AUTO & GENERAL (SEA) SERVICES PTE LIMITED

Employment Application

APPLICANT INFORMATION

Full Name NRIC/FIN

Citizenship ☐Singapore Citizen ☐Singapore Permanent Resident ☐Foreigner requiring work pass

Home
Address

Phone E-mail Address

Earliest Start Date Notice Required (To End

Present Employment)

Current/Last drawn Desired Salary

Salary

Position Applied for

Have you ever worked or applied for a job YES ☐ NO ☐ If yes, when?
with Auto & General?
Do you have any friends / relatives YES ☐ NO ☐ If yes, when?
working with Auto & General?

BACKGROUND CHECKS AS PART OF OUR FIT & PROPER REQUIREMENTS

Have you been convicted in a court of law YES ☐ NO ☐ If yes, when?

in any country?
Have you been charged with any offence YES ☐ NO ☐ If yes, when?
in a court of law for which the outcome is
pending (excluding parking offences)?

Have you ever been declared bankrupt? YES ☐ NO ☐ If yes, when?

Have you ever been discharged, dismissed YES ☐ NO ☐ If yes, when?

or terminated from your previous
employment?

Have you ever been investigated by any of YES ☐ NO ☐ If yes, when?

your former employers, in relation to an
alleged misconduct on your part?

Have you had any misconduct report filed YES ☐ NO ☐ If yes, when?
against you by any of your former
employers?

HIGHEST EDUCATION

School Address

From To Qualification
obtained

H002 Form - Last Updated 22 February 2022

AUTO & GENERAL (SEA) SERVICES PTE LIMITED
Employment Application

REFERENCES

Please list two professional references.

Full Name Relationship

Company Phone

Corporate Email
Address

Full Name Relationship

Company Phone

Corporate Email
Address

PREVIOUS EMPLOYMENT

Company Address

Job Title Starting Ending

$ $
Salary Salary
Responsibilities

From To Reason for Leaving

DD/MM/YY DD/MM/YY (be specific)
May we contact your previous supervisor for a reference? YES ☐ NO ☐

Company Address

Job Title Starting Ending

$ $
Salary Salary
Responsibilities

From To Reason for Leaving

DD/MM/YY DD/MM/YY (be specific)
May we contact your previous supervisor for a reference? YES ☐ NO ☐

H002 Form - Last Updated 22 February 2022

AUTO & GENERAL (SEA) SERVICES PTE LIMITED
Employment Application

LANGUAGES

Language Spoken

Languages Written

OTHER INFORMATION [required only upon confirmation of employment]

Nationality

Religion

Race

Marital Status

Date of Birth [DD/MM/YYYY]

Bank Name / Bank Account Number

Name as per Bank Account

For Insurance coverage purposes: YES ☐ NO ☐ If yes, please

elaborate
Are you suffering from any
physical impairment or disease?

CONTACT PERSON [IN CASE OF EMERGENCY]

Name

Contact Number

DISCLAIMER AND SIGNATURE

I declare that the particulars in this application and the attachments (if any) are true and correct to the best of my
knowledge and belief, and I have not willfully suppressed any material fact.
I understand that if I am employed, I shall be liable to dismissal if I am found to have given false, evasive or misleading
statements in this application form.
I further acknowledge and agree that my personal details shall be used by Auto & General (SEA) Services Pte Limited for
employment purposes in accordance with the Personal Data Protection Act 2012.

Signature Date

H002 Form - Last Updated 22 February 2022