Application for Employment

Notes:

1. This form is to provide us with the basic information for easy processing of your application for employment with us. It also serves as our personal record should you be employed.

2. All relevant parts (*compulsory fields) of this application form must be completed.

3. If space in this application is insufficient, please attach an addendum.

4. MICA Technology Pte Ltd reserves the right to terminate the employment of the applicant if any of the particulars provided by the applicant in this application form is found to be untrue after engagement.

Position Applied for

I. PERSONAL PARTICULARS

Note: Please enter your name as in NRIC or Passport.

First Name

Middle Name

Last Name (Surname)

NRIC / Passport No.

Nationality

Place of Birth

Date of Birth

Religion

Race

Address & Contact Details in Singapore

House / Block No.

Unit No.

Street Name

Postal Code

Telephone No. (House)

Telephone No. (Office)

Mobile

Overseas Address & Contact Details (if you are not a Singapore Citizen or Permanent Resident)

Address

Contact No.

II. NATIONAL SERVICE (If Applicable)

Enlistment Date

ORD Date

Rank at ORD

NS Unit

Service Status

Vocation

Current Rank

NS Status

Active

Inactive

If exempted, state reason

III. FAMILY PARTICULARS

Give details of your spouse, children, parents and siblings. Click on the + icon to insert more fields where applicable.

Name	Relationship	Nationality	Date of Birth (dd/mm/yy)	Occupation	Company

IV. CONTACT PERSON / NEXT-OF-KIN (In case of emergency)

Name

Relationship

Address

House / Block No.

Unit No.

Street Name

Postal Code

Telephone No. (House)

Telephone No. (Office)

Mobile

V. EDUCATIONAL PROFILE

Click on the + icon to insert more fields where applicable.

Qualification	Institution / Country	Year Commenced	Year Completed	Type

Upload all academic certificates (including GCE 'N', 'O' and 'A' levels). Only Image and PDF allowed. A maximum of 10 files with a total file size not exceeding 10MB is allowed.

Choose File

VI. OTHER COURSES CURRENTLY PURSUING

Click on the + icon to insert more fields where applicable.

From (mm/yy)	Expected Date of Completion (mm/yy)	Name of Course	Institution

VII. SCHOLARSHIPS / AWARDS

Click on the + icon to insert more fields where applicable.

Year of Award	Description

VIII. COMPUTER LITERACY & OTHER SKILLS

Please indicate the software you are competent in. Click on the + icon to insert more fields where applicable.

Software	Competency

IX . EMPLOYMENT HISTORY

Start with the latest or present company. Click on the + icon to insert more fields where applicable.

From (mm/yy)	To (mm/yy)	Company/ Country	Postion	Monthly Basic Salary	Allowances (if any)	Bonus (mths)	Reasons for Leaving

X. LANGUAGE PROFILE

English

Chinese

Spoken

Written

Spoken

Written

Malay

Tamil

Spoken

Written

Spoken

Written

Click on the + icon to insert more fields where applicable.

Others (Please Specify)	Spoken	Written

XI. PROFESSIONAL CLUB MEMBERSHIPS

Click on the + icon to insert more fields where applicable.

From (mm/yy)	To (mm/yy)	Association / Club / Society / Company	Position Held

XII. HOBBIES / INTERESTS / GAMES

Click on the + icon to insert more fields where applicable.

XIII. BANK DETAILS

Name of Account

Bank Name

Bank Account Number

XIV. ADDITIONAL INFORMATION

01. What is your expected salary?

02. How much notice do you need to give your current employer?

03. Have you been or are you suffering from any disease / illness / major medical condition / mental disorder or physical impairment?

Yes

No

04. Have you been discharged or dismissed from the service of your previous employers?

Yes

No

05. Have you been convicted in a court of law in any country?

Yes

No

06. Have you been served with garnishee order or a writ of seizure and sale or been declared a bankrupt?

Yes

No

07. Are you aware if any bankrupt proceedings have been commenced against you and which have not been discharged or satisfied?

Yes

No

08. Do you have any share in any business undertaking other than that in a public-listed company?

Yes

No

09. Are you holding directorship or other appointment in any company?

Yes

No

If your answer to any of the above is yes, please give details in the space provided.

XV. DECLARATION

I declare that all information given herein are true and correct. I understand that a misrepresentation or omission of facts will be sufficient cause for cancellation of consideration for employment or dismissal from the company's service if I have been employed.

XVI. FOR HR USE

Applicant to replace or to fill a new position.

Starting Salary

Appointment

Date of Commencement

Employment Status

Permanent

Temporary

Interviewer's Email

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Application for Employment

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