EMPLOYMENT REGISTRATION FORM

PERSONAL PARTICULARS
Full name (underline surname) Nationality

Address Marital Status (✓)

Single Married Divorce

Passport/FIN No. Date of Birth

Attach Photo

Telephone / Handphone No. Email Address

Job Position Applying For Expected Salary per month

EDUCATIONAL BACKGROUND (Please attach photocopies of certificates)

Name of School/Institution Highest Qualification obtained From (mth/yr) To (mth/yr)

LANGUAGE & SKILL PROFICIENCY

Language Written Spoken Skill Competency Level Licence Yes (✓) No (✓)
(✓) (✓)
English MS Word *Good / Average / Poor Driving
Chinese MS Excel *Good / Average / Poor Class:
Malay MS Powerpoint *Good / Average / Poor Others:
Tamil Others:
Others:

EMPLOYMENT HISTROTY
Company Position held From (mth/yr) To (mth/yr) Last drawn Reason(s) for leaving
salary

GENERAL INFORMATION (Please circle where appropriate)

1. Have you ever been convicted for any crime? Yes No

2. Have you ever been dismissed / discharged from the service of any company? Yes No

3. Have you ever worked in Singapore before? Yes No

4. Have you ever been in debt or declared bankrupt? Yes No

5. Have you ever suffered, or are you suffering from any medical condition, illness, disease, mental illness or physical impairment?
Yes No

DECLARATION
I hereby declare that the above information given by me is correct and true to the best of my knowledge. I understand that any misrepresentation or omission of information
may be considered sufficient for withdrawal of an offer or dismissal without prior notice.
Signature Date