Job Application Form - Science Centre - Singapore

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JOB APPLICATION FORM
INSTRUCTIONS
1.
The application form must be filled in accordance with the instructions on this form.
FAILURE TO COMPLY WITH THE INSTRUCTIONS MAY SERIOUSLY AFFECT THE CONSIDERATION OF THE APPLICATION.
2.
The Application Form must be duly completed and returned.
3.
ONE TRUE COPY of each of your birth and education certificates (including transcripts) and testimonials (if any) must accompany the
application; the originals should NOT be forwarded but must be produced later if required. If you originals have been misplaced,
please obtain authenticated duplicates of certified true copies from the issuing authorities. All attachments to your application must
bear your name.
4.
False particulars or wilful suppression of materials facts will render you liable to disqualification, or – dismissal, if appointed, and/or
appropriate legal proceeding.
POSITION (S) APPLIED FOR
POSITION RESPONDED THROUGH
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Agency
: ___________________
Recommended by
Others
: ___________________
PERSONAL PARTICULARS
CHINESE
FULL NAME AS IN NRIC (Underline surname):
CHARACTERS
(optional)
ADDRESS:
PLACE OF BIRTH:
(Residential)
(optional)
CITIZENSHIP:
Pink
COLOUR: PINK / BLUE
NRIC / PASSPORT / FIN NO:
EMAIL ADDRESS:
TEL NO (Home)
(HP)
NS PERIOD (for male)
DATE OF ENLISTMENT:
ORD:
1
2
3
4
2 yrs
NS PERIOD:
EXEMPTED /
2
/
2.5 yrs
Others: ____________________
DRIVING LICENCE CLASS
- for administration purposes
FAMILY PARTICULARS
NAME
NRIC / Age
SCHOOL / COMPANY
OCCUPATION
RELATIONSHIP
(as in NRIC / Passport)
EMERGENCY CONTACT
Name
Relationship
Address
Tel No.
HP No.
Page | 1
Attach a recent
passport-size
photograph
JOB APPLICATION FORM
INSTRUCTIONS
1.
The application form must be filled in accordance with the instructions on this form.
FAILURE TO COMPLY WITH THE INSTRUCTIONS MAY SERIOUSLY AFFECT THE CONSIDERATION OF THE APPLICATION.
2.
The Application Form must be duly completed and returned.
3.
ONE TRUE COPY of each of your birth and education certificates (including transcripts) and testimonials (if any) must accompany the
application; the originals should NOT be forwarded but must be produced later if required. If you originals have been misplaced,
please obtain authenticated duplicates of certified true copies from the issuing authorities. All attachments to your application must
bear your name.
4.
False particulars or wilful suppression of materials facts will render you liable to disqualification, or – dismissal, if appointed, and/or
appropriate legal proceeding.
POSITION (S) APPLIED FOR
POSITION RESPONDED THROUGH
Advertisement
Agency
: ___________________
Recommended by
Others
: ___________________
PERSONAL PARTICULARS
CHINESE
FULL NAME AS IN NRIC (Underline surname):
CHARACTERS
(optional)
ADDRESS:
PLACE OF BIRTH:
(Residential)
(optional)
CITIZENSHIP:
Pink
COLOUR: PINK / BLUE
NRIC / PASSPORT / FIN NO:
EMAIL ADDRESS:
TEL NO (Home)
(HP)
NS PERIOD (for male)
DATE OF ENLISTMENT:
ORD:
1
2
3
4
2 yrs
NS PERIOD:
EXEMPTED /
2
/
2.5 yrs
Others: ____________________
DRIVING LICENCE CLASS
- for administration purposes
FAMILY PARTICULARS
NAME
NRIC / Age
SCHOOL / COMPANY
OCCUPATION
RELATIONSHIP
(as in NRIC / Passport)
EMERGENCY CONTACT
Name
Relationship
Address
Tel No.
HP No.
Page | 1
ACADEMIC QUALIFICATIONS (
)
Please attach copies of certificates
PERIOD
SCHOOL / COLLEGE / POLYTECHNIC / UNIVERSITY / POST GRADUATE
INSTITUTION
FROM
TO
CERTIFICATE(S)
(DD/MM/YY)
(DD/MM/YY)
EMPLOYMENT HISTORY
PERIOD
NO.
BASIC SALARY PER MTH ($)
ALLOWANCES
REASONS FOR
OF
FROM
TO
NAME OF COMPANY
DESIGNATION
LAST
& BONUS
LEAVING
STARTING
(DD/MM/YY)
(DD/MM/YY)
YRS
DRAWN
RESEARCH & PUBLICATIONS (including Thesis, Master’s & Doctoral Research)
TITLE
JOURNAL
DATE PUBLISHED
SCHOLARSHIP / FELLOWSHIP / BURSARY / GRANT AWARDED
NAME OF AWARD
INSTITUTION & COUNTRY
DURATION & YEAR
FIELD OF SPECIALIZATION
PROFESSIONAL / SOCIAL MEMBERSHIP
ASSOCIATIONS / CLUBS / SOCIETIES
TYPE OF MEMBERSHIP
POSITION
DATE JOINED
PERIOD
LANGUAGE ABILITIES
SPOKEN
WRITTEN
OFFICE SKILLS
PC SOFTWARE
MS WORD / EXCEL / POWERPOINT / ACCESS
TYPING SPEED
WPM
OTHERS
CO-CURRICULAR ACTIVITIES (Hobbies / Sports)
EXPECTED REMUNERATION:
EARLIEST AVAILABLE DATE:
__________________________
CAN WE MAKE REFERENCE TO YOUR PREVIOUS / PRESENT EMPLOYER(S)?
Yes
No
If no, please indicate reason: ________________________________________________________________________________________
Page | 2
CHARACTER REFEREES
Name two persons (Relatives should not be included), their addresses, telephone numbers, occupations and the period each have known
you. In the case of fresh graduates applying for the post of Science Educator (Life Sciences / Physical Sciences/ Technology & Creativity),
they should submit the name of an Academic Instructor from the College / University as one of the character referees.
Name
Name
Address
Tel No.
Address
Tel No.
Employer
Occupation
Employer
Occupation
Email Add.
Year(s) Known
Email Add.
Year(s) Known
GENERAL INFORMATION
1.
Have you been or are you suffering from any physical impairment or disease?
Yes
No
1
2.
Do you have a criminal record
in Singapore?
Yes
No
3.
Have you ever been convicted in a court of law in any other country?
Yes
No
4.
Have you ever been discharged or dismissed from the service of the Singapore
Yes
No
Government or of any Statutory Board in Singapore?
5.
Have you ever resigned from the service of the Singapore Government or of any
Yes
No
Statutory Board in Singapore?
6.
Are you an undischarged bankrupt?
Yes
No
Details, if any, of physical impairment, disease, conviction, discharge, dismissal, resignation or bankruptcy, with regard to the
preceeding section.
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
1
By this, we refer to a criminal record of a conviction under the Registration of Criminal Act.
I declare that the particulars in this application and the attachments (if any) are true and correct to the best of my knowledge and belief,
and I have not wilfully suppressed any material fact.
I understand that if I am employed, I shall be liable to dismissal if I am found to have given false, evasive or misleading statements in this
application form.
Should my application for employment be accepted by the Company, I hereby declare that I shall at all times observe the Company’s rules
and regulations and obey all instructions given by the Company.
____________________________________
____________________
Signature
Date
FOR OFFICIAL USE ONLY
The interviewing panel’s recommendation(s) is/are:
Offer
KIV
Not shortlisted, Reason: __________________
Recommended for other position
WITNESSED BY:
_________________________
________________________
_____________________
________________
NAME
DESIGNATION
SIGNATURE
DATE
Page | 3

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