PERSONAL DETAILS

FAMILY DETAILS

HEALTH DECLARATION

EDUCATION

Please provide details of your tertiary education. Please provide a breakdown of all your grades. Please provide details of your professional qualification, e.g. BVC/LPC or CLP.
LANGUAGES (Please indicate basic/fair or good).
English:*
Bahasa Malaysia:*

CAREER HISTORY

PREVIOUS AND CURRENT EMPLOYMENT, LIST IN ORDER OF THE MOST RECENT FIRST.

REFERENCES

Please provide the names and contact numbers of two referees (one of whom should be your previous employer, and the other, preferably should be an academic referee). Do not give the names of family members/relatives as your referees.
INTERESTS AND SOCIAL
PREFERRED AREA(S) OF PRACTICE
FURTHER INFORMATION

Declaration and Consent: I hereby confirm that all the information given in this form is accurate and correct. I understand that any deliberate attempt to falsify information or failure to disclose relevant information where necessary may disqualify my application or if discovered after appointment may lead to summary dismissal. I also authorize Shearn Delamore & Co. to conduct comprehensive reviews and checks of me or my background with the relevant parties and/or authorities (as the case may be).

I also understand and agree that Shearn Delamore & Co. may collect, obtain, store and process my personal data for the purposes of processing and considering my employment application. By signing and/or submitting this application form, I hereby consent Shearn Delamore & Co. to store and process my Personal Data, whether within or outside Malaysia and/or disclose my Personal Data to the relevant governmental authorities or third parties where required by law or for legal purposes. For the avoidance of doubt, Personal Data includes all data defined within the Personal Data Protection Act 2010 including all data you had disclosed to the company in this form or your employment application letter.

I understand that for the purpose of ascertaining whether I am medically fit for employment and/or to carry out my duties (in the event that I am employed by the firm), Shearn Delamore & Co., may require me to undergo the necessary medical check-up with their panel doctor/hospital and for such purpose(s), I hereby consent and agree that the relevant doctor/medical practitioner/hospital may disclose my medical check-up report and/or medical information to Shearn Delamore & Co., upon request.

Please upload your CV in PDF format.