MSD Job Application Form (A) POSTS(S) APPLIED FOR ROCESS ENGINCER TRAINEE (SGU TRAINGESHIP ) ‘Are you prepared to consider posts other than those you have listed above? * ((e3)No™ How did you get to know of this vacancy? | Online Job Portal: MSD CAREER poRTaL 1D Agency, name of Agency: 1 Referral, name of MSD Staff: 10 Others, please Specify: (B) PERSONAL PARTICULARS Family Name: _A@0UL Ratmanl | Telephone No: #7865416 (HP) Given Name:_ © SOUL Hannan 6424 7517 (Home) Wanna SSC~*~*~*~*~™:*C*diC ress tng etd Wav, Commonly Addressed Name: eneaanmegmeugr weesroemeenn | ALAT/2 OP eriOO Saiz £22128, Nationality*: Singaporean / Singapore PR / Others:_Staqaportay) | _——__ nanabdul 33@ Email Address: (C) REMUNERATION & NOTICE PERIOD Monthly (58) ‘Annual (S$) Last Drawn/Current Basic Salary eat BP Expected Basic Salary os Died Fixed monthly allowances (e.9. Transport allowances, meal allowances) Please state how many months of basic salary you receive as Annual Wage Supplement (AWS): months Please state on average, how many months of basic salary you receive as variable bonus: months ‘Termination Notice Period: __ months (D) OTHER INFORMATION? (Please answer the following questions by deleting "Yes" or "No" and ticking the box appropriately 1. Do you have Rhinitis; VMR (Vaso Motor Rhinitis); Sinusitis? AQ) 2. Do you have severe Acne Vulgaries; Diabetes Mellitus; Thyrotoxicosis? Y¥EIO)| 3. Are you suffering from any respiratory / pulmonary condition e.g. asthma, childhood asthma? *y6{ho} 4, Do you have psoriasis? E.g. dermatitis, eczema, chronic skin lesions? *Ye(N0 5, Do you have any chronic back condition, previous spinal operation, injury, sipped-disc or lumbago? *esHfio 6. Do you have vision deficiency? *Yes(flo), 7. Have you worked with MSD before? (Please tick the appropriate box) 11 Yes - I was an employee for Merck & Co. Inc., Keniworth, New Jersey, U.S.A or one of its subsidiaries (Merck & Co, Inc., Keniworth, New Jersey, U.S.A”) + For purpose of application for relevant employment pass 2 This is to screen candidates with medical conditions as listed with potential heath risk exposure to occupational health hazards or suitabilty for job requirements,1D Yes ~ I was an employee for Schering-Plough or one ofits subsidiaries (“Schering”) 1D Yes ~ I was a temporary contractor for Merck & Co. Inc., Kenworth, New Jersey, U.S.A or Schering | No ~ I did not work for Merck & Co. Inc., Keniworth, New Jersey, U.S.A or Schering as an employee or temporary contractor (E) DECLARATION (D) Taive my consent for the relevant parties to obtain and verify information from or with any Source, as you deem ‘appropriate for the assessment of my application for employment. (2) I dediare that all information given by me in this application for employment and any sheets attached hereto are true to the best of my knowiedge and I have not wifully suppressed any material fact. I accept that if any of the information or documents given by me in this application or information or documents otherwise supplied by me to MSD isin any way false or incorrect, my application may be rejected, any offer of employment may be withdrawn ‘or my employment with MSD may be terminated summarily or T may be dismissed from MSD. (F) PRIVACY DISCLOSURE STATEMENT (JOB APPLICANT) In making an application for employment, MSD will collect personal data from you to assess your suitability for the Position in question as well as for any future potential positions that may arise. ‘We may, in the course of collecting this data, collect sensitive data about you including information about your health, finances and any criminal record. ‘We may disclose the collected data to organizations and individuals who provide services and information to us for the above purposes (including your nominated referees, previous employers, recruitment and human resources consultants, agencies and advisors, and also providers of psychological, aptitude, health, financial and criminal record checks and tests). We may also disclose the data to our affiliates, both locally and overseas. Otherwise, we will not disclose your personal data to any third party unless compelled or permitted by law to do so or with your consent. We will make every effort to ensure that any personal data disclosed in accordance with this Privacy Disclosure Statement is kept confidential and secure. If we do not collect this data from you, we may not be able to consider your application for employment. I have read and fully understand the Dedaration and the Privacy Disclosure Statement above. I consent to the collection, use and disclosure of the data including personal data that I provide to MSD and its affiliates (both locally ‘and overseas) according to the terms outlined in the Dedaration and Privacy Disclosure Statement. Sivan ee pate; 96/10 / 2020 Personal data provided will only be used for the purpose of employment application to MSD & its affiliates. ‘Yours faithfully, ‘Signature of Applica Updated: June 2019