EMPLOYMENT APPLICATION FORM

(Private and Confidential)

Position Applied For: _____________________________ Expected Salary: ________________

If offered employment, I can start work on: ______________________________________________

Where did you learn of this position?

❑ Newspaper ❑ Online Recruitment Website

❑ Employment Agency ❑ Employee Referral

❑ Recruitment Posters / Banners ❑ Others: _____________________________

Please enclose:

1) Photocopies of detailed professional, university, polytechnic, ‘A’ and ‘O’ Levels results (or its equivalent)
2) Photocopies of school leaving certificates and testimonials

Personal Particulars
Name as in NRIC / Passport Chinese Characters

Address in Singapore

Nationality Identification Card No. Date of Birth Age

(Please provide last 4 characters)

Marital Status Gender Religion

Email Address Singapore Contact No. Race

Additional Information for Foreign Applicant

If you are currently working in Singapore, please indicate your work pass type: ________________________

Work Pass No (Please provide last 4 characters) Expiry Date

Country of Birth Foreign Contact No.

Foreign Address
Emergency Contact Details
Name Relationship Contact No.

Address

Languages and Dialects

Written Spoken
Languages / Dialects
(0-Poor, 10-Excellent) (0-Poor, 10-Excellent)

Family Details
Name of Family Member(s) Age Relationship Occupation

Educational Details
From To
Institution / School Attended Highest Qualification Obtained
(mm/yyyy) (mm/yyyy)
Employment History (List from the most recent employment)
1. Company’s Name Position Held Date Joined (mm/yyyy) Date Left (mm/yyyy)

Last Drawn Salary Allowances (if any) Reason for Leaving

(Basic Pay)

2. Company’s Name Position Held Date Joined (mm/yyyy) Date Left (mm/yyyy)

Last Drawn Salary Allowances (if any) Reason for Leaving

(Basic Pay)

3. Company’s Name Position Held Date Joined (mm/yyyy) Date Left (mm/yyyy)

Last Drawn Salary Allowances (if any) Reason for Leaving

(Basic Pay)

Hobbies / Interests

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Other Information

Please provide any other information that you think would assist you in this application.

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________
General Information
1. Do you smoke? ❑ Yes ❑ No
2. Have you been hospitalized or suffered from any illness? ❑ Yes ❑ No
If yes, please state the illness (including pre-existing illness) __________________________
3. Have you ever been detained or convicted of a criminal offence? ❑ Yes ❑ No
If yes, please state the offence _________________________________________________
4. Have you been made bankrupt? ❑ Yes ❑ No
5. Do you have any relatives / friends working in this company? ❑ Yes ❑ No
If yes, please furnish us with the name and department ______________________________
6. Have you ever applied for a job at this company before? ❑ Yes ❑ No
7. Have you ever been dismissed from a job? ❑ Yes ❑ No
If yes, please specify _________________________________________________________
8. Do you hold a driving license? ❑ Yes ❑ No
If yes, please state class ______________________________________________________

Employment References
1. Name of Referee (Ms/Mrs/Mr/Madam/Dr) Relationship

Company Contact No.

2. Name of Referee (Ms/Mrs/Mr/Madam/Dr) Relationship

Company Contact No.

Privacy Statement
The personal data collected in this application form will be used by Tee Yih Jia Food Manufacturing Pte Ltd to
assess your suitability to assume job duties of the position for which you have applied and to determine
preliminary remuneration package to be discussed with you subject to selection for the position. In the event of
an unsuccessful application, we will retain your personal data for future recruitment purposes.
Declaration
I hereby declare that the information given by me in this application form, my resume and any other document
that I provide to Tee Yih Jia Food Manufacturing Pte Ltd in connection with my application for employment and
my personal interviews is correct, complete and true to the best of my knowledge and belief, and that I have not
wilfully suppressed any facts.

I fully understand and accept that any false declaration made in this form gives the Company the sole right to
terminate my employment without assigning any reasons.

I confirm that I am providing permission for Tee Yih Jia Food Manufacturing Pte Ltd and its representatives to
contact any of the schools, professional bodies or references I have listed above to verify the information I have
given in this application.

__________________________________ ________________________
Applicant’s name and signature Date
 AUTHORISATION FOR REFERENCE CHECK

I, _______________________________ (Full Name), __________________________ (NRIC/FIN-

last 4 characters) hereby authorize Tee Yih Jia Food Manufacturing Pte Ltd and its representatives
to conduct reference checks and/or other inquiries on my current and/or previous employment(s)/
appointment(s) for the purpose of evaluating my suitability for employment with the Company.

I understand and agree that I release Tee Yih Jia Food Manufacturing Pte Ltd and the provider from
any and all liability for damages arising from requesting and supplying such infor mation.

__________________________________ ________________________

Applicant’s signature Date

 FOR OFFICIAL USE ONLY

BACKGROUND CHECK BY HUMAN RESOURCE DEPARTMENT

Results: ❑ Favourable ❑ Not favourable
Checked By: Name / Designation: _____________________________ Date: ___________
Comments:

INTERVIEWER’S ASSESSMENT
Interviewers are to use the prescribed format below to record the results of their interviews with the
candidate. The assessment shall be handed to the HR Department for further action and approval. The
results of the interviews must be recorded hereunder after all the interviews have taken place.
Interviewers must not commit themselves on matters relating to terms and conditions of service
and salary which they are not familiar with. If in doubt, please contact the HR Department.

RATING: A – Ideal B – Good C – Average D – Below Average E – Poor

INTERVIEWER I INTERVIEWER II INTERVIEWER III

FACTORS OF Name: Name: Name:
ASSESSMENT Designation: Designation: Designation:
A B C D E A B C D E A B C D E
1. Relevant Education
2. Relevant Experience
3. Job Knowledge
4. Communication Ability
5. Grooming & Appearance
6. Attitude & Behaviour
7. Motivation & Initiative
8. Alertness
9. Friendliness / Courtesy
10. Enthusiasm
❑ Suitable ❑ Suitable ❑ Suitable
RECOMMENDATION ❑ KIV ❑ KIV ❑ KIV
❑ Reject ❑ Reject ❑ Reject

SIGNATURE / DATE

RECOMMENDATIONS BY DEPARTMENT HEAD

Note: Department Head should forward the form to the Human Resource Manager for preparation of
Letter of Appointment before the staff commences duty.
❑ Suitable & Hire ❑ Suitable and KIV ❑ Reject ❑ Unsuitable but KIV for ________

Department / Section Position Offered

Commencement Date Proposed Salary & Allowance

Probation Period Report to

________________________________ _____________________________
Name and Signature Date