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OM SPACE SDN BHD
Job Application Form
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1
Personal Info
2
Qualification
3
Work Experience
4
Skill
5
Background
6
Q&A
7
Document
To Apply Job Position of:
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Student Service Consultant
Customer Success Consultant
Lecturer
Tutor
Trainer
Coach
Clinical Hypnotherapist
Clinical Psychologist
Licensed Counsellor
Psychotherapist
Marketing Executive
Video Editor
Project Executive
Web Developer
IT Executive
Admin Executive
Accountant
Accounts Executive
Education Supervisor
Training Supervisor
Psychotherapy Supervisor
Clinical Psychology Supervisor
Education Service Manager
Centre Manager
Customer Success Manager
Marketing Manager
Project Manager
IT Manager
HR Manager
Office Manager
Finance Manager
Academy Director
Centre Director
Centre Branch Director
Business Development Director
Operation Director
CEO's Personal Assistant
CFO - Chief Finance Officer
CEO - Chief Executive Officer
HR Executive
Sound Therapist
Receptionist
Type of Job Application
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Full Time
Part Time
Internship
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Other Job Position (Kindly specify)
Personal Information
Full Name per IC
*
First
Nickname
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Gender
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Male
Female
IC / Foreign ID No.
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Date of Birth
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Day
Month
Year
Phone Number
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Email
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Address
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Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
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Lithuania
Luxembourg
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Malaysia
Maldives
Mali
Malta
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Martinique
Mauritania
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Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Nationality
*
Malaysia
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Race
*
Chinese
Malay
Indian
Other
Other
Your Linked In / Facebook / Social Media / Website URL (If Any)
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Education Qualification
Highest Education Level
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SPM
Certificate
Diploma
Bachelor Degree
Master Degree
Phd
Kindly Describe Your Education Background
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Year of Graduate
Name of School / University
Major Studies
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Other Professional Program Attended
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Course Name
Duration
Institute Name
Profession
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Work Experience
Main Industry / Nature of Business
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Total Year of Working Experience
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Year (YY)
Month (MM)
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Job Experience Details
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Job Duration
Nature of Business
Company Name
Job Position
Reason of Leaving
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Are you new in Mental Health and Education Industry?
*
Yes
No
If No, kindly describe your working experience in Mental Health and Education Industry.
Years of Experience in Mental Health and Education Industry
*
No Experience
Less than 1 year
1 - 3 years
3 - 5 years
5 - 10 years
10 - 20 years
20 years and above
Kindly describe your professional background and profile in Mental Health and Education Industry.
Kindly select your specialties in Mental Health and Education Industry
Choose one or more
Self-empowerment
Personal Development
Emotion Management
Mental Disorder
Pathology
Insomnia / Sleep Disorder
Medical Health Issue
Weight Management
Addiction
Family Issue
Parenting
Child Therapy
Relationship
Marriage
Interpersonal Skill
Career Development
Entrepreneurship
Money / Financial
Other
What is your goal and vision in Mental Health and Education Industry?
*
Professional Skill
Language
*
*Mandarin Speaking is mandatory in our company.
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Language
Proficiency level (1-10)
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Computer Skill
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Skill
Proficiency level (1-10)
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Competency Behaviour
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Skill
Proficiency level (1-10)
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Ability and Talent
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Skill
Proficiency level (1-10)
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Other Professional Skill (if any)
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Skill
Proficiency level (1-10)
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Personal Background
Your Strength
*
Your Weakness
*
Why are you leaving your previous company and job?
*
What is your biggest achievement till date? kindly describe.
*
Kindly convince us on why should we hire you as part of the team.
*
Briefly describe on your understanding about our company.
*
Expected Salary in MYR
*
How did you get to know about our organisation?
Google Search
Facebook
Website
Linkedin
Ricebowl
Friends and Family
Seminars and Events
Other
Other (please state):
Job Referred By (If Any)
Write your Goal in Details
Personal Goal
Career Goal
Financial Goal
Family Goal
Spiritual Goal
Q&A
Have you ever been diagnosed with any medical or mental health issue ?
*
No
Yes
If Yes , kindly write down the diagnosis symptoms / disease name.
Did your family members been diagnosed to any medical or mental health issue ?
*
No
Yes
If Yes , kindly write down the diagnosis symptoms / disease name.
Did you ever been sentenced to jail / fall in any crime previously ?
*
No
Yes
If Yes , kindly describe the details.
Job Applicant - Document
Resume / CV
*
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Max. file size: 64 MB, Max. files: 5.
Highest Level of Education Certificate
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Max. file size: 64 MB, Max. files: 10.
Professional Certificate / Qualification (If Any)
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Max. file size: 64 MB, Max. files: 10.
Other Document (if any)
Recommendation Letter, Referral Letter, or other documents.
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Max. file size: 64 MB, Max. files: 5.
How soon you can join with our organisation, if you get selected?
*
Declaration of Information Accuracy
*
Declaration:
I certify that above information is absolutely correct & complete to the best of my knowledge and nothing has been concealed should i be found to have concealed any material information or given any details, any appointments shall be liable to be summarily terminated without compensation.
I agree to the Declaration of Information Accuracy
Signature
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Name
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