EMPLOYMENT APPLICATION
STRICTLY CONFIDENTIAL
Particulars subsequently found to be false will disqualify you, or if already appointed, will lead to dismissal. The willful suppression of any material fact(s) will be similarly penalized.
PERSONAL PARTICULARS
* Full Name
Contact Details
* (HP)
(Home)
* (Email)
* Address
* Gender
Male
Female
* Marital Status
Single
Married
Separated
Divorced
Widowed
* Date of Birth
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(D)
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01
02
03
04
05
06
07
08
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11
12
(M)
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2011
2010
2009
2008
2007
2006
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1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
(Y)
* Nationality
--
Singaporean
Afghan
Albanian
Algerian
American
Andorran
Angolan
Antiguans
Argentinean
Armenian
Australian
Austrian
Azerbaijani
Bahamian
Bahraini
Bangladeshi
Barbadian
Barbudans
Batswana
Belarusian
Belgian
Belizean
Beninese
Bhutanese
Bolivian
Bosnian
Brazilian
British
Bruneian
Bulgarian
Burkinabe
Burmese
Burundian
Cambodian
Cameroonian
Canadian
Cape Verdean
Central African
Chadian
Chilean
Chinese
Colombian
Comoran
Congolese
Costa Rican
Croatian
Cuban
Cypriot
Czech
Danish
Djibouti
Dominican
Dutch
East Timorese
Ecuadorean
Egyptian
Emirian
Equatorial Guinean
Eritrean
Estonian
Ethiopian
Fijian
Filipino
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Greek
Grenadian
Guatemalan
Guinea-Bissauan
Guinean
Guyanese
Haitian
Herzegovinian
Honduran
Hungarian
Icelander
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakhstani
Kenyan
Kittian and Nevisian
Kuwaiti
Kyrgyz
Laotian
Latvian
Lebanese
Liberian
Libyan
Liechtensteiner
Lithuanian
Luxembourger
Macedonian
Malagasy
Malawian
Malaysian
Maldivan
Malian
Maltese
Marshallese
Mauritanian
Mauritian
Mexican
Micronesian
Moldovan
Monacan
Mongolian
Moroccan
Mosotho
Motswana
Mozambican
Namibian
Nauruan
Nepalese
New Zealander
Ni-Vanuatu
Nicaraguan
Nigerien
North Korean
Northern Irish
Norwegian
Omani
Pakistani
Palauan
Panamanian
Papua New Guinean
Paraguayan
Peruvian
Polish
Portuguese
Qatari
Romanian
Russian
Rwandan
Saint Lucian
Salvadoran
Samoan
San Marinese
Sao Tomean
Saudi
Scottish
Senegalese
Serbian
Slovakian
Slovenian
Solomon Islander
Somali
South African
South Korean
Spanish
Sri Lankan
Sudanese
Surinamer
Swazi
Swedish
Swiss
Syrian
Taiwanese
Tajik
Tanzanian
Thai
Togolese
Tongan
Trinidadian or Tobagonian
Tunisian
Turkish
Tuvaluan
Ugandan
Ukrainian
Uruguayan
Uzbekistani
Venezuelan
Vietnamese
Welsh
Yemenite
Zambian
Zimbabwean
Country of Birth
--
Singapore
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia & Herzegovina
Botswana
Brazil
British Indian Ocean Ter
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Cayman Islands
Central African Republic
Chad
Channel Islands
Chile
China
Christmas Island
Cocos Island
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Ter
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guyana
Haiti
Hawaii
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malaysia
Malawi
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Midway Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Nambia
Nauru
Nepal
Netherland Antilles
Netherlands (Holland, Europe)
Nevis
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau Island
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Republic of Montenegro
Republic of Serbia
Reunion
Romania
Russia
Rwanda
St Barthelemy
St Eustatius
St Helena
St Kitts-Nevis
St Lucia
St Maarten
St Pierre & Miquelon
St Vincent & Grenadines
Saipan
Samoa
Samoa American
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tahiti
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Is
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands (Brit)
Virgin Islands (USA)
Wake Island
Wallis & Futana Is
Yemen
Zaire
Zambia
Zimbabwe
* Race
--
Chinese
Malay
Indian
Others (pls state)
Religion
National Service ORD
(Singaporean Male only)
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01
02
03
04
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31
(D)
--
01
02
03
04
05
06
07
08
09
10
11
12
(M)
--
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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1970
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1966
1965
(Y)
Vocation
Rank
Class of Driving Licence
NA
2B
2A
2
3A
3
4A
4
5
Own Car
Yes
No
COMPUTER SKILLS
Microsoft
Word
Excel
PowerPoint
Access
Others, please state
LANGUAGES / DIALECTS PROFICIENCY
* Written
English
Chinese
Malay
Tamil
Others, please state
* Spoken
English
Mandarin
Malay
Tamil
Others, please state
PERSONAL STRENGTHS & WEAKNESSES
Strengths
Weaknesses
Please enter "-" if not applicable
Past Employment(s)
Date Joined
Date Left
Company
Designation
--
01
02
03
04
05
06
07
08
09
10
11
12
(M)
--
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
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1999
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1991
1990
1989
1988
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1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
(Y)
--
01
02
03
04
05
06
07
08
09
10
11
12
(M)
--
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
(Y)
*
*
--
01
02
03
04
05
06
07
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09
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(M)
--
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
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1991
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1988
1987
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1984
1983
1982
1981
1980
1979
1978
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1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
(Y)
--
01
02
03
04
05
06
07
08
09
10
11
12
(M)
--
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
(Y)
--
01
02
03
04
05
06
07
08
09
10
11
12
(M)
--
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
(Y)
--
01
02
03
04
05
06
07
08
09
10
11
12
(M)
--
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
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1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
(Y)
REMUNERATION
(You may be required to present your latest payslip for verification)
* Latest Basic Salary
S$
(please indicate monthly basic salary without including allowance, bonus, etc)
* Expected Basic Salary
S$
Others Benefits (if any)
Bonus
S$
Commission
S$
Transport Allowance
S$
Mobile Allowance
S$
Others, please state
AVAILABILTY
* Notice Period
--
01
02
03
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31
Day(s)
--
01
02
03
04
05
06
07
08
09
10
11
12
Month(s)
REFERENCES
Name
Company
Designation
Relationship
Contacts
Years Known
DECLARATION
* Are you suffering or ever suffered from any major illness, mental disorder or any other medical condition to declare?
Yes
No
* Do you have any physical impairment or disability?
Yes
No
Are you exempted from National Service (for Singaporean males only)?
Yes
No
Have you been charged and sentenced to detention barracks during National Service?
Yes
No
* Are you currently bound by any bond under the government or other organization?
Yes
No
* Have you been dismissed or suspended from the service of any organization?
Yes
No
* Have you been convicted in a court of law in any country? (excluding parking offences)
Yes
No
* Have you any obligation under promissory notes either as principal or surety?
Yes
No
* Have you any sources of income other than from your current employment?
Yes
No
If "Yes" to any above, please specify details in the box below:
PERSONAL DATA PROTECTION ACT (PDPA) � CANDIDATE'S CONSENT
I agree and consent that ACExcellent Consulting Pte Ltd ("ACExcellent") may collect, use, disclose and process my personal information set out in my application form,
resume and/or otherwise provided by me, for the purpose of Employment Search with its clients or potential clients. This includes but is not limited to
i) contacting me via phone or email to explore my interest in any future career opportunities
ii) disclosing my personal data to ACExcellent's clients, potential clients, third party service providers or agents engaged by ACExcellent (including its reference check firms),
which may be sited outside of Singapore, for the purpose of Employment Search.
I declare that all information stated above is true and correct to the best of my knowledge,
and that I have not willfully suppressed any material facts.