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Manager, Fintech Business Development & Partnership [RID-00648]

NON-FUEL

Malaysia

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Have you been convicted or charged with any offence in a court of law or are there any pending cases including Industrial Relation cases in Malaysia or outside Malaysia (excluding parking offence)? [If No, please state No. If yes, please elaborate.] *

Have you been discharged or dismissed from the service of any of your previous employers? [If No, please state No. If yes, please elaborate.] *

Are you a Bankrupt or have you been ever been declared a Bankrupt? [If No, please state No. If yes, please elaborate.] *

Do you have any medical illnesses and/or disabilities? [If yes, please provide details on nature of your illness and/or disability.] *

Have you been found by any authority to be in breach of legal or regulatory requirements under laws, whether in or outside Malaysia relating to ; 12:12 Financial Services Capital Markets Prevention of Money Laundering of Terrorism Financing. [If you answered yes to either ONE or ALL, please clarify (nature of breach and date)] *

I declare that the above information is, to the best of my knowledge, true and if after engagement it is found that I have made a false declaration on the form, including information about my previous employment, if any, and qualifications has been misrepresented or omitted, I acknowledge that the Company reserves the right to terminate my service. The Company also has the right to recover any salaries and monetary benefits paid out to me during the course of my employment in the event of any misrepresentation or omission on my employment history and professional qualifications. [If you agree with the above statement, please state Yes.] *

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