Evonik (SEA) Pte Ltd

Evonik Oil Additives Asia Pacific Pte Ltd

Evonik Methionine SEA Pte Ltd
Evonik Singapore Specialty Chemicals Pte Ltd
(individually “the Company”, collectively “the Companies”)

Human Resource Department, Recruitment Section

3 International Business Park, #07-18, Nordic European Centre, Singapore 609927

APPLICATION FOR EMPLOYMENT

POSITION APPLIED FOR: ______________________________________________________________

Expected Annual Gross Salary (SGD) Notice Period Earliest Start Date

Personal Information:

Full Name (as per NRIC/Passport): ________________________________________ Aliases (if any): ____________________

Address: _____________________________________________________________

Telephone (home): ____________________ Mobile No.: ____________________ Email: ______________________________

Eligibility to work in Singapore: Yes No, I require a work pass.

National Service Status:

Are you liable for National Service (Reservist)? Yes No Exempted

If yes, when is your next National Service (Reservist) call up? Please specify: ___________________________________________

Directorship Declaration:

Name of Company (ROC): ___________________________________________________________________________________

Nature of business: ______________________________________ Time spent on business (per week): ____________________

Education (attach supporting documents):

Start Date Completion Date Indicate if Company
Institution Name Course / Major
(dd-mm-yy) (dd-mm-yy) Sponsored

Linguistic Proficiency (tick as appropriate):

Spoken Written
Language / Dialect
Fluent Fair Fluent Fair

Other Skills:

1. Computer skills (please specify): _______________________________________________________________________

2. Others (please specify): ______________________________________________________________________________

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 Professional Membership:

Name of Institute Country Membership Type Member Since

Employment History (beginning with most recent):

Name of Company: Industry Department Size

Last Job Title: Department Supervisor’s Job Title From To

(mm-yy) (mm-yy)

Job Title when hired: Basic Monthly Salary Variable Allowance Amount
AWS
(SGD) Bonus Type (per month)
Starting Last Drawn

Reasons for leaving:

Name of Company: Industry Department Size

Last Job Title: Department Supervisor’s Job Title From To

(mm-yy) (mm-yy)

Job Title when hired: Basic Monthly Salary Variable Allowance Amount
AWS
(SGD) Bonus Type (per month)
Starting Last Drawn

Reasons for leaving:

Other Employers:
Monthly
From To
Name of Company Last Job Title Salary Reasons for leaving
(mm-yy) (mm-yy)
(SGD)

Do you have any current obligations to your current employer? If yes, please specify:
(e.g. study bond?)
Yes No

How did you come to know of this vacancy?

Evonik Career Portal Online Job Portals Social Media Referral Recruitment Agency Others

Please specify: _____________________________

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 Personal References
(references provided should not be family members)
Name Occupation Email Contact Number Years known

Other Information:

1. Have you ever been convicted in a court of law? Yes No

If yes, please give details: ________________________________________

2. Have you ever been treated for drug and/or alcohol abuse? Yes No

If yes, please give details: ________________________________________

3. Has any bankruptcy action ever been taken against you? Yes No

If yes, please give details: ________________________________________

4. Do you have any physical impairment and/or mental disability/condition? Yes No

If yes, please give details: ________________________________________

5. Have you ever been dismissed from the services of any of your previous employer(s)? Yes No

If yes, please give details: ________________________________________

6. Have you ever applied to the Company before? Yes No

If yes, please give details: ________________________________________

7. Do you have any relatives or family members working in Evonik? Yes No

If yes, please give details: ________________________________________

8. Have you been fully vaccinated against Covid? Yes No

If yes, please furnish the effective date of vaccination (dd – mmm- yyyy): _______________

Declaration:

1. I authorize background investigation of all statements contained in this record if I am considered for employment. I understand
that a misrepresentation or omission of facts called for herein will be sufficient cause for cancellation of consideration for
employment or dismissal from the Company’s service if I have been employed. I understand that employment is subject to
satisfactory background investigation checks, including verification of my employment status with my present employer and a
medical examination in which my health must be found to be satisfactory to the Company.

2. I will provide the Companies with up-to-date Personal Data and it shall be my responsibility to subsequently re-update it. I agree
that for the purpose of managing my application of employment and any future employment with any of the Companies and Human
Resources related activities, the Companies, their affiliates, means any subsidiary of any of the Companies and other companies
which are for the time being a holding company of any of the Companies or another subsidiary of any such holding company
(“Affiliate”) or a third party cooperating with the Companies for those purposes (“Third Party”), will be collecting, processing, using
and disclosing Personal Data from me and such Personal Data may be exchanged with or among the Companies, the Affiliate and
the Third Party within and outside Singapore. In this regard, ‘Personal Data’ shall mean data about me, through which I can be
identified, whether on its own or when used together with other information, to which the Companies have access. I further agree
that if I am not considered for the position applied for, the Companies shall be entitled to keep and use my Personal Data for other
upcoming job positions within the Companies.

_________________________ _________________________
Applicant Signature Date

*Evonik is committed to Fair Employment Practices, information collected from this document will not be used in any discriminatory
manner in the hiring decision. Please approach the HR team to clarify any queries regarding the information required from this form

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