted to verify your employment history according to your resume.
If you do not have any prior working experience, please indicate and proceed to Earliest Commencement Date. No prior working experience | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | Period of Employment
(DD-MMM-YYYY) | | | Company Name: | | Position/ Designation Held: | | Core Responsibilities:
[e.g. map](e.g. map) potential customers, maintaining relationships with the client, etc. | | | Reason for Leaving: | | | | From | To | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Salary Details
(indicate local currency): | | Fixed Basic Monthly Salary:
Allowances:
Target Bonus: | | | | 13 - month incentive eligible? | | Yes No | Notice period: | | Months | | | If you are offered a position with Siemens Malaysia Sdn Bhd: | | | | | |

FAQs

What information and formatting does the form require for submission?

The form advises providing accurate and complete information and writing all dates in full (e.g., 01-JAN-2016).

What documents or items must a candidate provide to complete the application?

A recent passport-sized photo is required in the email application, and the candidate must provide a signature to complete the application.

Which topics are covered in the Employment Declaration section?

The section includes questions about refusal of entry to a foreign country, medical conditions, legal convictions or detention, bankruptcy actions, prior work for Siemens, family employment at Siemens, and potential competitive or conflict-of-interest activities.

Sep 19, 2026

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