petronas declaration form
TRANSCRIPT
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
DECLARATIONFORM
Qualification Program Institution Results Date of Completion
(CGPA/WAM) (Month/Year)
PhD
Master
Degree
Diploma
SPM/O-Level
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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
3. Do you have any relative(s)*, either by blood, marriage or adoption who is/are currently employed by PETRONAS and/or
its group of companies? ................................................................................................................................................................................................... YES q���NO q
If ‘YES’, kindly list their particulars:
Signature : ................................................................................... Date (DD/MM/YY) : .................................................................
Name : ..........................................................................................
Relative(s) include spouse(s), parents, parents-in-law, siblings, siblings-in-law, aunties, uncles, nieces, nephews, first cousins and fiancée / fiancé
Name Relation to You Company Employed
Name Position / Company Contact Number
I hereby certify that all the statements made in this declaration are true and correct. I understand that I must demonstrate that I meet the
minimum requirements of the job, and further understand that any exaggerated or false statement(s) or omission of requested information may
be a cause for my application to be rejected; or, if I have been employed may be cause for my termination. By signing this application, I agree to
authorize the use of any information in this application to verify my statements, and I authorize all past employers, past educators and references
to release any/all information concerning my previous employment and educational records.
DECLARATION
4. Have you been declared a bankrupt? ........................................................................................................................................................................ YES q���NO q
If ‘YES’, please state the year of bankruptcy declared upon you : .......................................................................................................................................................
5. Have you even been convicted by any division of criminal court? .................................................................................................................. YES q���NO q
If ‘YES’, please state at which court : .................................................................. Case : ........................................................... Year of conviction : .....................
6. Has any disciplinary action been taken against you in your previous employment(s)/educational institution(s)? ............................. YES q���NO q
If ‘YES please state year of action taken : ........................................................ Case : ............................................................................................................................
Name of company/institution : .......................................................................................................................................................................................................................
7. Are you currently an owner/shareholder of an enterprise or private limited company? ........................................................................... YES q���NO q
If ‘YES’, please state the name of company/enterprise : ........................................................................................................................................................................
Title held in company/enterprise : ........................................................ Nature of business : ............................................................................................................
8. Please provide us with two (2) referrals (Preferably your previous working superior(s) :
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