This job application form requests personal information such as name, contact details, date of birth, education history, work experience, references, skills and a self-declaration. The applicant is asked to provide their permanent and correspondence addresses, expected salary, religion, identity details, next of kin, major skills, education including qualifications obtained and dates, work history for the last 3 positions including company/location, position and dates of employment. References are also requested along with a signature and date to confirm the accuracy of the information and willingness to be posted to different locations if selected.

1. PERMANENT ADDRESS EXPECTED SALARY
CORRESPONDENCE ADDRESS
RELIGION
IDENTITY CARD NO / COLOR NATIONALITY
From To
From To
Next of Kin Name
Primay Contact
Secondary Contact
Relationship
REFERENCE
Name Relationship Contact No / Email
MAJOR SKILLS (eg. foreign languages skills,computer skills etc)
Period (Year)
Qualification Achieved
POSITION APPLYING
School Name
PERSONAL INFORMATION
Contact Number
PLACE OF BIRTH (City/Country)
Lot 09681, Jalan McKerron, Second Floor
Serikandi Headquarters Building
Kuala Belait KA1131 Brunei Darussalam
P.O. Box 1215, Kuala Belait KA1531 Brunei Darussalam
Tel: +673 3349309
Company Name / Location Position
Date (Year)
EDUCATION
JOB APPLICATION FORM
GENDER RACE
Reason for Leaving
WORK EXPERERIENCE (last 3 latest only )
NAME
In case of accident, notify:
TELEPHONE (Mobile )
TELEPHONE (Home )
DATE OF BIRTH (mm/dd/yyyy )
EMAIL ADDRESS
SOS-HR-FM2, rev1.0

2. 1) I do not have any existing medical condition, physical impairment or substance dependence. Yes No
2) There is no Criminal Investigation/trial pending/ongoing against me. Yes No
3) I have not been convicted for an offence involving immoral or unethical behavior. Yes No
Yes No
5) I do not have any objections if reference check is made with my past and present employer(s). Yes No
6) I have no conflict of interest to declare? If Yes, please specify: Yes No
7) If selected, I am ready to be posted or transfered to any of the locations within the country. Yes No
Name: Signature: Date:
Date Received:
Remarks:
SELF DECLARATION (Please tick √)
I declare that the information and details furnished in this application form are true and correct to the best of my
knowledge and belief, and I will not willfully suppressed any material fact. I understand that any false statement or
omission of information may result in the disqualification of employment or in the case of employment, termination
without notice or compensation.
4) I do not have any undesirable habits such as excessive alcohol, drug addition or gambling.
FOR HUMAN RESOURCE USE
Remarks:
SOS-HR-FM2, rev1.0