APPLICATION FORM
This form may take you some time (about 20 to 30 mins) to fill in. You will need the following Passport-sized
information to fill in the form:
Photograph
Your Identity Card
Transcripts / Educational certificates / Professional certificates
ECA and National Service records (if applicable)
Past and present employment records
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Instructions to applicants:
1) All information given by you in this application must be true. Giving false information is a crime punishable by imprisonment.
2) Applications that are not properly completed or illegible may be rejected.
3) Attach one copy each of your birth and educational/professional certificates as well as National Service Certificate and testimonials (if any).
Please do not forward the originals, as these will only be required if you are subsequently called for an interview. If your original documents
have been lost or mislaid, please obtain authenticated duplicates or certified true copies from the issuing authorities.
4) You need not attach a separate resume to this application form.
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* Delete, as appropriate
(A) POST APPLIED FOR: ( BSD or CIBUBUR)
Are you prepared to consider post other than the one you have listed above? * Yes / No
(B) PERSONAL PARTICULARS
1. *Dr/Mr/Mrs/Miss/Mdm: 12. Postal Address:
2. Marital Status: *Single/ Married/ Separated/ Divorced/ Widowed Blk/Hse No: Floor No & Unit:
3. *NRIC (Pink)/ NRIC (Blue)/ Passport No: Street Name:
4. Singapore Permanent Resident: *Yes/No Building Name: Postal Code:
5. Present Citizenship: City: Country:
6. Previous Citizenship (if any): 13. Highest Educational Qualification:
7. Date of Birth: 8. Sex: * M / F Year:
9. Race: 10. Religion: 14. Email Address(if any):
11. Tel. No: (Home) (Office)
15. Class of Driving Licence (if any):
(HP/Pager) (Others)
(C) EDUCATIONAL QUALIFICATIONS:
Name of School/College/Polytechnic/University Year of Year of Highest Academic Qualifications
Attended (Secondary & Post Secondary) Country Joining Leaving Attained
(D) * LATEST/FINAL YEAR DIPLOMA RESULTS OR EQUIVALENT
Did you obtain your Diploma through distance learning? *Yes/No
Polytechnic Attended: Country :
Course of Study: Merit: Year:
*Yes/No
Subject Grade Subject Grade
(F) * LATEST/FINAL YEAR BACHELOR DEGREE RESULTS OR EQUIVALENT
Did you obtain your Degree through distance learning? *Yes/No
University Attended: Country :
Course of Study: Merit: Class of Honours: Year:
*Yes/No
Subject Grade Subject Grade
GPA for * latest/final year results (if available):
(G) ACADEMIC SCHOLARSHIPS, PROFESSIONAL QUALIFICATIONS, MEMBERSHIPS/OTHER EDUCATIONAL CERTIFICATES
OR TRAINING UNDERTAKEN OR CURRENTLY PURSUING/OTHER AWARDS, MEDALS & PRIZES:
From (Year) To (Year) Description/Name of Scholarships/Awards :
(H) NATIONAL SERVICE (MALE SINGAPORE CITIZENS ONLY)
Date of Enlistment Operational-Ready Date Rank Organisation: SAF/SPF/SCDF PES Grading
If you have not served NS, please state reason:
(I) LANGUAGE /COMPUTER PROFICIENCY: (Please Tick Accordingly)
Language Written Spoken Computer Proficiency/Skills
English SOFTWARES
Mandarin
Malay
Tamil
SKILLS
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(J) ECA/SPORTS/HOBBIES
From (date) To (date) ECA/SPORTS/HOBBIES
ECA : Please indicate if you hold an elective office or responsible position
Sports : Please indicate level of participation
Hobbies : Where applicable
(K) PREVIOUS & PRESENT EMPLOYMENT IN CHRONOLOGICAL ORDER:
Company Name & Address:
From (date) To (date) Designation Brief description of job duties Reason for Leaving
Company Name & Address:
From (date) To (date) Designation Brief description of job duties Reason for Leaving
Company Name & Address:
From (date) To (date) Designation Brief description of job duties Reason for Leaving
Monthly Salary (gross) of * Last/Current job: Expected Monthly Salary:
Earliest date available if offered appointment:
(K) PARTICULARS OF SPOUSE
Name Relationship ID Type ID No. Nationality Employer Occupation
Address:
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(M) CHARACTER REFEREES
Please provide particulars of two persons who are not related to you. They should be responsible persons who know you well with regard to your character and work
performance. Both referees should be gainfully employed. The Ministry may contact either or both of the referees stated.
Name: Tel No. Name: Tel No.
Address: Address:
Occupation: Years Known: Occupation: Years Known:
(N) PLEASE ANSWER THE FOLLOWING QUESTIONS BY DELETING “YES” OR “NO” AS APPROPRIATE. FOR ANY “YES” ANSWERS,
PLEASE PROVIDE DOCUMENTARY EVIDENCE
1. Have you ever suffered, or are suffering from any medical condition, illness, disease, mental illness or physical *Yes/No
impairment?
2a. Do you have a criminal record1 in Singapore? *Yes/No
b. Have you ever been convicted in a court of law in any other country (excluding parking offences or criminal records
disclosed above)?
*Yes/No
3. Have you been charged with any offence in a court of law in Singapore or in any other country for which the *Yes/No
outcome is pending (excluding parking offences)?
4. Are you aware of being under any current police investigations in Singapore or in any other country following *Yes/No
allegations made against you?
5. Have you been or are you under any financial embarrassment i.e. (a) an undischarged bankrupt, (b) a judgement *Yes/No
debtor, (c) have unsecured debts and liabilities of more than 3 months of last-drawn pay, (d) have signed a promissory
note or an acknowledgement of indebtedness?
6. Have you ever broken any bond (e.g. bonds associated with scholarships or training awards)? *Yes/No
7. Did you ever leave an employer without serving out your period of moral obligatory service (e.g. resulting from no- *Yes/No
pay leave taken or training)?
If your answer was “Yes” to any of the questions above, please give details:
(O) DECLARATION
(1) I 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.
(2) I declare that all information given by me in this application for employment and any sheets attached hereto are true to the
best of my knowledge and I have not wilfully suppressed any material fact. I accept that if any of the information given by
me in this application is in any way false or incorrect, my application may be rejected, any offer of employment may be
withdrawn or my employment may be terminated summarily or I may be dismissed.
Signature of Applicant :
Date :
1
By this, we refer only to a criminal record of a conviction under the Registration of Criminals Act
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