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Position Applied for:

Personal Particulars


Full Name (as in NRIC / Passport):
Date of Birth: Age:
Gender:
Marital Status :
Permanent Address:
Correspondence Address
(if different from above):

Home Phone:

Office Phone:
Mobile:
Email Address:

Education Details


School/College/Polytechnic/University From (mm/yy) To (mm/yy) Qualification Attained

Professional Qualifications


Institute From (mm/yy) To (mm/yy) Qualification Attained

Employment History


Name of Employer Position Period Last Drawn
Annual Salary
From (mm/yy) To (mm/yy)

May we contact your employers? Current / Previous Yes No
Have you previously applied to us? Yes No
If yes, please state position and date:
Are you related to any of our existing employees? Yes No
If yes, please mention relationship:
Do you have an existing employment contract that binds you to them
(i.e. are you required to pay them if you join us?) Yes No
If yes, please elaborate on nature and quantum:
If made an offer, when can you start work?:

Declaration


I have / have not been suffering from any physical impairments or illness. Yes No
If you have, please elaborate:
I have / have not been convicted for a criminal offence in a court of law. Yes No
If you have, please elaborate:
I declare that the information furnished in this application is true and correct to the best of my knowledge and belief, and that I have not wilfully suppressed any fact(s). If any information given herein is subsequently found to be incorrect, incomplete or false, I render myself liable for dismissal. Any offer of employment, verbally or otherwise, will also be nullified.
I also authorise the company to submit the said information to any person, firm, corporation, body, bureau, Police or Government authority for the purpose of any investigation or verification which the company deems it necessary to make with reference to my employment, conduct or other details relevant to this application.
I shall not hold the company responsible for any liability, demand, claim, suit, proceeding, cost and expenses of any nature arising from the release of such information as aforesaid.


Note: Your information is handled with the strictest confidentiality.
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