CONFIDENTIAL

Corporate (HQ) 38 Tanjong Penjuru, CWT Logistics Hub 1, Singapore 609039.

Tel: (65) 6307 8000 Fax: (65) 6795 5320 Website: www.cwtlimited.com # Photograph
(in white background)

EMPLOYMENT APPLICATION FORM

INSTRUCTIONS
1. The form is required to provide us with information for processing of your application of employment with us.
2. Do not leave any item blank. Please indicate "N.A." if it is not applicable to you.
3. It shall serve as our personnel record for managing or terminating an employment relationship should you be employed.
4. The Company reserves the right to terminate the employment of the applicant who is discovered to have materially falsified and / or
intentionally withheld information in this application form.

Position Applied Date Available

Have you worked in CWT or members of CWT Group before? Yes / No *

If Yes, please state position __________________________________ and period held ___________________________________
Source of Advertisement: (Please tick where appropriate)
[ ] Newspaper [ ] Executive Search / Agency [ ] Job Portal [ ] Walk-In [ ] Referral (Name of Referral: ______________)

1. PERSONAL PARTICULARS

Name : * Dr. / Mr. / Ms.

(As in NRIC - Please write in BLOCK letters and underline Surname)

Alias : Name (in Chinese if applicable) :

# Gender : Male / Female * # Colour of NRIC : Pink / Blue * Date Attained SPR Status :

Address :

Email : Tel No. (Home) : (Mobile) :

# Date of Birth : Place of Birth : Nationality :

# Marital Status : # Race : # Religion :

Valid Driving License : Class 1 / 2B / 2A / 2 / 3A / 3 / 4A / 4 / 5 / N.A. *

National Service Status : Completed / Not Applicable / Exempted / Others *

ORD : Reason for Exemption :

# Information is required for administrative purposes and not used as selection criteria.

2. IMMEDIATE FAMILY DETAILS

Name Relationship Date of Birth Occupation Employer

In case of Emergency, please notify:

Name Relationship Contact No. Address

* Please delete where not applicable

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3. EDUCATION (starting from most recent qualification attained)
Period
Name of School / Institution Qualification Attained / Highest Standard Passed
(mm/yyyy to mm/yyyy)

4. EMPLOYMENT HISTORY (starting from current or most recent job. Please use additional sheet(s) if necessary)

Name of Employer :

Position Held :

From : To : Last Drawn Monthly Basic Salary :

Annual Leave : Bonus (month) :

Allowance : Other Benefits :

Reason for Leaving :

Name of Employer :

Position Held :

From : To : Last Drawn Monthly Basic Salary :

Annual Leave : Bonus (month) :

Allowance : Other Benefits :

Reason for Leaving :

Name of Employer :

Position Held :

From : To : Last Drawn Monthly Basic Salary :

Annual Leave : Bonus (month) :

Allowance : Other Benefits :

Reason for Leaving :

Name of Employer :

Position Held :

From : To : Last Drawn Monthly Basic Salary :

Annual Leave : Bonus (month) :

Allowance : Other Benefits :

Reason for Leaving :

Earliest Available Date: Expected Basic Salary : S$ per month

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5. COMPUTER LITERACY

Please indicate software applications that you are proficient in :

6. LANGUAGE / DIALECTS PROFICIENCY

Please indicate Fluent, Good, Satisfactory or Poor

Language / Dialects Written Spoken

7. PROFESSIONAL MEMBERSHIPS
Association / Society / Organization Position Held From To

8. HOBBIES / INTERESTS

Extra-Curricular Activities / Hobbies / Leisure Interests :

9. REFERENCES (Relative should not be included)

Name Occupation Name of Employer Relationship Period Known Contact No.

10. OTHER INFORMATION

Do you know any of current employee of CWT and / or members of CWT Group? Yes / No *

If Yes, please provide details below.

Name Designation Relationship Period Known

11. HEALTH DECLARATION

Please answer the following questions:

1. Have you been or are you suffering from any physical impairment? Yes / No *

2. Do you have any disease / illness / medical condition presently or in the past? Yes / No *

(E.g. Asthma, Diabetes, Hypertension, Heart Disease, Cancer etc)

3. Have you been or are you suffering from any mental illness for which you have received medical treatment? Yes / No *

4. If your answer to any of the above questions is “Yes”, please provide details below:

* Please delete where not applicable

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12. OTHER DECLARATION

Please answer the following questions:

1. Have you ever been convicted in a Court of Law in any Country or detained by police? Yes / No *
2. Have you ever been discharged or dismissed from the services of your previous employers? Yes / No *

3. Are you in debt or is an undischarged bankrupt? Yes / No *

4. Do you have any obligations under promissory notes either as principal or surety? Yes / No *

5. Are you addicted to drugs / have been involved in drugs or any illegal activity connected with drug abuse? Yes / No *
6. Do you have any share in any business undertaking other than in a public-listed company? Yes / No *
7. Are you holding a directorship or other appointment in any company? Yes / No *

8. Have you applied for any employment in CWT and / or members of CWT Group before? Yes / No *

9. Do you have any objection to reference being made to your present or previous employer? Yes / No *
10. If your answer to any of the above questions is “Yes”, please provide details below:

PERSONAL DATA PROTECTION (CONSENT)

I hereby consent to CWT & members of CWT Group, collecting, using, disclosing and / or processing my personal data for
the purpose of my employment with CWT and / or members of CWT Group.

DECLARATION
I hereby declare that all the particulars provided by me on this application form are true and I have not wilfully suppressed
any material fact. I understand that any false answers or statements will render me liable to disqualification and if appointed,
to dismissal and / or appropriate legal proceedings.

Signature of Applicant Date

* Please delete where not applicable

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