POSITION APPLIED FOR: DATE APPLIED

Have you previously been employed by THK? If yes, please provide details. Yes / No Do you have any friends, family members or relatives working in THK...

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EMPLOYMENT APPLICATION FORM Strictly Confidential * Delete where applicable

POSITION APPLIED FOR:

DATE APPLIED:

PERSONAL PARTICULARS Full Name (as in NRIC) : *Dr / Mr / Miss / Mrs / Mdm (Underline surname)

Home Address:

Name in Chinese Characters: (if applicable)

Gender:

Marital Status:

*F/M Citizenship: * Singaporean / PR / Others (pls specify)

Date of Birth:

Age:

Home Tel:

NRIC / Passport No:

Colour of NRIC: Pink / Blue

* Pager / Mobile

Place of Birth:

Dialect Group:

Email Address:

Race:

Religion:

Completed National Service: Driving License: Class * 2/ 3/ 4/ Nil / Other ____________ Date of issue: (dd mm yy) _________________________

* Yes / No / Exempted / Not liable

FAMILY DETAILS

Name

Age

Relationship

Occupation

Employer’s Name

EMERGENCY CONTACTS

Name

Page 1 of 4

Address

Relationship

Home Tel

Office Tel

Mobile

EDUCATIONAL DETAILS (Please complete in chronological order)

Year Graduated

Highest Qualification Obtained (Grade / Degree)

School / Institution / College / University

OTHER ACADEMIC OR PROFESSIONAL QUALIFICATIONS

Year Graduated

Institution Attended

Certificate Attained

Name of Professional Body

Membership Position

PROFESSIONAL MEMBERSHIP

Date Admitted

LANGUAGE ABILITY (include dialects spoken)

Spoken

Level of Proficiency

Written

Level of Proficiency

* Basic / Average / Good

* Basic / Average / Good

* Basic / Average / Good

* Basic / Average / Good

* Basic / Average / Good

* Basic / Average / Good

CO-CURRICULAR ACTIVITES / INTERESTS / VOLUNTEER EXPERIENCE

Year

EMPLOYMENT HISTORY Name of * Current / Last Employer

School / Organisation / Group

Major Duties & Responsibilities

Description of Activity

From: dd/mm/yy

* Perm / Part-time / Contract Address of Company: Basic Salary : Job Title / Dept: Name of Supervisor / Job Title: Reasons for Leaving:

Page 2 of 4

Transport

:

Others

:

AWS

:

Bonus, if any:

To: dd/mm/yy

Name of * Current / Last Employer

Major Duties & Responsibilities

From: dd/mm/yy

To: dd/mm/yy

*Perm / Contract / Part-time Address of Company: Basic Salary : Job Title / Dept:

Transport

:

Name of Supervisor / Job Title:

Others

:

AWS

:

Reasons for Leaving: Bonus, if any: Name of * Current / Last Employer

Major Duties & Responsibilities

From: dd/mm/yy

To: dd/mm/yy

*Perm / Contract / Part-time Address of Company: Basic Salary : Job Title / Dept:

Transport

:

Name of Supervisor / Job Title:

Others

:

AWS

:

Reasons for Leaving: Bonus, if any: Name of * Current / Last Employer

Major Duties & Responsibilities

From: dd mm yy

*Perm / Contract / Part-time Address of Company: Basic Salary : Job Title / Dept:

Transport

:

Name of Supervisor / Job Title:

Others

:

AWS

:

Reasons for Leaving: Bonus, if any: Please print / use additional sheets if space provided is insufficient for full employment history REFERENCES Please give particulars of two references who are not your family members or relatives

Name Relationship and Years known Job title / position Name of Company Telephone

(Home)

(Office)

(Home)

(Office)

Name Relationship and Years known Job title / position Name of Company Telephone

Page 3 of 4

To: dd mm yy

OTHER INFORMATION

Have you previously been employed by THK? If yes, please provide details.

Yes / No

Do you have any friends, family members or relatives working in THK? If yes, please provide details.

Yes / No

Have you ever suffered, or are suffering from any medical condition, illness, disease, mental illness or physical impairment? If yes, please provide details.

Yes / No

Have you ever been dismissed or discharged from the service of past employers? If yes, please give details.

Yes / No

Have you ever been convicted in a court of law in any country? If yes, please state details of offence committed.

Yes / No

Have you been charged with any offence in a court of law in Singapore or in any other country for which the outcome is pending (excluding parking offences)? If yes, please state details.

Yes / No

Have you been or are you under any financial embarrassment i.e. (a) bankruptcy, (b) a judgement debtor, (c) have unsecured debts and liabilities of more than 3 months of last-drawn pay, (d) have signed a promissory note or an acknowledgment of indebtedness? If yes, please state details.

Yes / No

Are you currently serving any bond? If yes, please provide details.

Yes / No

How did you learn of this vacancy?

* Newspaper job ad / Website / Walk-in / Referrals from friends / others, please specify___________________________________________________

Expected Salary;

Notice Period Required:

Earliest Start Date:

S$___________________________

____________________________

______________________________

APPLICANT’S DECLARATION & AGREEMENT I fully understand and agree that the personal information which I have provided shall be used purely for the requirements related to my employment and may be disclosed to other agencies or individuals for the purposes related to my employment with Thye Hua Kwan or any of its entities. I also agree for Thye Hua Kwan to contact me for any other purposes related to my service with Thye Hua Kwan or on matters which we have an ongoing relationship with Thye Hua Kwan. I also give my consent for the relevant Government authorities to obtain and verify information from or with any source, as you deem appropriate for the assessment of my application for employment. I declare that the information I have provided in this application form is, to the best of my knowledge and belief, correct and complete. I understand that any false or wilfully suppressed of information will render my application null and void; and if appointed, I agree that my appointment shall be terminated .

___________________________________ Applicant’s Signature

Page 4 of 4

___________________________ Date