ROTARY GROUP OF COMPANIES
17, TUAS AVENUE 20, SINGAPORE 638828. TEL : (65)6866 0800 ; FAX : (65)6866 0999
61, JURONG ISLAND HIGHWAY, SINGAPORE 627860. TEL : (65)6866 0000 ; FAX : (65)6866 0199
JOB APPLICATION FORM
POSITION(S) APPLIED FOR : PHOTO
1. PERSONAL PARTICULARS (REQUIRED FOR ADMINISTRATION PURPOSE ONLY)
NAME AS PER NRIC/PASSPORT :
underline family name
SALUTATION : DR. MR MRS MISS
ADDRESS :
POSTAL CODE :
OVERSEAS ADDRESS (FOR FOREIGN NATIONAL) :
TEL (HOME) : MOBILE NO :
EMAIL :
MARITAL STATUS : AGE: GENDER : MALE FEMALE
NATIONALITY : NRIC/PASSPORT NO :
COUNTRY OF BIRTH : DATE OF BIRTH :
RACE : RELIGION :
CLASS 1 CLASS 2A CLASS 2B CLASS 2
DRIVING LICENCE
(PUT A CROSS 'X' IN THE CLASS 3 CLASS 3A CLASS 4 CLASS 4A
CORRECT BOX)
CLASS 5 OTHER LICENCES :
2. FAMILY PARTICULARS
NAME RELATIONSHIP OCCUPATION EMPLOYER (COMPANY NAME)
PAGE 1 OF 5
3. EMERGENCY CONTACTS & INSURANCE PAYOUT (In the event of accident involving injury or death)
Name: Contact No. (Home):
Relation: Country of Origin: Contact No. (Mobile):
Address:
Name: Contact No. (Home):
Relation: Country of Origin: Contact No. (Mobile):
Address:
4. EDUCATION (HIGHEST QUALIFICATION ONLY)
4.1 LIST YOUR HIGHEST ACADEMIC QUALIFICATION ONLY (Put a tick in the box provided) :
Primary / PSLE Level Secondary / 'N' / 'O' Level ITE Equivalent / A-Level
Polytechnic University Post Graduate
NAME OF SCHOOL / INSTITUTION:
HIGHEST QUALIFICATION:
FROM (MM/YYYY): TO (MM/YYYY):
IF YOUR HIGHEST QUALIFICATION IS A MASTER DEGREE, PLEASE ALSO INDICATE BELOW YOUR BASIC DEGREE :
NAME OF SCHOOL / INSTITUTION:
HIGHEST QUALIFICATION:
FROM (MM/YYYY): TO (MM/YYYY):
4.2 LIST PROFESSIONAL OR TECHNICAL QUALIFICATIONS RELEVANT TO THE POST APPLYING FOR :
SN QUALIFICATION YEAR OBTAINED
4.3 LANGUAGE PROFICIENCY EXCLUDING DIALECTS :
GOOD AVERAGE POOR
TYPES OF LANGUAGE PROFICIENCY LEVEL
(PLEASE TICK) (PLEASE TICK) (PLEASE TICK)
SPOKEN :
ENGLISH
WRITTEN :
SPOKEN :
OTHER LANGUAGE:
WRITTEN :
SPOKEN :
OTHER LANGUAGE:
WRITTEN :
4.4 COMPUTER LITERACY :
GOOD AVERAGE POOR
NAMES OF SOFTWARE PROGRAMMES
(PLEASE TICK) (PLEASE TICK) (PLEASE TICK)
MICROSOFT WORD
MICROSOFT EXCEL
MICROSOFT POWERPOINT
OTHERS :
OTHERS :
5. NAME TWO REFEREES
NAME: NAME:
COMPANY: COMPANY:
DESIGNATION: DESIGNATION:
CONTACT NUMBER: CONTACT NUMBER:
YEARS KNOWN: YEARS KNOWN:
6. RELATIVES OR FRIENDS WORKING IN ROTARY GROUP OF COMPANIES (IF ANY)
NAME RELATIONSHIP DEPARTMENT DESIGNATION
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7. EMPLOYMENT HISTORY (LIST THE MOST RECENT THREE EMPLOYERS)
FROM (MM/YY): TO (MM/YY): SALARY PER MONTH
Basic starting
NAME OF ORGANISATION:
pay:
Basic last drawn
DESIGNATION:
salary:
NAME OF IMMEDIATE SUPERIOR: Allowance:
DESIGNATION OF IMMEDIATE SUPERIOR: Overtime Pay:
REASON FOR LEAVING : AWS:
FROM (MM/YY): TO (MM/YY): SALARY PER MONTH
Basic starting
NAME OF ORGANISATION:
pay:
Basic last drawn
DESIGNATION:
salary:
NAME OF IMMEDIATE SUPERIOR: Allowance:
DESIGNATION OF IMMEDIATE SUPERIOR: Overtime Pay:
REASON FOR LEAVING : AWS:
FROM (MM/YY): TO (MM/YY): SALARY PER MONTH
Basic starting
NAME OF ORGANISATION:
pay:
Basic last drawn
DESIGNATION:
salary:
NAME OF IMMEDIATE SUPERIOR: Allowance:
DESIGNATION OF IMMEDIATE SUPERIOR: Overtime Pay:
REASON FOR LEAVING : AWS:
8. OTHERS
8.1 Earliest date that you can commence employment :
8.2 Minimum monthly basic salary that you are willing to accept S$
Give details in the space provided if the answer is 'YES' YES NO
8.3 Have you worked in Rotary Group of Companies before?
8.4 Have you or are you suffering from any physical impairment, disease or medical conditions?
8.5 Have you ever been convicted in a court of law in any country ?
8.6 Have your ever been dismissed from the service of any employer ?
8.7 Are you presently declared bankcrupt ? If YES, please provide details below.
9. DECLARATION
READ CAREFULLY BEFORE SIGNING :
I certify that all the information on this application is accurate. I understand that misleading or false statements will constitute
sufficient cause for refusal to hire or termination of my employment. I authorize the Rotary Group to investigate information
concerning my education, employment experiences and all aspects of my background relevant to this application. I herein
indemnify the Rotary Group and its employees from all liability arising from such investigation.
SIGNATURE OF APPLICANT DATE
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10. TO BE COMPLETED BY INTERVIEWER
10.1 1ST INTERVIEWER'S COMMENT :
Not Suitable To Hire Shortlist for 2nd Interview Recommend to Other BUs/Dept :
Position Offered : Proposed Monthly Basic :
INTERVIEW CONDUCTED BY : APPROVED BY HEAD OF DEPT (IF CONFIRMED HIRING) :
NAME / SIGNATURE / DATE NAME / SIGNATURE / DATE
10.2 2ND INTERVIEWER'S COMMENT :
Not Suitable To Hire Shortlist for 2nd Interview Recommend to Other BUs/Dept :
Position Offered : Proposed Monthly Basic :
INTERVIEW CONDUCTED BY : APPROVED BY HEAD OF DEPT (IF CONFIRMED HIRING) :
NAME / SIGNATURE / DATE NAME / SIGNATURE / DATE
11. TO BE COMPLETED BY HR DEPARTMENT
PAY COMPANY : PAY COMPANY CPF ACCOUNT :
DEPARTMENT : LOCATION :
DESIGNATION IN PAYROLL SYSTEM :
EMPLOYMENT COMMENCEMENT DATE : APPROVED BASIC SALARY :
OVERTIME CATEGORY (PLEASE PUT A CROSS 'X' IN THE BOX) :
OT1.0 @ S$11.80
NA OT1.5 and 2.0 OT1.5 @ S$17.70 S$10 / Hour S$12 / Hour
OT2.0 @ S$23.60
APPROVED BY :
NAME / SIGNATURE & DATE
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12. Personal Protection Equipment (PPE) SIZE (PLEASE CIRCLE)
MEASUREMENT IN INCHES
上衣 尺寸表 (SHIRT)
款式
Size / Position
XXS (26) XS (28) S (30) M (32) L (34) XL (36) 2XL (38) 3XL (40) 4XL (42) 5XL (44)
Chest 胸宽 37 39 41 43 45 48 51 53 55 57
Length 衣长 26 27 28 29 30 30 31 31 1/2 31 1/2 31 1/2
Sleeve 袖长 23 1/2 24 24 1/2 24 1/2 24 3/4 25 25 1/2 26 26 26
长裤 尺寸表 (SHIRT)
PANTS
款式
Size / Position
XXS (26) XS (28) S (30) M (32) L (34) XL (36) 2XL (38) 3XL (40) 4XL (42) 5XL (44)
W aist 腰宽 26 28 30 32 34 36 38 40 42 44
Length 裤长 40 1/2 41 41 42 42 1/2 42 1/2 42 1/2 42 1/2 43 43 1/2
MEN'S INTERNATIONAL SHOE SIZE (US / CANADA) 鞋子 尺寸
5.0 5.5 6.0 6.5 7.0
7.5 8.0 8.5 9.0 9.5
10.0 10.5 11.0 11.5 12.0
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