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APPLICATION FORM

FOR TEACHING POSITION

Post Applied For: (Level & Subject)

Primary School / Secondary School

1. PERSONAL DETAILS (please use block capitals)

Surname Preferred Title Mr. / Ms. / Mrs. / Dr. / Prof.

First Name(s) Date of Birth

(Age)

Address:

Marital Stats

!nmarried / Married

"o. ofDependants

(if any)

Postcode Date of Teaching#alification

$%mail address

&ontry of

#alification

Tel ('ome) Moile "o.

Tel (or*) Fa+ "o.

Passport "o. / M,sian -&/-D "o.

"ationality"o. of ears

Teaching

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2. EDUCATION AND ACADEMIC QUALIFICATIONS

S!""# From To Su$%et . Qua#i&iati"ns . 'raes. "n"urs

Secondary (post Age of 14)

i*!er Euati"nCollege / University From To Su$%et . Qua#i&iati"ns.'raes . "n"urs Date ofAard

Basic Diploma / Degree qualifications

eac!ing qualifications

"urt!er postgraduatequalifications

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+. PRESENT APPOINTMENT (or most recent)

Post 'eld:

School / &ollege Address:

Tel: $mail:

"mer on 2oll:

Date Appointed:

Date $mployment ceased:(if applica#le)

$mployer:

2esponsiility(Briefly descri#e responsi#ility ifapplica#le)

&rrent or Final Salary:

"otice period re3ired:

&onsent to contact placeof employment.

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,. PRE-IOUS TEACIN' APPOINTMENTS (please start with most recent)

P"siti"n5

"ame ofschool / college /other employer

Status

Fll%timeor

Part%time

T/e "& S!""# 0 C"##e*eand age range

"meron 2oll

Period of Ser6ice

From To

. PROFESSIONAL DE-ELOPMENT

(please give details of courses attended in the last 3 years that are relevant to this applicationand indicate any awards earned)

C"urse Tit#e Pr"ier Dration DatesAards

(if any)

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3. OTER RELE-ANT 4OR5 E6PERIENCE (please start with most recent)

Nature "& Ou/ati"n Em/#"er

Period of Ser6ice

From To

7. INTERESTS (both professional and leisure)

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8. OTER DETAILS

'a6e yo e6er een con6icted y any &ort of 9a

-f ;es>>>>>>>>>>>>>>>>>>>>>>..

Do yo ha6e any case(s) pending efore a &ort of 9a

-f ;es>>>>>>>>>>>>>>>>>>>>>>>

ill yor spose/partner and dependant(s) e ?oining yo in @ala 9mpr

Spose/ Partner: Dependant(s): person/s.

-s yor spose/partner applying for a position at TiS

-f ;es>>>>>>>>>>>>>>>>>>>...

Date of Marriage: (if applicable)

'o did yo get to *no aot the TiS ?o opening

9. DECLARATION

- declare that the information - ha6e gi6en on this form is correct and - nderstand that failre tocomplete the form flly and accrately cold reslt in an incorrect assessment of salary= and / ore+clsion from short listing= or may= in the e6ent of employment= reslt in disciplinary action ordismissal.

Name:

Signatre: Date:

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1:. REFERENCES

N.;. 2eferences ill only e soght for short listed candidates.The first reference shold e yor present or most recent employer

(i)(ii)

"ame: "ame:

Position: Position:

Address: Address:

Tel "o: Fa+ "o: Tel "o: Fa+ "o:

$mail: $mail:

-f yo ere *non to either of yor referees y another name= please gi6e details:

All applications mst e accompanied y a Curriu#um -itaeand a Letter "& A//#iati"n.

S?ect

$+pat Malaysian

Teaching #alif. $+p

Partner

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Tanarata Internati"na# S!""#s

$lanters %rounds& ' mls a*ang+Serdang ,d-& a*ang& 4'... Selangor& alaysia-el0 2. (.') 3'+'22 "a50 2. (.') 3'4+'3436mail0 admin7tanarata-net 8e#0999-tanarata-net

Attn: Manager= Admin 5 'man 2esorces

FOR OFFICE USE ONLY

http://www.tanarata.net/http://www.tanarata.net/http://www.tanarata.net/

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$S @- "E

2efs

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