PRIVATE AND CONFIDENTIAL - MyCC

1 C. CONTACT DETAILSMALAYSIA COMPETITION COMMISSIONL evel 15, Menara Jalan Stesen Sentral 5,Kuala Lumpur Sentral, 50623 Kuala : 03-2273 2277 | Fax: 03- 2272 AND CONFIDENTIALJOB APPLICATION FORMPRIVATE AND CONFIDENTIALCONDITIONS1. Application opened for Malaysian Citizens Please complete this application form and email to You may also return completed form by post to: Head, Human Resource Management Unit, Malaysia Competition Commission (MyCC), Level 15, Menara SSM@Sentral, Jalan Stesen Sentral 5, Kuala Lumpur Sentral, 50623 Kuala Copies of your academic certificates, testimonials and other relevant documents must accompany this Original copies of your certificates and other relevant documents will be required for verification if you are subsequently selected for an interview.

2 5. All information given by you in this application must be true. Any information that is subsequently found to be false will disqualify you, any offer of employment may be withdrawn or employment may be terminated summarily. Wilful suppression of any material facts will be similarly penalised. 6. If the space provided for the sections below is insufficient, you may add additional rows where Applications that are not properly completed or illegible will be POST APPLIED FORB. PERSONAL PARTICULARSE xpected Monthly Gross Salary (RM) :Residential AddressEmail AddressContact Number (Residential)Contact Number (Mobile)Contact Address if different from Residential AddressNRIC of BirthFull Name as in NRIC (Underline Surname)* Dr / Mr / Mrs / Ms / Mdm*Married /SingleNotice Period required to leave present employment, if applicableEarliest Commencement Date if offered employmentExpected Annual Gross Salary (RM) :Marital StatusAge* Please delete where appropriate*Polytechnic / UniversityCGPA ScorePostgraduateCourse of StudySubjectSubjectGradeCourse of StudyCGPA ScoreD.

3 EDUCATIONAL DETAILSE. RESULTS OF TERTIARY LEVEL OR EQUIVALENT (IF APPLICABLE)F. RESULTS OF SPM/STPM/ O / A LEVEL OR EQUIVALENT (IF APPLICABLE)G. OTHER EDUCATIONAL INFORMATIONPRIVATE AND CONFIDENTIAL * Please delete where appropriatePRIVATE AND CONFIDENTIALA cademic LevelInstitutionAttendedCountry of StudyQualificationAttainedDuration of Course( Jan 1990 - Apr 1993)Full-time /Part-Time*Full-time /Part-Time*Full-time /Part-Time*Full-time /Part-Time*Full-time /Part-Time*Full-time /Part-TimePostgraduate ( PhD, Master)University(Class of Honors, if applicable)Polytechnic / CollegeSecondarySchool(SPM/STPM or equivalent)Other Professional Qualification ( ICSA, ACCA)Grade* SPM/STPM/O LevelCourses Currently PursuedInstitutionExpected Duration (From To)Awards / Scholarships Sponsoring InstitutionBond Period (if applicable)No.

4 Of passes A LevelSubjectSubjectGradeNo. of passesMembership of Professional Bodies Institution / AssociationMembership Period (if applicable)GradeH. Co-Curriculum Activities / SPORTS (PROVIDE MAJOR / KEY ACTIVITIES)I. FULL-TIME EMPLOYMENT DETAILS (START WITH CURRENT / LATEST EMPLOYMENT) Add additional rows if AND CONFIDENTIAL * Please delete where appropriatePRIVATE AND CONFIDENTIALI nstitutionFrom (MM/YY)To (MM/YY)Name of OrganisationPosition HeldMonthly Gross Salary (RM)Annual Gross (RM)Polytechnic/UniversityCollegeSeconda ry SchoolBrief Description of DutiesKey Achievements (up to 3)Reason for LeavingCCA / Sports Position HeldPeriod ( 1990 - 1993)From (MM/YY)To (MM/YY)Name of OrganisationPosition HeldMonthly Gross Salary (RM)Annual Gross (RM)Brief Description of DutiesKey Achievements (up to 3)Reason for LeavingFrom (MM/YY)To (MM/YY)Name of OrganisationPosition HeldMonthly Gross Salary (RM)Annual Gross (RM)

5 Brief Description of DutiesKey Achievements (up to 3)Reason for LeavingName of RefereesEmail Address / Contact No. Organisation / Position Held Years KnownL. STATEMENT OF AMBITIONS Please include, if selected to serve in the position you are applying for, how you would be able to contribute towards achieving the MyCC s objective. ( Not more than 50 words)M. DECLARATIONSPRIVATE AND CONFIDENTIALPRIVATE AND CONFIDENTIALI declare that all information given by me in this application for employment and any documents attached here to are true to the best of my knowledge and I have not wilfully suppressed any material fact. Signature of ApplicantDat