PRIVATE AND CONFIDENTIAL

EMPLOYMENT APPLICATION FORM

1. PERSONAL PARTICULARS *Tick where applicable

Position (s) Applied For: Date of Application:

Full Name in Block Letters (as shown in Identity Card / Passport) Name in Chinese Characters / Local Language
Mr / Mrs / Miss / Mdm (If applicable)

Residential Address

Telephone No. (Home) Telephone No. (Mobile) Telephone No. (Office) Email Address:

Date of Birth [DD/MM/YYYY] Age Religion Race/Dialect

Passport No. / Identity Card No. Place of Birth Sex* Nationality

Male | Female
Employment Pass No. / Expiry Date (If applicable) National Service*
Regular Completed Exempted Not Applicable
Permanent Residence (PR) Status on other countries*: YES | NO Marital Status*
If granted, please state the country: Effective Date: Single Married Divorced Widowed

2. FAMILY PARTICULARS
Name Relationship Date of Birth Occupation Name of Employer

3. EMERGENCY CONTACT
Name Relationship Contact Number

4. QUALIFICATIONS
Level Name of School / Institution From To Qualification Obtained
Secondary / High School

College / Polytechnic

Tertiary / University

Post Graduate

Others (Specify)

5. PROFESSIONAL ASSOCIATION 6. OTHER JOB RELATED SKILLS / COURSES

List of Professional, Trade, Business Associate and Office Held List of job-related courses attended or skills acquired e.g. Computer, Team Building etc.
a) a)

b) b)

c) c)

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7. LINGUISTIC ABILITY *Tick where applicable
LANGUAGE Excellent Good Average
Spoken Read Written Spoken Read Written Spoken Read Written

Spoken Read Written Spoken Read Written Spoken Read Written

Spoken Read Written Spoken Read Written Spoken Read Written

8. REMUNERATION
Please provide your current remuneration details below and furnish a copy of your latest pay-slip upon your appointment for the position.
COMPENSATION DETAILS LOCAL CURRENCY REMARKS
a) Monthly Basic Salary

b) Other Monthly Salary Allowance

(please specify)
c) Total Current Monthly Package

d) AWS / Fixed Bonus

e) Variable Bonus
(please specify)
f) Others
(please specify)
g) Total Current Annual Package

h) Expected Salary (Monthly Package)

9. REFERENCES
Please indicate 3 persons (previous supervisor, peer and if applicable previous subordinate) from whom we can obtain references. Relatives or friends are not accepted as references.
Name: Occupation: Tel No:

Relationship: Company: Period Known:

Name: Occupation: Tel No:

Relationship: Company: Period Known:

Name: Occupation: Tel No:

Relationship: Company: Period Known:

10. HOBBIES

11. EMPLOYMENT HISTORY (IN CHRONOLOGICAL ORDER)

Please produce your original pay-slips / relevant documents and employment testimonials.
1) Employer: List of Job achievements / responsibilities (If not stated in Resume)

Designation:

Period: From To

Supervisor Reporting to: [ Name / Title ] Reporting / Dept Structure (show no of subordinated reporting to you)

Years Employed

Basic Salary Other Allowances: Reason for Leaving

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EMPLOYMENT HISTORY
Please produce your original pay-slips / relevant documents and employment testimonials.
2) Employer: List of Job achievements / responsibilities (If not stated in Resume)

Designation:

Period: From To

Supervisor Reporting to: [ Name / Title ] Reporting / Dept Structure (show no of subordinated reporting to you)

Years Employed

Basic Salary Other Allowances: Reason for Leaving

3) Employer: List of Job achievements / responsibilities (If not stated in Resume)

Designation:

Period: From To

Supervisor Reporting to: [ Name / Title ] Reporting / Dept Structure (show no of subordinated reporting to you)

Years Employed

Basic Salary Other Allowances: Reason for Leaving

12. OTHER DETAILS *Tick where applicable

1) Have you ever filed an application with us before?

If Yes, please advise details: ______________________________________________________________
YES NO
2) Have you ever been employed with us before?
YES NO
If Yes, please advise details: ______________________________________________________________

3) May we contact your present / previous* employers for a reference check?

YES NO
4) Did you sign a non-complete agreement with your current / previous employer which is still currently binding?
YES NO
5) Can you travel if the job requires it?
YES NO
6) Do you possess a driving licenses?

If Yes, please specify class: ___________________________________________________________

YES NO
7) Do you possess a vehicle?
YES NO
8) Have you ever been or are suffering from any physical impairment or diseases?

If Yes, please explain: ___________________________________________________________

YES NO
9) Have you ever been convicted in a court of law in any country?
YES NO
If Yes, please explain: ___________________________________________________________

10) Have you ever been declared a bankrupt?

If Yes, please explain: ___________________________________________________________
YES NO
11) Do you have relatives working with Cheil Worldwide or its competitors?
YES NO
If Yes, please specify: ___________________________________________________________

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 12) Do you have any equity interest or presently holding any position [board members, consultant etc.] in another company? If Yes, please state:
YES NO
i. Company Name: __________________________________________________
ii. Nature of Business: __________________________________________________
iii. Shareholding (% ): __________________________________________________
iv. Position Held: __________________________________________________
v. Any conflict of interest: __________________________________________________

13) How soon can you start work?

please specify: ___________________________________________________________

13. DECLARATION

In compliance to RA 10173 also known as The Data Privacy Act of 2012, I hereby agree that my personal information may be used for the purpose of filing,
maintaining and updating Employee records, internal administration, managing and terminating and employment relationship. Cheil may disclosure my
personal data to the Management, Government Agencies/ Bodies and where necessary to relevant departments or partners, for the purpose of evaluation,
registration and fulfilling legal obligations.

 I give my consent to obtain and verify information from or with any source, as you deem appropriate for the assessment of my application for
employment.
 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 willfully 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 from
service.

__________________________ _____________________
Applicant’s Signature Date

FOR OFFICIAL USE ONLY

Name of Interviewer: ________________________________________________________________________ Date: _______________________

Outcome of 1st Interview: Selected Not Selected
Comment:
_____________________________________________________________________________________________________________________________________________

Name of Interviewer: ________________________________________________________________________ Date: _______________________

Outcome of 2nd Interview: Selected Not Selected
Comment:
_____________________________________________________________________________________________________________________________________________

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