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Full Name *

NRIC / Passport No *

Marital Status SingleMarriedDivorced

Contact No *

E-Mail *

Job Position ManagerSupervisorCook AssistantCashier/BaristaFloor AssistantDishwasher

Job Status Permanent (Fulltime)Contract (Fulltime)Part Time

Address 1 *

Address 2 *

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City *

State * Kuala LumpurSelangorNegeri SembilanPerakPenangKedahTerengganuKelantan

Highest Education MasterBachelor DegreeDiplomaSTPMSPM

Years of Experience No ExperienceLess than 1 year1-3 yearsMore than 3 years

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Bank Name (Salary Purpose) MaybankCIMB BankBSNBank IslamHong Leong BankAffin Bank

Bank Account No *

EPF No (Leave blank if NA)

Emergency Contact Name *

Emergency Contact No *

Relationship SpouseParentSiblingCousinAgent

As a new employee I have no conviction or current charges under the Registration of Criminals and Undesirable Persons Act 1969 of Malaysia. *

I have not committed any act of bankruptcy as defined under Section 3 of the Bankruptcy Act 1967. *

I consent and authorize Lastix Asia Sdn Bhd and PappaGrill Malaysia Sdn Bhd and Garden Kitchen Sdn Bhd to collect, use, transfer, disclose and/or retain my information (including but not limited to personal data) in compliance with Personal Data Protection Act 2010. *