ADDITIONAL INFORMATION 1. Area of job interest : 1) ................................................... 2) ................................................... 3) ................................................... 2. Have you participated in any of PETRONAS entry level assessment as below (Fill details where applicable) : Phone interview / chit-chat Name of company : ..................................................................................................................................... Online test Technical assessment Final interview Assessment Date (Month / Year) EMPLOYMENT HISTORY NOTES: 1. Complete all required fields. Mark ‘N/A’ where applicable. 2. Incomplete and unsigned form shall be rejected. 3. False statements may cause rejection of the application or if employed, termination of employment. 1. Full Name (as per NRIC/Passport) : ..................................................................................................................................................................................................................... 2. NRIC/Passport Number : ................................................................................. 4. Mobile Number : .............................................................................................. 1. Name of current employer : .................................................................................................................................................................................................................................. Employment type : Permanent q Contract q 2. Have you been offered an employment/employed by PETRONAS and/or its group of companies?......................................................... YES q NO q If ‘YES’, name of company : .................................................................................................................................................................................................................................... Type of employment : Permanent q Contract q Duration : ............................................................................................................................................... 3. Current basic salary : ................................... Expected basic salary : ................................... 3. Nationality : ...................................................................................................................... 5. Email Address : ............................................................................................................... PERSONAL DETAILS EDUCATION DETAILS DECLARATION FORM Qualification Program Institution Results Date of Completion (CGPA/WAM) (Month/Year) PhD Master Degree Diploma SPM/O-Level Page 1 of 2 1. Have you been awarded a PETRONAS education sponsorship before? ............................................................................................................... YES q NO q If ‘YES’, year awarded : ...................................... Type of sponsorship : ....................................................................................................................................................... 2. Have you been awarded an education sponsorship from any organizations (e.g. PTPTN/JPA/MARA)? .................................................. YES q NO q If ‘YES’, name of organization : ............................................................................................................................................................................................................................ Are you contractually bonded with the organization? ............................................................................................................................................... YES q NO q