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Candidate Application Form(Employment & Personal Particulars)

PRIVACY NOTICE APPLICATION FOR EMPLOYMENT FORM

As an applicant for a position at Astro Malaysia Holdings Berhad and/or its related corporations (Company), you consent to the Companys use and processing of any and all of your personal data including, without limitation, those provided in the Application for Employment Form and in your curriculum vitae and any other personal data that you may provide to the Company during the job application process (collectively, Personal Data) for the purposes of processing of your job application and evaluating your qualifications and eligibility for the relevant position; contacting you, such as by telephone or e-mail, with a decision or request for additional information in relation to your job application; and/or maintaining Companys recruitment records (collectively, Purposes).The Company may also process Personal Data which is considered sensitive by the Personal Data Protection Act 2010. Sensitive Personal Data means any personal data consisting of information as to your physical or mental health or condition, political opinions, religious and beliefs or other beliefs of a similar nature, commission or alleged commission by yourself of any offence or any other personal data that may later be classified by the relevant authority as sensitive personal data (collectively, Sensitive Personal Data). For the purpose of this Notice, Personal Data shall include Sensitive Personal Data.

The Company also wishes to inform you that your Personal Data may be disclosed to locations outside Malaysia and to related corporations of the Company as well as to third parties, such as service providers and governmental agencies, for reasons relating to the Purposes.

If a decision has been made not to hire you, the Company may retain your Personal Data for consideration in relation to other vacant positions within the Company.

You may make written inquiries and, upon payment of a prescribed fee, request in writing for access to, or correction of, your Personal Data or limit the processing thereof at any time hereafter by submitting such request to the Personal Data Protection Officer of the Company via registered post or email (which must be sent from the email address registered with the Company) as set out below.

Postal address:Personal Data Protection OfficerAstro Malaysia Holdings BerhadAstro All Asia Broadcast CentrePeti Surat 1014850704 Kuala Lumpur

Email address:[email protected]

Please note that it will be necessary for the Company to process your Personal Data for the Purposes, without which it will not be possible to consider your job application.

You represent and warrant that the consent of third parties (e.g. family members and references) whose personal data you have provided in the Application for Employment Form and/or in your curriculum vitae or otherwise disclosed to the Company have been obtained to allow the Company to process the same in relation to the Purposes.

ACKNOWLEDGEMENT AND CONSENT

I have read and understood the terms of this Privacy Notice and consent to the processing of my Personal Data as described above.

SignatureFull Name

DateNRIC/Passport No.


Please read the form carefully and complete the form in detail. All information given will be treated as strictly confidential.

1.0PERSONAL DATA DETAILS

Name as per NRIC((In Capital Letters))

Preferred Name

Current Home AddressMailing / Permanent Address

Address

Post Code

City / State

Country

Phone Number

Mobile Phone Number

Personal E-mail address

Date of Birth (dd/mm/yy)Birth Place

Gender|_|Female |_|Male

Bumiputra|_|Yes |_|No

Race|_|Malay |_|Chinese |_|Indian |_|Eurasian |_|Others (pls state) :

Religion|_|Islam |_|Buddhism |_|Hindu |_|Christian |_|Others (pls state) :

Citizenship

Marital Status|_|Single |_|Married|_|Divorced |_|Widowed

No of Children

Height (CM)

Weight (KG)

NRIC, Passport & Visa Information|_| Applicable|_|Not Applicable

New NRIC No.Old NRIC No.

Passport No.Passport Expiry Date

Passport Issued By(country)


2.0PRIOR WORK EXPERIENCE DETAILS [Provide your career history starting with your most recent employment]

Name of Employer (Cos name)

Start Date (dd/mm/yy)End Date (dd/mm/yy)

Last Job Title

Last Drawn Salary

Reason for Leaving

Expected Salary

Notice Period



Last Job Title

Last Drawn Salary

Reason for Leaving



Last Job Title

Last Drawn Salary

Reason for Leaving

3.0HIGHEST / PROFESSIONAL EDUCATION DETAILS [Please attach photocopy of certificate/testimonial]

Level of Qualifications|_|SRP |_|SPM |_|STPM |_|Certificate |_|Diploma|_|Advance Diploma |_|Bachelor |_|Master |_|PhD

Name of Qualification

Date Acquired (dd/mm/yy)

Major (for Degree only)

School / College / University Attended

Country

Level of Qualifications|_|SRP |_|SPM |_|STPM |_|Certificate |_|Diploma|_|Advance Diploma |_|Bachelor |_|Master |_|PhD

Name of Qualification

Date Acquired (dd/mm/yy)

Major (for Degree only)

School / College / University Attended

Country


4.0LANGUAGE PROFICIENCYPlease state level of proficiency(H: High M: Medium L: Low)

LANGUAGESPOKENREADINGWRITING

5.0 DECLARATION

5.1 CONSENT TO RELEASE EDUCATION & EMPLOYMENT INFORMATION

I, I/C No. / Passport No. : hereby authorize Astro Malaysia Holdings Berhad to conduct related references on my Education and Employment with the relevant authorities or sources.

5.2 OTHERS

I hereby declared that: I have never been convicted of a criminal offence or been declare bankrupt in any country All information provided in this application for employment is true and to the best of my knowledge I have not willfully suppressed any material facts

I understand that if any of the particulars supplied by me in this form are proved to be untrue, I am liable to be summarily dismissed.

Signature: _______________________________________ Date: _____________________________Name: __________________________________________ NRIC No: __________________________


FULL SIZE PICTURE (FRONT) : D5 SIZE (127mm X 169mm) Full size picture (Front Body Full Shot)

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