APPLICATION FORM

POSITION APPLIED FOR (Please specify)

Please enclose photocopy of:

1. Identity Card
2. Passport other Nationalities
3. Educational Certificates and transcript
4. Work Pass (such as EP / S-Pass / Work Permit).

I. PERSONAL PARTICULARS

Name (Mr/Miss/Mdm/Dr) Please Underline Surname: Name in Chinese Characters: 彭劲宁

PANG Kim Ling (if applicable)
Residential Address:
Seasons Apartment, Block B, #05-03, Amara Larkin, Jalan Larkin, 80350 Johor Bahru

Date of Birth: 11-03-1979 Place of Birth: Tampin, N.S Gender: Male / Female*

Nationality: Malaysian Identity No.: 790311-05-5201 PR: Yes/No*

Work Pass Type (For Foreigner only): Employment Pass / S Pass / Work Permit* Covid-19 Vaccination Status: Completed
Marital Status: Single/ Married/
Race: Chinese Dialect Group: Cantonese Religion: Buddhis
Divorced/ Widowed*
Contact No.:
(Home) (Office) (Mobile) 019-915 1268 (Email Address) Kim031179@gmail.com

II. LANGUAGES AND DIALECTS (State proficiency as excellent/good/fair/elementary)

Languages/Dialects English Chinese Malay Other:

Proficiency In Speaking Excellent Excellent Good

Proficiency In Writing Excellent Excellent Good

III. OTHER SKILLS

Computer Knowledge Microsoft

(State the types of software applications you are familiar with)

Other relevant skills in relation to the work

(e.g. Bookkeeping, typing, shorthand, etc.)
B2, D
Driving License: No / Yes, class ________
IV. EDUCATION / QUALIFICATION (Inclusive of Part Time Courses) Start with highest
educational qualification
From To
Name of School, College, University, etc. Qualifications Obtained Country
(dd/mm/yy) (dd/mm/yy)
1998 2001 University of Adelaide Degree Australia

1992 1997 Pay Fong High School A-Level Malaysia

SPECIAL TRAINING COURSES

From To
Name of Institution Qualifications / Certificate Obtained Country
(dd/mm/yy) (dd/mm/yy)

PRESENT MEMBERSHIP OF PROFESSIONAL, SOCIAL & SPORTING ORGANIZATION

From To
Name of Organization Country
(dd/mm/yy) (dd/mm/yy)

SPECIAL SCHOLASTIC ACHIEVEMENTS / AWARDS

Awarding Body Type of Award Year of Award Value of Award

V. EMPLOYMENT HISTORY (Start with the current or most recent)

From (dd/mm/yy) : 1/10/2015 To (dd/mm/yy) : Present

Name of Employer : Tat Hong Plant Hire Sdn Bhd

Nature of Business : Equipment Rental

Address : No 4, Jalan Seroja 2, Bandar Indahpura, Kulai,
81000 Johor Bahru
Contact No: 019-9151268

Type of Employment : Permanent / Contract / Temporary * (Full Time / Part Time*) Permanent, Full Time

Initial Job Position :Fleet Manager Current Job Position : Technical Manager
List in brief the remaining jobs held during your years of employment: - (Start from most recent)

From To Company Remarks (Filled by

Name of Company Position
(dd/mm/yy) (dd/mm/yy) Contact No Interviewer)

Tat Hong Plant Hire Sdn Bhd 2015 Present Technical Manager

MVM Global Engineering Sdn 2014 2015 Technical Manager

Bhd

EMS Energy Solutions Pte Ltd 2010 2014 Project/Service Manager

PH Hydraulics & Engineering 2003 2010 Assistant Project Manager

Pte Ltd
Amco System Engineering Pte 2002 2003 Technical Engineer
Ltd

Permission for contacting previous employment: Yes / No

VI. FAMILY DETAILS

Spouse Particulars (if married)

Full Name : Goh Hwee Chih Identity/FIN/Passport No. :S7874037

Date of Birth : 25-12-1978 Place of Birth : Melaka Nationality : Singaporean

Occupation : IT Analyst Employer : Yazaki Pte Ltd Office Tel. :

Give Details of Children (if any)

Date of Birth
Full Name Sex Occupation
(dd/mm/yy)
Pang Hoi Checng F 11-01-2012

Parents and Siblings Particulars

Date of
Full Name Relationship Birth Occupation Employer
(dd/mm/yy)
Pang Kuan Chow Father 1-4-1946 Retiree
Che Knuk Min Mother 6-4-1951 House Wife

Pang Kim Yong Brother/Sister 1-9-1976 Finance Manager

Pang Kwai Fah Brother/Sister 23-6-1971 House Wife

Brother/Sister

Emergency Contact
Name : Dr/Mr/Mrs/Miss/Mdm Pang Kim Yong 012-234 8552 Relationship : Brother
 Address : Contact No. :

VII. REFERENCES
(Please note that the Company may write to the organisations/ individuals below before and/or upon your acceptance of employment)

Employment References from past and present employment

1 Name of referee (Mr/Ms/Mdm/Dr): Position:

Company:

Company address: Office Tel.:

2 Name of referee (Mr/Ms/Mdm/Dr): Position:

Company:

Company address: Office Tel.:

VIII. FURTHER INFORMATION

What are your interest / hobby?

Reading
Are you active in any social media platform? Not really

Do you have any relative(s) working with our Company or related to Syspex Companies? If YES, please list their names & occupations.
No
Have you ever been interviewed by our company or related to Syspex Companies? If YES, please state date, position applied for and
outcome.

No

Have you ever been dismissed from a job? If YES, please state reasons. NO

Have you ever been investigated or convicted of any criminal conduct including the act of bribery and corruption? If YES, please state details.
NO

Are you an undischarged bankrupt or is there any bankruptcy petition pending or threatened against you? NO

Have you ever had, or are you suffering from disease/illness (for insurance purpose)? If YES, please state details. NO

How did you come to know about this position? From Jobstreet Malaysia

Reasons for leaving present job : Desire for change

Are you a smoker? (for insurance purpose)

Yes
DECLARATION
I hereby declare that:-
1. The information given by me in this application form is correct and true to the best of my knowledge, and that I have not wilfully
suppressed any facts;
2. I am medically fit for employment and has no prior disease or illness other than what I have disclosed in this application form (if
any);
3. I have not been investigated or convicted of any criminal conduct including the act of bribery and corruption other than what I have
disclosed in this application form (if any);
4. I am not an undischarged bankrupt, that there is no bankruptcy petition pending or threatened against me;
5. I have obtained the consent from my family members for the disclosure I have under Part VI. Family Details in this application form.

I fully understand and accept that if any time after engagement, it is found that a false declaration has been made in this application form,
the Company has the absolute right to terminate my employment forthwith without assigning any reasons.

Signature of applicant ________________________________ 6 Feb 2021

Date ___________________

FOR OFFICE USE ONLY

Location Branch :  65ST - Singapore

 03SM - Selangor
 04SI - Penang
 07ST - Johor
 21SK - Jakarta
 31SM - Surabaya

Status :  Shortlisted
 Pending
 Rejected – Reason: ______________________________

Document Submitted :

Remarks :

Interviewer :
(name and signature)

Date :