BARTEC Pte Ltd
No. 63 Hillview Ave
                                                                                                             #07-20 to 23 Lam Soon Ind. Bldg.
                                                                                                             Singapore 669569
                                                                                                             Tel: +65 6762 5030
                                                                                                             Fax: +65 6762 5031
                                                                                                             E-mail: info@bartecasia.com
POSITION APPLYING FOR :                                                                     AVAILABILITY :
PERSONAL PARTICULARS (Please complete in full)
Full Name as in Passport / Identity Card ( underline Family Name) :
Home / Postal Address :
Home Number :                                Mobile Number :                                                 Email Address :
Nationality :                                Date of Birth :                   Age :                         Country of Birth :
Sex :                                        Race :                            Religion :
Driving License:               Class     2            2A         2B               3           4          5           Others : __________________
For Singapore / Malaysia Citizens and SPRs only
Identity Card No :                                                               Place of Issue :
Colour :                    Pink             Blue                                             Type :Singapore                     Malaysia
For Non-Singapore Permanent Resident
Type of Singapore Immigration Pass you are currently holding:
Employment Pass                        Work Permit                             Dependant's Pass                          Social Visit Pass
FIN Number :                                                                   Date of Expiry (dd/mm/yyyy) :
FAMILY BACKGROUND
                Full Name                     Relationship            Date of Birth               Nationality                     Occupation
EDUCATION (List schools / institutions / universities attended. Please attach relevant copies of certificates/transcripts)
        From                  To                       Schools / Institutions / Universities attended                     Qualifications Obtained
                                                                      1 of 3
OTHER RELEVANT QUALIFICATIONS
                                     Qualifications                                              Date of Completion                           Awarding Institution
LANGUAGE PROFICIENCY (Please state languages and proficiency level : good, fair, poor)
                                                                                                                    Written                               Spoken
                                              Languages
                                                                                                        Good         Fair         Poor          Good       Fair           Poor
COURSE CURRENTLY PURSING
                          Institutions / Universities attending                                                 Course                              Date of Completion
OTHER SKILLS (computer, first aid, etc.)
ACHIEVEMENTS (at school, college, university, office held, scholarship, prizes, award, etc)
PROFESSIONAL MEMBERSHIPS
                                                                                                                                                                     To
                                    Association / Club / Society / Company                                                    Position Held                From
CHARACTER REFEREES (Name 2 persons who are not your relatives)
                Name                                  Occupation                 Years Known                             Contact Number / Email Address
May we contact the following for reference?
(a) Your present employer ?            Yes                  No                   If no, please state reasons:
(b) Your previous employers ?          Yes                  No                   If no, please state reasons:
(c) Your character referees?           Yes                  No                   If no, please state reasons:
Emergency Contact
                     Name                                                 Relationship                                    Home Telephone Number / Mobile Number
EMPLOYMENT HISTORY (Please list in chronological order and start with the latest or present employment)
                                                                             Duration
                     Name of Employer                                                                             Position Held                     Reason for Leaving
                                                                   From                   To
1)
2)
3)
4)
5)
6)
7)
8)
                                                                                 2 of 3   Notice Period to Current Employer
                                              CONFIDENTIAL PAGE
            Applicant are complete this page in full and detached from application form to return to HR
EMPLOYER HISTORY (Please list in latest and present employment)
                        Name of Employer                        Last Drawn Monthly Basic Salary                Monthly Allowance
 1)
 2)
 3)
 4)
 5)
                                               CURRENT REMUNERATION*
                                                        PRESENT POSITON
 Organisation's / Employer's Name ::                                                                Years of Service
 Position Last Held :                                                                         Reporting To :
 Starting Basic Salary :                                             Current Basic Salary :
 Monthly Allowances :                             AWS / Bonuses (state quantum for fixed and variable for last 2 years)
 Type : ____________ Amount : __________            Year __________     Fixed : ________ Months       Variables : ________ Months
 Type : ____________ Amount : __________            Year __________     Fixed : ________ Months       Variables : ________ Months
  Other Allowances/ Benefits (pls specify) :
 Expected Monthly Salary : ______________________________
 DECLARATION
 I, __________________________________________ [Name] , holder of NRIC/Passport No : ____________________________
 declare that to the best of my knowledge, the particulars provided above are true and I hereby give my consent to the company to
 check my employment records with my previous employers. I am aware that any false or misleading statements made by me will be
 cause for dismissal if employed.
              Signature of Applicant                                                                            Date (dd/mm/yy)
 Note *: We will require a copy of your lastest employment payslip upon successful placement of your application.
Other Information
Please answer the following questions. If the answer is "Yes" to any of the items below, please provide details.
a. Have you ever been convicted in a court of law in any country?                                    Yes              No
b. Have you ever been dismissed, discharged or suspended from employment ?                           Yes              No
c. Have you ever had, or are you suffering from any :                                                Yes              No
- physical impairment ?                                                                              Yes              No
- disease ?                                                                                          Yes              No
- mental illness ?                                                                                   Yes              No
d. Are you currently serving a bond or a moral obligatory service ?                                  Yes              No
e. Have you ever been declared a bankruptcy ?                                                        Yes              No
f. Do you have any relative or friend presently working in our company ?                             Yes              No
HOW DID YOU GET TO KNOW ABOUT THIS VACANCY ?
    Newspaper Advertisement                     Friends                            Recruitment Agency ______________________
    E-Advertisement                             Employee Referral                  Others : _______________________________
DECLARATION
I, __________________________________________ [Name] , holder of NRIC/Passport No : ____________________________ declare
that to the best of my knowledge, the particulars provided above are true and I hereby give my consent to the company to check my
employment records with my previous employers. I am aware that any false or misleading statements made by me will lead to immediate
dismissal from service.
              Signature of Applicant                                                                           Date (dd/mm/yy)
                                                                      3 of 3