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Application Form
Application Form
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Consider
Not Suitable
Others
APPLICATION FORM
ATTACH
Position Applying For
_______________________________________
_______________________________________
_______________________________________
RECENT
PHOTOGRAPH
HERE
PERSONAL PARTICULARS
Name
: _____________________________________
Address
: _____________________________________________________________________________________
_________________________________________________________
Date of Birth
: ________________________________
Religion
: ___________________________
NRIC No
: ________________________________
Home No
: ___________________________
Nationality
: ________________________________
Mobile No
: ___________________________
Date of Issue
: ________________________________
Email Address
: ___________________________
Gender:
Marital Status:
Male
Female
Race:
Chinese
Indian
Malay
Single
Married
Dialect:
Hokkien
Others: ______________________
Teochew
Cantonese
Others: _______________
Relationship : _____________________
Contact No : ________________
: __________________________
Place Of Issue
: ___________________________
Date of Issue
: __________________________
Date of Expiry
: ___________________________
Current Permit :
Status
Dependent Pass
Student Pass
Pg 1 of 4
FIN No
FAMILY BACKGROUND
Name
Date of
Birth
Relationship
Occupation
Company Name
EDUCATIONAL INFORMATION
Name of Institute
Highest Qualification
From
(Year)
To
(Year)
Primary School
Secondary School
Pre-U / Junior College
Tertiary (University / Polytechnic)
Post-Tertiary
Name of Certificate
Year Obtained
________________________________________________________________________________________________________
Not Liable
Still Serving
Exempted
R.O.D. Date
: ___________________________
: _______________________________
: _______________________________________________________________
Pg 2 of 4
Date
Left
Company
1. Last Position
2. First Position
Projects Involved
1. Last Salary
2. First Salary
Reasons For
Leaving
: _______________________________________________________________________________________________
Spoken
: _______________________________________________________________________________________________
To (hrs)
Mon Fri
Sat
Pg 3 of 4
Remarks
No ()
Rate
Remarks
Rate
Remarks
After 5 pm (Mon-Fri)
After midnight (Mon-Fri)
After 1 pm (Sat)
Sunday / Public Holiday
Others
No ()
Meal Allowance
Transport Allowance
Others
GENERAL INFORMATION
1) Are you willing to work on Sundays or Public Holidays, if required?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Name
Appointment
Department/Project
Relationship
Details: ___________________________________________________________________________________________
___________________________________________________________________________________________
DECLARATION
I, ___________________________ (NRIC/Passport No: ___________________ ) declare that, every statement
given by me in this application form is true to the best of my knowledge and I have not willfully suppressed any facts.
I also agree that, if there is any false declaration made by me, my contract of service will be terminated without any
prior notice by the Management.
Signature: _____________________________________
Pg 4 of 4
Date: ______________________________