3. Email Address :       

     4. EPF No :                         Languages/Dialects Spoken :

     5. Sosco No :                    Languages Written :

     6. Present Address :
                                            


         State :                        -None- Perlis Kedah Penang Perak Selangor Putrajaya Kuala Lumpur N.Sembilan Melaka Johor Kelantan Terengganu Sabah Sarawak Labuan   

         Zip :                           

        Contact No :-
        (House) :          (Handphone) :


     7. Race :       -None- Others Malay Chinese Indian Punjabi Iban Sikh    If Others, specify :


     Citizenship :
   
    
     8. Age :     -None- < 18 years 18 years - 25 years 25 years - 30 years 30 years - 35 years > 40 years       Place Of Birth :


     9. NRIC No (e.g- 000000-00-0000)  
         Old :          New :        

     10. Religion :   -None- Islam Buddhist Hindu Christian Sikh Others  If others, specify           
    
     11. Marital Status  :   -None- Single Married Divorced

     12. Do you own a :     car?       Yes No

                                    motorbike?  Yes No

     13. Car/Motorbike License #:    

    
     FAMILY INFORMATION

     14. Name Of Spouse  :    

     15. Spouse Occupation : 

     16. Spouse Working Address (If Working) :
                                                  

     Zip Code : 

     Spouse Contact No :-
        (House) :          (Handphone) :

     17. Father Name  :           

          Occupation  :               

     18. Mother Name  :          

           Occupation  :              

     19. No. Of Children Working   :   -None- 0 1 2 3 4 5 6 7 8 9

     20. No. Of Children Studying  :    -None- 0 1 2 3 4 5 6 7 8 9

     
    EDUCATION
                                                                                          Year               Highest Examination    Grade Obtained

     21. Primary  :           <1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007      

     22. Secondary   :     < 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007      

     23. University  :        < 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007      

     
     WORKING EXPERIENCE
    
     24. Past/Present Employment (List in chronological order with present employer first)

     25. Loan outstanding with financial Institution

     Bank/Finance :    Loan Type :    Loan Amount :    Since : 

     Bank/Finance :    Loan Type :    Loan Amount :    Since : 

     Bank/Finance :    Loan Type :    Loan Amount :    Since : 

     Bank/Finance :    Loan Type :    Loan Amount :    Since : 

     ADDITIONAL INFORMATION

     26. Have you ever been discharged or asked to resign by an employer?   Yes No

     If Yes, explain

     27. Have you ever pleaded guilty or been convicted of a crime other than a traffic violation?   Yes No

     If Yes, when:, explain

     28. Any relative working in this company?   Yes No

     If Yes, who;

      29. Any experience in collection before?    Yes No

     If Yes, where

     30. Willing to travel outstation whenever requires?   Yes No

     Place Of Choice :  -None- Kedah Johor Melaka N.Sembilan Pahang Penang Perak Perlis Terengganu W.Persekutuan Selangor

     31. Have you been medically unfit or hospitalize for the last 12 months?  Yes No

     If Yes, where

            
                             I  hereby  declare  that all information provided in this form is true and correct. If any of the information I have furnished
        either intentionally or  unintentionally  is  found   to  be  untrue,   I  understand  that the company reserves the right to terminate my
        appointment or take  other action as it deems appropriate.