DPSCR - Employment Application Form
DPSCR - Employment Application Form
• Please fill up the form in detail and neatly, it will be kept as a personal record if you are employed.
Department/Position Desired
□ Regular 1st Choice Expected Salary (Gross)
□ Trainee
□ Other
□ Retirees/Re-employment 2nd Choice Expected Salary (Gross)
□ Agreement on Reservation of
social security
□ Land Acquisition Current Position Present Salary (Gross)
□ Laid – off Basic Salary:
□ Part time Service Charge:
Others:
Available Date Are you able to Work Night /Split shift?
□ Yes □ No
Personal Information
Full Name ID/Passport No.
Hobbies/Sports/Interests:
Special Awards/Achievement
Computer Skills
Proficiency English Japanese Others Word Excel PowerPoint
Access Fidelio/Opera
Excellent Others
Good Driving License
Fair Car Motorbike
Other
DECLARATION
1. I further declare that the statements named by me in this application are true, complete and correct. I understand
and acknowledge that a false statement or dishonest answer to any questions will be grounds for my immediate
discharge from employment with REGENT.
2. I authorize the company to secure any information regarding myself and I hereby release any person,firm
or institution of all liability for any damage whatsoever arising from such information.
_______________ _______________