Locations Job Application-061121

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3 Temasek Boulevard #03-373 Suntec City Mall

Singapore 038983

Please tick
Preferred Work Location :

 Yishun  Bishan  Tiong Bahru  Jurong Point  Tampines


 Plaza  Grand  Vivo City  City Square  Suntec City
 Paya Lebar  Bedok  Funan  Katong
Application for: Cinema Service Crew (Full-Time / Casual) Other Position:

PERSONAL DETAILS

Full name as per in NRIC

Mr./ Ms./ Mdm NRIC Type: Pink / Blue


Block no. Street Name Citizenship:
Unit no. Postal Code Singaporean / S’pore PR

Contact No.(HP / Home)


Country of Birth: ______
Email address

ACADEMIC QUALIFICATION

Highest Education Level: Year of Completion:

WORK EXPERIENCE – CURRENT / LAST JOINED

Company: Position:

Date Join: Date Left: Reason for Leaving:

FOR PART-TIME APPLICATION ONLY

Public
Mon Tues Wed Thurs Fri Sat Sun
Holiday
Before Before Before Before Before Before Before Before
Please circle 6pm 6pm 6pm 6pm 6pm 6pm 6pm 6pm
your After After After After After After After After
availability 5pm 5pm 5pm 5pm 5pm 5pm 5pm 5pm
Anytime Anytime Anytime Anytime Anytime Anytime Anytime Anytime
Other timing,
please
specify

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Co. Reg. No.: 199000799W Form JA – NOV 2021


IN CASE OF EMERGENCY, PLEASE CONTACT

Name: Contact No.:

Your relationship with this person:

OTHER INFORMATION

1. Do you have food hygiene certificate? Yes / No


If yes, please state food hygiene certificate expiry date:

2. Were you previously employed by us? Yes / No


If yes, when did you resign? Please state location

3. Do you have friends / relatives working in GOLDEN VILLAGE? Yes / No


If yes, please indicate their name and relationship with you

4. Do you have any history of illness or medical problem? Yes / No


If yes, please give details

5. Have you ever been convicted of a criminal offence? Yes / No


If yes, please give details

6. Have you ever been declared bankruptcy? Yes / No


If yes, please give details

7. Has your service ever been terminated by any company? Yes / No


If yes, please give details

I hereby authorise, agree and consent to allow Golden Village Multiplex Pte Ltd and its employees, agents,
affiliates and third party services providers (collectively “Golden Village”) to collect, use, disclose and/or
process personal data about me that I now provide Golden Village Multiplex Pte Ltd in this form, in connection
with my job application to work in Golden Village’s cinema.

I declare that the information provided is true and complete in all aspects. I understand that any
misrepresentation or omissions of information may be considered as sufficient ground for withdrawal of any
offer or dismissal from employment.

Date Signature of Applicant

FOR OFFICIAL USE ONLY

Interviewer’s Comments:
Employment Status:

F/T CL Others
Hired through referral? Yes / No If yes, referred by: ___________________________
* (Full name as per NRIC / Passport)

To commence work on: Starting Salary: Selected K.I.V Rejected

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Co. Reg. No.: 199000799W Form JA – NOV 2021

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