EMPLOYMENT APPLICATION FORM

SECTION A: Program / Teaching Level / Subject
Name (as per NRIC / Passport):
Other Names, if any
Post Applied:
I would like to teach at the:
I would like to teach/work on the following subjects/area:
I would like to teach at the, Fairview Campus
Other Subjects preference:
Highest Academic Qualification:
Expected Remuneration:
Expected Commencing Date:
Notice period required, if selected:

SECTION B: Personal Particulars
Identification Type:
Identification No:
Previous Identification No. (If Any):
Sex:
Race:
Religion:
Date of Birth:
Age:
Nationality:
Marital Status:
Tax file No. (If Any), Branch:
Husband's Tax file (If Applicable), Branch:
EPF No:
SOCSO No:
*Contact Details (*NB: All communication by the school to the correspondence address last received shall constitute due service.)
Door No:
Street:
Area:
Postcode:
Town:
State:
Country:
Phone:
Mobile:
Email Address:
*Contact Person/ address in case of emergency*
Name:
Relationship:
Door No:
Street:
Area:
Postcode:
Town:
State:
Country:
Phone:
Mobile:
Email Address:
Curricular Activities, Games, Hobbies, Sports and Recreations.(Include affiliation with NGOs, political and religious organisations. State name of activities, organisations, held & duration and other relevant information)

Languages / Dialects
*Language Dialects*	*Level of Proficiency Good / Fair / Poor*
*Language Dialects*	*Spoken*	*Read*	*Written*
*English*
*Mandarin*
*Malay*
*Others*
*Others*
*Others*
*Others*

Health Condition
Height(cm): Weight(kg):
(Do you suffer from - Indicate 'Yes' or 'No' against each condition) NB : Without prejudice to other remedies available, the school will not bear the cost or any treatment of any disability, illness or condition known to the applicant but not declared in this application form.
*Description*	*Yes/No*	*Description*	*Yes/No*	*Description*	*Yes/No*
Alcoholism		Shoulder Injury / Pain		Tuberculosis
Asthma		Back ache / Related Problem		HIV/Aids
Cancer / Leukemia		Deafness / Hearing Problem		Kidney Problem
Diabetes		Speech Handicap		Liver Problem
Dadah Addiction		Colour blindness / Visual Handicap		Migraine
High Blood pressure		Throat Problem		Psychiatric condition
*Please describe below any other disabilities/illness/condition that may affect your contractual obligations.*

*Please respond 'yes' or 'no' to each of the following statements*
I am a regular smoker
I have never been charged nor convicted of any criminal offence
I was never adjudicated a bankrupt nor subject to any such proceedings

SECTION C: Family Particulars (NB : failure to provide any of the particular means you have agreed to waive certain service benefits e.g. Compassionate leave)
Name (as in NRIC)	*Relationship*	*Age* *(D.O.B)*	Occupation	Phone
	Father
	Mother
	Spouse
	Child 1
	Child 2
	Child 3

SECTION D: Education Background
Secondary Education
From		To
SPM / "O" Level Grade
Subject		Result
Subject		Result
Subject		Result
Subject		Result
Subject		Result
Subject		Result
Subject		Result
*Pre-University / College* Education
From		To
STPM / "A" Level Grade
Subject		Result
Subject		Result
Subject		Result
Subject		Result
Subject		Result
Subject		Result
Subject		Result
*Tertiary* Education
Degree Received with College Name
Degree Received with College Name
Degree Received with College Name
Degree Received with College Name
*Other*
From		To
Qualification / Award
Grade
Scholarship, Honours & Awards

SECTION E: Employment History (In reverse chronological order, starting with current job)
*Job Title*	*Period* *From- To*	*Last Pay Month (RM.)*	*Reason for Leaving*	*Brief Job Description*	*Employer Address*

SECTION F: References (Please provide 3 referees in preference order, relatives and in-laws excluded, the applicant is deemed to obtain referees' prior consent)
*Referee Name*	*Years Known*	*Phone*	*Mail ID*	*Occupation*	*Employment Address*

SECTION G: Additional Information

Please state information that you consider important and helpful in assessing your suitability for this application:

*SECTION H: Source and Previous Applications*
I come to know about this vacancy through Newspaper, Employment Agency, Friends / Relatives, My own initiative, Fairview staff (Name)
I had previously applied for employment with the company before. If your response is affirmative, indicate date/s and position applied for

*SECTION I: Upload your Resume and other documents*
Upload your Resume
Upload your Certificates
Upload your Certificates
*Resume and Document submissions are must for processing your application*

SECTION J: Declaration Statement

1. I declare that the information provided herein is true and complete in all aspects. I understand and agree that if the Company were to subsequently discover any misrepresentation or omission of information herein, this shall be sufficient and proper cause for the school to withdraw any offer of employment to me or, if I am by then already employed by the Company, to terminate my employment without notice and without any compensation in lieu.

2. I hereby give my irrevocable consent to the Company to perform periodical random checks from time to time to verify the particulars given herein.

3. I understand and agree that any offer of employment by the Company is valid and binding on the Company only if such offer in writing and upon such terms and conditions as may stipulated in such written offer, notwithstanding anything to contrary howsoever arising previously.

4. I further understand and agree that any offer of employment by the Company is subject to me having first passed a pre-employment medical examination as may be determined by the Company. I hereby give my irrevocable and unreserved consent for the Company to have access to, and for the doctor to submit to the Company, medical report on me in respect of this pre-employment medical examination. This consent shall extend to all medical treatment received by me during the course of my employment with the Company.

For more information, Contact:

Fairview International School, (An IB World School)

4178, Jalan 1/27D, Section 6, 53300 Wangsa Maju. Kuala Lumpur. Tel: 603 41420888. Website: www.fairview.edu.my