PERSONAL PARTICULARS FORM

1) Please complete all sections and state "NA" where applicable. If space is insufficient, please use a separate sheet.
2) Please indicate all dates in dd/mm/yyyy format e.g. 01/01/2012.

PERSONAL DETAILS

Full Name Preferred Name

As appear in NRIC / Passport

NRIC / FIN No. Date of Birth

Address
Postal Code
House Contact No. Handphone No.

EMERGENCY CONTACT

Full Name Relationship

Address
Postal Code
House Contact No. Handphone No.

OVERSEAS ADDRESS (APPLICABLE FOR FOREIGNERS & SINGAPORE PRs ONLY)

Address

Country Zip/Postal Code

House Contact No. Handphone No.

BANK ACCOUNT DETAILS

Bank Name Branch Name

Bank Address
Bank Account No.
Account Name
Swift Code
(If it is a joint account, please indicate both names)

I declare that the information furnished in this form is true and correct to the best of my knowledge and belief, and that I have not
willfully suppressed any fact(s). If any information given herein is subsequently found to be incorrect, incomplete or false, I render
myself liable for dismissal. Any offer of employment, verbally or otherwise, will also be nullified.

I also authorize the Company to submit the said information to any person, firm, corporation, body, bureau, Police or Government
authority for any purpose deemed necessary by the Company.

Signature of employee Date