Please

attach your
passport sized
NEC Asia Pacific Pte Ltd
80 Bendemeer Road #05-01/02 photo here.
Hyflux Innovation Centre, Singapore 339949
Tel: (65) 6273 8333 Fax: (65) 6274 2226

PERSONAL PARTICULARS FORM

Name (Please underline Surname) : Dr/Mr/Mrs/Miss/Ms :

FIN No :
NRIC/Passport No : Marital Status : Single/Married/Divorced/Widowed
FIN No. Expiry Date :

Color Of IC : Pink / Blue Sex : Male / Female Place Of Birth :

Singapore PR : Yes / No
Date Of Birth : Religion : Race :
Effective Date :

National Service completed : Yes/No/NA Period Served: _______________________ Rank & Appointment ___________________

In Case of Emergency (person to contact) : Telephone :

FAMILY PARTICULARS [Spouse and children OR parents and siblings]

Name Relationship Age

NEC Asia Pacific Pte. Ltd. (“NEC APAC”) will be collecting, using, processing, retaining and disclosing certain personal information about you during our
recruitment process and for general employee/personnel records during your employment with us. You affirm that all personal information provided by
you will be complete, accurate and true to the best of your knowledge and belief and that it is your responsibility to ensure that all your personal
information provided to us is accurate, up-to-date and complete. You also understand that if any information given herein is subsequently found to be a
misrepresentation or omission of facts, this will be sufficient cause for your disqualification from the recruitment process or grounds for immediate
dismissal of your employment. By signing below, you indicate your consent for NEC APAC to use or disclose the information provided herein for the
purposes as stated above.

Signature of employee : ______________________________________________ Date : ______________________________