Prime Accountants - Employment Application Form

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EMPLOYMENT APPLICATION FORM

POSITION APPLIED: _____________________________

NOTICE PERIOD: _____________________________

PERSONAL DETAILS

Name as in I/C or Passport (Underline


Surname)
Dr / Mr. / Mrs. / Miss / Mdm :
Name in Chinese Characters (if applicable)

NRIC No.

Singapore Address :
Postal Code ______________
Overseas Address (Foreigner) :
Postal Code ______________

Tel (HP): Tel (Home):

Gender: M/F Marital Status:

Date of Birth: Age:

Nationality: Email:

Race: Religion:

Languages Languages
(Spoken): (Written):

Give particulars of members family and indicate your relationships with them.
(e.g. spouse, father, mother, children, brothers & sisters.)

Relationship Age Occupation Company

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EDUCATION / PROFESSIONAL QUALIFICATIONS

School / College / Polytechnic / University / From To


Highest Qualification Attained
Professional Institution (mmyy) (mmyy)

EMPLOYMENT HISTORY (To include vacation employment for school leavers)

Period Salary
Reason for
Name of Employer Position From To End /
Start Leaving
(mmyy) (mmyy) Current

REMUNERATION / EMPLOYMENT DATE

Last Drawn / Current


Basic Salary (S$) Per Month Per Annum

Expected Salary (S$) Per Month Per Annum

Last Increment (S$) With Effects From:

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REFEREES (Please provide details of two previous direct employers)

Name Relationship

Organization Designation
Name

Contact No Email Address

Name Relationship

Organization Designation
Name

Contact No Email Address

OTHER INFORMATION

Please answer the following questions:

Have you been or are you suffering from any physical impairments or disease or long term
Yes No
illness? (e.g. diabetes, high blood, tuberculosis, cancer, epilepsy etc.)
Have you ever been discharged or dismissed from the service of your previous employers? Yes No

Have you ever been convicted in a Court of Law in any country? Yes No

Have you ever been detained by the police or any government? Yes No

Are you fully vaccinated? What are the vaccines used? (eg. Moderna/ Pfizer/ AstraZeneca) Yes No
1st Dose:
2nd Dose:
3rd Dose:
4th Dose:
Do you have any tattoo or body piercings?
If yes, Yes No
Where is your tattoo:
Where is your piercing:

Do you have any relatives/friends presently employed by this Company?


Name:
Yes No
Dept./Job Title:

If your answer to any of these questions is Yes, please elaborate below:

________________________________________________________________________________________

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________________________________________________________________________________________

AUTHORISATION FOR RELEASE OF DOCUMENTS AND INFORMATION

I, _________________________________agree that the contents of this application form may be reasonably


used by the Company at its discretion for the purposes of my potential employment with the Company including
the consent to allow the Company to conduct reference checks. I agree to abide by all rules, regulations and
policies of the Company if employed by the Company pursuant to this application.

In the event that the Company received my job application or personal data from any third party pursuant to the
purposes set to this application, I warrant that such third party has been duly authorised by my good self to
disclose my personal data to the Company for the purposes set out in this application.

I acknowledge and agree that any false declaration, answer or statement made by me on this application or any
supplement thereto, will render me disqualified and/or, will be sufficient grounds for immediate dismissal.

Signed by :

Name & Signature Date

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