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JOB APPLICATION FORM

PERSONAL INFORMATION
Position Applied:

Name as in
NRIC Card:
Nationality:

Address:

Date Of Birth:

Country Of Birth:

NRIC No:

Home No:
Mobile :

Male

Female

Religion

Buddhist

Muslim

Hindu

Christian/Catholic
/

Others (

Marital Status:

Single

Married

Divorced

Widowed

No Of Children:

Gender

Email Address:

Race

Height (cm):

Weight (kg):

FOR FOREIGNER ONLY

Passport No.

Issue Date

Expiry Date

Place Of Issue

DRIVING LICENCE DETAILS (IF ANY) ()

Class 3

Driving License No. :

Class 4

FAMILY DETAILS
Name

Relationship

Occupation

Name Of Employer

EDUCATION QUALIFICATIONS
Duration
Name Of School/Institution

From
dd/mm/yy
//

To
dd/mm/yy
//

Highest Standard Attained

WORKING EXPERIENCE (please fill in chronological order) ()

Company

Position

From
dd/mm/yy
//

To
dd/mm/yy
//

Last Drawn
Salary

Reason For Leaving

OTHER INFORMATION
Expected Salary :
Notice period :

Please answer the following questions

1.

Have you ever been convicted in a court of law of any country?

Yes

No

2.

Have you ever been dismissed or suspended from employment?

Yes

No

3.
4.

Yes
Are you an undischarged bankrupt?
Have you ever had or are you suffering from any of the following?
Yes
Physical impairment?
Yes
Disease?
Mental illness?
Yes
Medical condition?
Yes
If your answer is "Yes" to any of the questions above, please give details

No

5.

No
No
No
No

Declaration
I hereby declare that all the particulars given in this application are true to the best of my knowledge and belief and I have not
willfully suppressed any material fact. I authorize investigation of all information provided by me in this application form. I
understand that any misrepresentation or omission of facts called for herein will be sufficient cause for disqualification of my
application for employment or dismissal from the companys service if i have been employed.

Signature of Applicant

Date