RLO/MCO

Career Application Form

Recruitment through: Internet  agent’s recommendation  newspapers  others

Applicant’s particulars

Name
Date of Birth Age
Sex Religion
Nationality  Singaporean  Singapore PR  Malaysian  Others:…………….
Marital Status  Single  Married  Divorced  Widowed
Race  Chinese  Malay  Indian  Eurasian  Others:…………………..
Language ability  English  Chinese  Malay  Others:…………………..
National Service  Exempted  Not completed
Status  Completed (Date of service):
Address
Postal Code:
Tel. no (Home) Tel. no (Office)

Mobile no. Pager

E-mail addr.
Interview  Screening  Second interview
Status
Interview Date

Educational Background

School / Institution Course of study Qualifications obtained Year

Working experience
Employment status  Employed, full time  Employed permanent
 Employed, temporary  Unemployed
Company (Name Position Period Last drawn Reasons for
and nature of held employed salary leaving/ wanting to
business) start with (roughly) leave
most recent

Family Background

Name Age Occupation

Father
Mother
Brothers

Sisters

Spouse
Children

Social Activities

Club / Organization
Position held
Hobbies
Ownership of Insurance Products

Do you own any  No  Yes (please give details)

policies?
Company Type of Plan Premium Sum assured Year Issued

Referees

Name Contact No Email Address Occupation

 Personal skills rater:

Rate yourself in the following areas (Please circle):

1= outstanding 2= above average 3= average 4= below average 5= poor

Ability to communicate with others 1 2 3 4 5

Ability to control interpersonal situations 1 2 3 4 5
Ability to relate to others 1 2 3 4 5
Ability to manage your own time 1 2 3 4 5
Ethical and professional behavior 1 2 3 4 5
Ability to work with facts and figures 1 2 3 4 5
Ability to set and achieve goals 1 2 3 4 5
Independence and self-reliance 1 2 3 4 5

Personal career rater:

1. Rate the following factors according to their presence in your current career (Please circle):

2. Rank TOP 3 Most important factors to you in the last column (RANK)

Description Excel Good Ok None *Rank

Professional Status 1 2 3 4
Chance to be promoted to management level 1 2 3 4
Variety of tasks performed 1 2 3 4
Opportunity to learn new things 1 2 3 4
Management’s support towards your success 1 2 3 4
Freedom of expression 1 2 3 4
Challenge 1 2 3 4
Ability to control your own time 1 2 3 4
Ability to control how much you earn 1 2 3 4
Prestige and recognition 1 2 3 4
Chance for high earnings ($50,000 - $75,000) 1 2 3 4
Creativity required by job 1 2 3 4
Retirement and fringe benefits 1 2 3 4
Decision making opportunities 1 2 3 4
Choice of vacation dates 1 2 3 4
Success record of the organization you work for 1 2 3 4
Contribution to society 1 2 3 4

Behavioural style analysis:

Choose one MOST (M) and one LEAST (L) in each of the 24 groups of words.

M L M L
1 Gentle 1 a) 温和 13 Aggressive 13 a) 有野心
Persuasive b) 热情；说服力强 Enthusiastic b) 热情
Humble c) 谦虚 Gullible c) 易受欺骗
Resourceful d) 有才智 Fearful d) 胆小

2 Attractive 2 a) 吸引人 14 Cautious 14 a) 小心

Co-operative b) 合群 Resolute b) 坚决
Stubborn c) 固执 Convincing c) 令人心服
Pleasant d) 和蔼可亲 Amiable d) 和善

3 Follower 3 a) 跟随者 15 Adaptable 15 a) 有适应能力

Adventurous b) 有冒险精神 Apprehensive b) 不安
Loyal c) 忠诚 Consenting c) 可允许的
Charming d) 有魅力 Lively d) 有活力

4 Open-Minded 4 a) 思想开放 16 Confident 16 a) 充满自信

Accomodating b) 好施恩；宽容量大 Understanding b) 能体谅
Strong Willed c) 有意志力 Tolerant c) 可商量
Joyful d) 开朗 Assertive d) 断然无疑

5 Jovial 5 a) 开心果 17 Orderly 17 a) 有规矩

Exact b) 严谨 Generous b) 慷慨
Gutsy c) 有胆色 Animated c) 有胆色
Even-
Tempered d) 好脾气 Persistent d) 不让步，毅力强

6 Competitive 6 a) 好胜 18 Praiseworthy 18 a) 钦佩
Caring b) 体贴 Helpful b) 乐于助人
Outgoing c) 外向 Resigned c) 顺从，放弃
Agreeable d) 令人愉快; 合群 Powerful d) 有魅力

7 Fussy 7 a) 爱挑剔 19 Respectful 19 a) 尊敬

Submissive b) 服从 Innovating b) 改革，创意
Determined c) 有决定力 Optimistic c) 乐天派
Fun Loving d) 喜好娱乐 Obliging d) 愿意协助

8 Brave 8 a) 勇敢 20 Argumentative 20 a) 好争辩

Motivating b) 有激发力 Flexible b) 有伸缩性
Compromising c) 可以妥协 Uninterested c) 没有兴趣
Timid d) 驯服; 胆怯 Carefree d) 自由自在，乐天派

9 Sociable 9 a) 好交际 21 Trusting 21 a) 可信赖

Patient b) 有耐心 Contented b) 安于现状
Independent c) 独立 Positive c) 积极
Soft-Spoken d) 温和 Peaceful d) 和平

10 Bold 10 a) 无畏 22 Good Mixer 22 a) 可以合群

Receptive b) 善于接受意见 Knowledgeable b) 见识广博
Warm c) 热心 Energetic c) 精力充沛
 Moderate d) 中庸 Lenient d) 随和

11 Expressive 11 a) 表达性 23 Friendly 23 a) 友善

Restrained b) 保留 Precise b) 严谨，精确
Predictable c) 可以预测 Frank c) 率直
Decisive d) 果断 Reserved d) 有保留，保守

12 Polished 12 a) 文雅 24 Restless 24 a) 好动
Risk-Taker b) 冒险者 Neighbourly b) 和蔼可亲
Diplomatic c) 有交际手段 Popular c) 出名
Satisfied d) 满足于现状 Organised d) 有组织