EMPLOYMENT APPLICATION FORM

POSITION APPLIED FOR:

PREFERRED WORK LOCATION:
SECTION A : PERSONNEL PARTICULARS
Name :

NRIC/Passport No :

Address :

(Postal Code)

Age :

Sex : Female / Male

Nationality :

Race :

Tel(Home) :

Possess own Car :

YES / NO

Marital Status :

Office :

Class of Licence :
Date of Birth :

Mobile :

Email :

SECTION B : RECORDS OF PREVIOUS EMPLOYMENT

From

To

Previous Employer / Job Designation / Country

Salary

Reasons for Leaving

SECTION C: EDUCATIONAL BACKGROUND/COURSE ATTENDED

Name of School/University/Country

Year
Attended

Year
Graduated

Stream/Subjects & Majors/Others

Have you ever been convicted of a crime? _____ No _____ Yes

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s)
was/were committed, sentence(s) imposed, and type(s) of rehabilitation ____________________________

________________________________________________________________________________
Medical history - Please specify any operations, serious illness and/or chronic illness you've had in the
past five years_______________________________________________________________
When you can start work? __________________

Expected Salary: _______________

Any other info that may be of interest to us? ____________________________________

____________________________________________________________________________________
____________________________________________________________________________________
Declarations:
I understand and authorize the Company to investigate my work and personal history and verify all data given on this
application, on related papers, and in interviews.
I hereby declare that all of the information on this Application Employment Form is accurate and true and I understand
that any falsehood or omission on my part may be grounds for future dismissal or withdrawal of an offer of
employment.

Date ____________________

Signature of Applicant _____________________________