Job Application 1: Job Application 2: Please complete this form. While we would welcome a copy of your C.V. where it provides additional details to assist us in relevant job match. PERSONAL DETAILS Name (As per NRIC or Passport): Email Address: Residential Address: Tel (Home): Tel (Mobile): Current/ Last Drawn Salary: Expected Salary: Basic salary Commission (if any) When could you start work? Other Allowances EDUCATION BACKGROUND Dates From Educational Institution To Title of Qualification Membership of Professional Bodies IT Knowledge: MS Word / MS Excel / MS Powerpoint / MS Access / SAP / Oracle / C++ / Others: CURRENT & PREVIOUS APPOINTMENTS Please give details of your previous positions starting with the most RECENT appointment. Company Name: Name of Last Supervisor Nature of Business: Last Job Title: Employment Dates (Month/Year) From / Till Starting Salary & Last Drawn Salary S$ to S$ Reason for leaving: Give details of the position(s) held and the nature of the work especially if relevant to this application. Company Name: Name of Last Supervisor Nature of Business: Last Job Title: Employment Dates (Month/Year) From / Till Starting Salary & Last Drawn Salary S$ to S$ Reason for leaving: Give details of the position(s) held and the nature of the work especially if relevant to this application. Version 1.4 – March 2022 PERSOLKELLY Singapore Pte Ltd T +65 6709 3388 36 Robinson Road, #20-01 | City House, Singapore 068877 F +65 6226 1788 EA License No. 01C4394 • RCB No. 200007268E persolkelly.com.sg Company Name: Name of Last Supervisor Nature of Business: Last Job Title: Employment Dates (Month/Year) From / Till Starting Salary & Last Drawn Salary S$ to S$ Reason for leaving: Give details of the position(s) held and the nature of the work especially if relevant to this application. DECLARATION No. 1 2 Question Do you have any criminal record(s) or are you currently under police investigation(s) in Singapore or overseas which require you to report or serve during working hours? For candidate who applying for director or executive officer for bank and/or financial institution and/or position dealing with cashflow, please declare if you are an undischarged bankrupt in Singapore or elsewhere? According to Banking Act, any person who is an undischarged bankrupt, whether in Singapore or elsewhere is disqualifying to act as a director or executive officer position in bank. YES NO NA If your answer is “YES” to any of the above questions, please give details in the space below: REFERENCES Please provide details of two referees who were your direct supervisors from your previous employment. Kindly read and acknowledge on the consent clause below. Referee 1 Tel Email Company Referee 2 Tel Email Position Company Position I hereby confirm to PERSOLKELLY Singapore that I have obtained the consent of the above person to disclose their personal data to PERSOLKELLY Singapore and its local and overseas subsidiaries and affiliates, for purposes of enabling PERSOLKELLY Singapore to conduct reference checks. 1. I, the undersigned, declare that the information that I have provided in this application is accurate, complete and true to the best of my knowledge. I accept that providing deliberately false information could result in my dismissal. 2. I hereby acknowledge that background screening checks on me will be conducted by PERSOLKELLY Singapore and or by a third-party agent appointed by PERSOLKELLY Singapore and or the client upon my verbal acceptance of a job offer, signing of an offer letter or employment contract, whichever is earlier. In the event that I withdraw my acceptance of the job offer, offer letter or employment contract, I hereby agree to fully reimburse PERSOLKELLY Singapore for any costs and expenses incurred in connection with background screening checks. 3. I acknowledge that PERSOLKELLY Singapore will expand/has expanded resources in placing me in a permanent or direct contract (under client’s payroll) job offer with PERSOLKELLY Singapore or PERSOLKELLY Singapore’ clients. Upon signing the letter of offer or the letter of appointment with PERSOLKELLY Singapore or PERSOLKELLY Singapore’ clients, I agree that if I do not start work on the date (“Commencement Date”) as contractually provided in the letter of offer or the letter of appointment, or if I tender my resignation within 90 days from the Commencement Date, I shall pay to PERSOLKELLY Singapore the sum equivalent to one (1) month of my offered gross salary to PERSOLKELLY Singapore forthwith. All payment must be made via crossed cheque payable to “PERSOLKELLY Singapore Pte Ltd” or bank transfer to DBS Current Account No. 010-900094-1. Please indicate your name and telephone no. at the reverse side of your cheque. No cash or cash cheques will be accepted. I hereby consent to PERSOLKELLY Singapore Pte Ltd and its local and overseas subsidiaries and affiliates collecting, using and disclosing my personal data to prospective employers/companies based in any country for purposes of evaluating suitability for employment, conducting reference checks, administering employment related services, complying with Government’s COVID-19 health advisories and such other purposes stated in the privacy policy. I acknowledge that the full privacy policy is available at persolkelly.com.sg/policies/ Signature ………………………………………………………… Date ……….………………………………..….………………. Version 1.4 – March 2022 PERSOLKELLY Singapore Pte Ltd T +65 6709 3388 36 Robinson Road, #20-01 | City House, Singapore 068877 F +65 6226 1788 EA License No. 01C4394 • RCB No. 200007268E persolkelly.com.sg