Employment Application Form Rev1.1

EMPLOYMENT APPLICATION FORM
STMicroelectronics is committed to protecting your personal data in compliance with Singapore’s Personal Data
Protection (PDPA). All personal information will bekept confidential and will only be accessible by
STMicroelectronics recruitment staff and the interviewers. Your acknowledgement on this form confirms your
agreement to be contacted up to 1 year from the date of application, for future recruitment purposes.
In line with our practice of equal employment opportunity, there is no need to provide in this form and the CV /
Resume the following information: (a) age (b) gender (c) race (d) religion (e) marital status (f) disabilities and (g)
photograph/s. We recruit employees on the basis of merit (including skills, experience or ability to perform the
job).
Your personal data will be collected and used by us for the following purposes, and we may disclose your
personal data to third parties where necessary for the following purposes:
(a) assessing and evaluating your suitability for employment in any current or prospective position within the
organization; and (b) verifying your identity and the accuracy of your personal details and other information
provided.
Position Applied For: Assistant process engineer- PVD VR# (for HR use only)
PARTICULARS OF APPLICANT
Name as in NRIC / Passport (Please underline your surname/ family name):
Fazil Fahad
Address in Singapore / _____ (Please specify, if permanently residing in other countries):
Blk 121D, Sengkang East Way, #11-75 Postal Code: 544121

Mobile Number: Alternative Number:
+65 80277505
Email Address: [email protected]
Currently Holding: Nationality:
 Singapore Pink IC  Singapore Blue IC India
Citizen of ___________________________ (Country)
 Work Pass  Dependent Pass
LTVP
 Others: _________________________ (Please specify)
EMPLOYMENT DETAILS (Start with the most recent)

Name of Employer From To Position Held Basic Reason for Leaving
Salary
Micron Semiconductors Asia Pt Ltd 06/2022 03/2023 Equipment Technologist 2250 Retrenchment
siltronic silicon wafers pvt ltd 09/2021 03/2022 Manufacturing Intern 1200 Internship Completion
Notice Period: Nil Earliest Start Date: 01/06/2023 Expected Basic Salary: 2500
EDUCATION AND QUALIFICATION ATTAINED (Start with the highest qualification)

Highest Qualification Attained Country of From To Name of School / Institution
Study
2018 2022
Diploma in mechatronics Singapore Temasek Polytechnic, Tampines
STMicroelectronics Pte Ltd

Address: 28 Ang Mo Kio Industrial Park 2 Singapore 569508 May 2022
CHARACTER REFEREES (Provide 2 names from your previous employment or school/tertiary institution)
Name Occupation Email Address Contact
Number
Kai shieng chern Engineer,micron 86212273
OTHER INFORMATION (Please answer the following questions)

1) Are you recommended to this position by a current STMicroelectronics employee? If yes, please provide the
following information:
Employee’s Name: ___________________________________________
Contact Number: ______________________ Remarks (for official use only): ____________________
2) Have you ever worked in ST before? If yes, please state the following:
Period: ____________________ Site: ________________________
CANDIDATE’S DECLARATION
If any answers to the following questions is “Yes”, please provide additional details:
1) Do you have any family members or relatives working in STMicroelectronics? YES / NO

2) Are you currently serving any bond with your present employer? YES / NO
3) The position that you are applying for may require you to access sensitive assets and
confidential information. As such, you are required to make the following declarations as
part of the job requirement. If you do not wish to make the declarations, please inform HR.
Your job application will still be reviewed and considered for positions that do not require
this declaration.
a) Have you ever been convicted of a criminal offence in any country or state? YES / NO
b) Have you ever been adjudged a bankrupt in any country or state? YES / NO
4) I am aware that I must be certified fit for employment by the Company-appointed doctor YES / NO
5) I am aware that any pre-existing medical conditions that I have must not be a potential risk YES / NO
to self and others.
6) I certify that the information given by me in this application form is correct and true to the YES / NO
best of my knowledge and belief, and that I have not willfully suppressed any facts.
7) I authorize investigation of all statements contained in this application for employment as YES / NO
may be necessary in arriving at an employment decision.
8) I fully understand and accept that if at any time, it is found that a false declaration has been YES / NO
made in this form, the Company has the absolute right to withdraw the job offer or
terminate my employment forthwith without assigning any reasons.
Additional information if answers to above questions 1 – 3 are “YES”:
APPLICANT'S UNDERSTANDING AND CONSENT
By signing this employment application form, (a) you acknowledge that you have read, understood and agreed to
its terms, and consent to the collection, use and/or disclosure of your personal data by us for the purposes set out
in this employment application form; and (b) in the event that we have received your job application or personal
data from any third party pursuant to the purposes associated to this employment application form, you warrant
that such third party has been duly authorized by you to disclose your personal data to us for the purposes set out
in this employment application form.
Name of Applicant: Fazil Fahad Signature Date:

24/5/2023
STMicroelectronics Pte Ltd

Address: 28 Ang Mo Kio Industrial Park 2 Singapore 569508 May 2022

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EMPLOYMENT APPLICATION FORM

Blk 121D, Sengkang East Way, #11-75 Postal Code: 544121

EMPLOYMENT DETAILS (Start with the most recent)

EDUCATION AND QUALIFICATION ATTAINED (Start with the highest qualification)

STMicroelectronics Pte Ltd

OTHER INFORMATION (Please answer the following questions)

Contact Number: __ Remarks (for official use only):

Period: Site: ____

1) Do you have any family members or relatives working in STMicroelectronics? YES / NO

Additional information if answers to above questions 1 – 3 are “YES”:

APPLICANT'S UNDERSTANDING AND CONSENT

Name of Applicant: Fazil Fahad Signature Date:

STMicroelectronics Pte Ltd

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