HR – ADD EMPLOYEE BACKGROUND CHECK AND SCREENING

HR - ADD EMPLOYEE BACKGROUND CHECK AND SCREENING

"*" MENUNJUKKAN BIDANG YANG DIPERLUKAN

EMPLOYEE IDENTIFICATION

EMPLOYEE NAME*

ID: 2 Full name as in IC / Passport

NOMOR KARYAWAN*

ID: 3

DEPARTEMEN*

ID: 4

DATE OF BIRTH*

ID: 5

KEWARGANEGARAAN*

ID: 6

NON-MALAYSIAN COUNTRY NAME*

ID: 7 State your origin country

DATE JOIN*

IDENTIFICATION AND LEGAL AUTHORISATION

IC / PASSPORT NUMBER

ID: 10

ARE YOU LEGALLY AUTHORIZED TO WORK IN THIS COUNTRY?*

ID: 11

HAVE YOU EVER USED ANOTHER NAME OR ALIAS?*

ID: 12

ANOTHER NAME OR ALIAS*

ID: 13

EMPLOYMENT AND CRIMINAL HISTORY

HAVE YOU EVER BEEN CONVICTED OF A CRIME?*

ID: 15 Have criminal history

HAVE YOU BEEN DISMISSED OR ASKED TO RESIGN FROM A JOB?*

ID: 16

ARE YOU CURRENTLY UNDER CRIMINAL INVESTIGATION OR PENDING CHARGES?

ID: 17

EXPLAIN CONVICTED CRIME*

ID: 18

EXPLAIN DISMISSED OR ASK TO RESIGN*

ID: 19

EXPLAIN PENDING CRIMINAL INVESTIAGATION AND CHARGES*

ID: 19

SECURITY AWARENESS AND COMPLIANCE

HAVE YOU RECEIVED SECURITY AWARENESS TRAINING*

ID: 22 HR oritentation / briefing on security

DO YOU UNDERSTAND THE IMPORTANCE OF REPORTING SUSPICIOUS ACTIVITY?*

ID: 23

U.S.A. FAIR AND ACCURATE CREDIT TRANSACTIONS ACT (FACTA)

ARE YOU A U.S.A. CITIZEN OR USA PERMANENT RESIDENT (GREEN CARD HOLDER)?*

ID: 25

DO YOU HAVE FINANCIAL ACCOUNTS OR ASSETS OUTSIDE OF YOUR COUNTRY?*

ID: 26

ARE YOU SUBJECT TO TAX REPORTING IN ANY OTHER COUNTRY?*

ID: 27

HAVE YOU EVER FILED A U.S.A TAX RETURN?*

ID: 28

ACKNOWLEDGEMENT

EMPLOYEE DECLARATION

I hereby certify that the information provided in this survey is true, complete, and accurate to the best of my knowledge. I understand that any false or misleading information may result in disciplinary action or termination of employment. I also acknowledge that the information provided may be used for background checks and compliance with company policies, CTPAT, and FACTA requirements.

Hidden

HR / MANAGEMENT SECTION

Hidden

BACKGROUND CHECK COMPLETED BY*

Hidden

DATE OF BACKGROUND CHECK*

Hidden

BACKGROUND CHECK STATUS*

Hidden

FACTA STATUS*

Hidden

NOTES / COMMENTS