form

Topics: Selangor, Malaysia, Shah Alam Pages: 7 (567 words) Published: February 12, 2014


FACULTY :

FIELD/AREA:

A.PERSONAL DETAILs

1.Full Name (CAPITAL LETTERS) : SALEENA BINTI V.E.O ABDUL KADER

2.Malaysian Identification Card Number (Old)/Passport No.2a. Malaysian Identification Card Number (New)

3.NationalityM - Malaysian4. Race : MALAY
PR - Permanent Resident
B - Others :5. Religion : ISLAM

6. Correspondence Adress (Block Letter) 7. Phone No. (House):
B-10-8, APARTMENT SRI TANJUNG, USJ16,
(Mobile :
SUBANG JAYA, 47610 SELANGOR.
(Office):

Email : SLEENA25@GMAIL.COM

MUAR, JOHOR
8. Date of Birth : Day Month Year 8a. Place of Birth :

9. Marriage / B – Single M - Married 10. Gender :M - Male Status : W – Widow D - DivorcedF - Female

11. i. Name of Spouse :FAWWAD AZHAR SIDDIQUIii. Occupation : MARKETING&COMM EXEC.

iii. Address (Workplace) : ARAB SUPPLIER FABRICATION &RETAIL SDN BHD, SEKSYEN 9, SHAH ALAM.

B. ACADEMIC QUALIFICATION :

12. Information pertaining to School/College and/or University qualifications should be provided in the columns below. NOTE/ REMINDER : Please attach certified true copies of the necessary documents (certificate, degree, diploma) to validate the information given. Candidates are also required to send in any necessary and finalized Statement(s) of Result or Transcript(s).

Qualification / Specialisation

Classification of Degree/(Hons.)
/ CGPA

Grade obtained for
Bahasa Malaysia

Name of Institution /
School attended

Date of Gradution

i. MCE/ SPM

ii. HSC/ STPM

iii.

iv.

v.

vi.

FIRST GRADE(21)

NIL

13. Professional Membership (State Duration of Membership) :

Name of Professional Body

Membership Number

Date

i.

ii.

iii.

Closing Date of Submission : ...................................

C. WORK EXPERIENCE

14. Please provide your working experience in ascending order:- (Please include attachment if space is not sufficient)

NOTE/ REMINDER : Please include certification of employer, offer letter or letter indicating leave of service (if any). Applications from those who are currently employed in any institutions in the Civil Service Department/Statutory bodies/ Local Council should be channeled via the Head of Department and accompanied with an updated record of service.

Date
Post held
Name and Address
Of Employer
Salary Grade/
Salary (RM)
Subject/Course
(If Teaching)
Start
End

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