Job Application Form: Page 1 of 3 Staff-In-Confidence

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JOB APPLICATION FORM

Position Applied For : ________________________________

SECTION A – Personal Particulars


Name of Applicant (Underline surname) Name In Chinese (If
applicable)

NRIC/Passport Number Age Gender Nationality


M/F

Date of Birth Race Dialect Group

Marital Status Religion Driving License


(Single/Married/Divorced/Separated) Class : 3 / 4 / 5

Local Address

Foreign Address (If Applicable)

Residential No Mobile No Pager No

SECTION B – Education Qualifications (In chronological order)


Period
Name of School/Institute Highest Qualification Achieved
From To

SECTION C – Extra Curriculum Activities (If Applicable)


Period
Name of Organisation Appointment Held
From To

SETION D – Computer Literacy

Typing Speed _(Words-Per-Minute)

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STAFF-IN-CONFIDENCE
SECTION E – Language
Spoken Written

SECTION F – Work Experience


Period Last Drawn
Name of Organisation Position Held
From To Salary

Expected Salary : __________________________

SECTION G – National Service


National Service Status : National From To
(Exempted / Completed Full Time NS / NA) Service
Rank : Appointment Held :

DECLARATION
YES NO
1. Have you been convicted of any offence other then traffic offence in Singapore ( ) ( )
or elsewhere or are there any proceedings now pending which may lead to such
a conviction (eg : drunken driving, drug, fraud, dishonestly, etc.)

2. Current status of demerit point : _______________

3. Have you ever filed for bankruptcy? ( ) ( )

4. Are you currently/was suffering from any form of medical ailment? ( ) ( )


(If yes, state details.)

Note :
Please attach annexes giving all relevant particulars if any of your answers to any of the above questions is
“Yes”.

I HEREBY DECLARE THAT ALL THE ABOVE INFORMATION FURNISHED ARE TRUE AND CORRECT TO THE
BEST OF MY KNOWLEDGE. I UNDERSTAND THAT MY APPLICATION MAY BE VOID IF THE COMPANY
FOUND ANY OF THE ABOVE DETAILS TO BE UNTRUTHFUL.

_________________________________ _____________________
Signature of Applicant Date

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STAFF-IN-CONFIDENCE
FOR OFFICIAL USE ONLY
We accepted the following applicant based on the following terms and conditions

Gross Salary Per Month Date of Commencement Probation Period

__________________________ __________________________ __________________________

Allowance (If any) : ______________________________________

Remarks :

Interviewed By : Date :
______________________ ______________________
____ ____

Director’s Name & Approval : ______________________________

Knowledge Performance : Excellent ( ) Good ( ) Fair ( ) Poor ( )

Personal Performance : Excellent ( ) Good ( ) Fair ( ) Poor ( )

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STAFF-IN-CONFIDENCE

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