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I hereby,

1. Confirmed that the information provided in this application form ("Information") and the documents submitted with it
are all true, accurate and complete to the best of my knowledge and belief.
2. Consent to the collection, use and disclose by the Company of the Information for the purpose of assessing my
suitability for employment, verifying employment history or qualifications, seeking references, or performing checks
with third parties (whether for the position applied for or any other position deemed suitable by the Company).
3. Consent to the collection , use and disclose by the Company of the Information to manage or terminate my
employment, to conduct/respond to any reference checks , or for any other business or legal purposes pertaining to
my employment with the Company (if employed by the Company) in accordance with the data protection laws.
4. Agree to the Company disqualifying my application for employment (or if employed by the Company, terminating
employment without notice and/or appropriate legal proceedings) if any Information is falseflnaccurate , or otherwise
willful suppression of material facts.
5. Understand that nothing contained in this application or conveyed during any interview, is intended to create an
employment contract or constitute any promise for employment with the Company or its subsidiaries. The Company
does not enter into correspondence with regard to the reasons for non-selection of candidates .

Applicant's Signature : Date:

THANK YOU FOR YOUR APPLICATION.


ONLY SHORTLISTED APPLICATION WILL BE CONTACTED.

© 20 17 C. H. Robinson Worldwide Inc. All Rights Reserved . Proprietary & Confidential


INTERNAL USE ONLY. PAGE 6 of 8 l® MulQIYiilk

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