Employment Application Form SPD

EMPLOYMENT APPLICATION
Instructions:
1) This is a data collection and declaration form for the purpose of recruitment and interview matters.
All fields are mandatory and kindly indicate “NA” if not applicable.
2) PLEASE ATTACH YOUR RESUME WITH THIS APPLICATION FORM.
Please bring along the originals of your identity card/passport, educational transcripts and certificates, NS
certificate of service (if any) and/or other relevant supporting documents for our verification.
3) It is your duty to ensure that the information provided is accurate to your best knowledge and that you do not leave
anything out that might have the effect of making your application inaccurate, incomplete and/or otherwise misleading.
POSITION
APPLIED FOR:
FULL NAME as per

NRIC/Passport
How did you find ☐ SPD’s Website ☐ Referred by SPD Staff (Name: )
out about this
position? ☐ Online Portal –
NCSS Website/ Jobstreet/ MyCareersFuture/ Others: )
_______________________
EDUCATION & RELEVANT PROFESSIONAL QUALIFICATIONS

(Please provide the 4 most recent qualifications and attached all relevant certificates for verification)
Name of School/ Institute & Country From To Qualification Obtained

(dd/mm/yyyy) (dd/mm/yyyy)
LANGUAGE PROFICIENCY Spoken Written
☐ Fluent ☐ Fair ☐ Poor ☐ Fluent ☐ Fair ☐ Poor
OTHER CERTIFICATES/ COURSES/ WORKSHOPS/ SEMINARS
Name of Course/ Workshop/ Seminar Qualification/Certificate (if any) Year Attained
Page 1 of 4 Version updated as at 28 August 2023

SCHOLARSHIPS/ PRIZES/ AWARDS
State any scholarships you hold/ have held indicating type, duration, value and bond (if any).
Indicate reason for any award or prize awarded or reason for breaking bond (if any)
REPRESENTATIVE IN OTHER ORGANISATION/ASSOCIATION/SOCIETY

State your role designation, organisation name and terms of service period (if any)
Current Salary Monthly Salary: Annual Salary:
Expected Salary Monthly Salary: Annual Salary:
Months Earliest Start Date

Notice Period Required:
(dd/mm/yyyy):
REFEREES (Please give details of two (2) referees whom we may approach for reference check.)
(1) Referee Name:
Organisation Name: Designation:
E-mail: Contact No:
(2) Referee Name:
Organisation Name: Designation:
E-mail: Contact No:
I confirm that the above referees have given consent to me to provide the above information to SPD for the purpose of
performing reference check.
Applicant’s Signature: Date:

OTHERS
1) Have you ever been detained by the police, CID, CPIB, any other government law ☐ Yes ☐ No
enforcement institution or convicted in a court or law of Singapore or any country? (exclude
parking offences)
If yes, please provide details:

2) Have you been or are you under any financial embarrassment which includes:
☐ Yes ☐ No
(a) Bankruptcy proceedings
(b) Undischarged bankrupt or a judgement debtor
☐ Yes ☐ No
(c) Unsecured debts and liabilities of more than 3 months of last-drawn pay ☐ Yes ☐ No
(d) Signing of a promissory note or an acknowledgement of indebtedness ☐ Yes ☐ No
3) Have you ever been discharged, suspended, dismissed or terminated by any of your previous ☐ Yes ☐ No
employers?
4) Have you ever been, or are you suffering from any medical condition, illness, disease, mental ☐ Yes ☐ No
or physical impairment?
5) Do you have any relatives/friends or know anyone who is/are employee(s) or board member(s) ☐ Yes ☐ No
of SPD? If yes, please state below:
Name:
Relationship:
6) Have you had any volunteering experience? If yes, please state below: ☐ Yes ☐ No
Name of Organisation:
Period:
Programme / Activities:
7) Are you currently serving any bond?
☐ Yes ☐ No
8) Are you currently engaged in any external employment in addition to your main employment? ☐ Yes ☐ No
If yes to above question, please provide external employment
details:
Do you have plans to continue external employment, if offered a position with SPD? ☐ Yes ☐ No
DECLARATION
(Last 4 digits of NRIC/

I, (Applicant’s Full Name) Passport/ Fin No.)
hereby authorise the representatives of Human Resource Department in SPD, to collect and use the information
collected in this application for the purposes of recruitment and employment.
I accept that the information will be treated with strictest confidence, and only be made available to the persons-in-
charge for above-mentioned areas.
I hereby declare that all the information and particulars provided above to SPD are true and correct in all aspects and I
have not wilfully suppressed any material fact. I understand and 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,
my employment with SPD may be terminated summarily or I may be dismissed from SPD.
Applicant’s Signature: Date:

LETTER OF AUTHORISATION AND CONSENT TO RELEASE OF
INFORMATION
I, (Applicant’s Full Name),
(Last 4 digits of NRIC/Passport/FIN No) hereby authorise every person, accreditation

agencies, professional societies/associations, institutions of tertiary education, licensing
authorities and their appropriate sources in authority in which I have been trained or practised,
to release records and information concerning my professional qualifications, license,
competency, character and other information pertaining to me to the representatives of the
Human Resource Department, SPD (herein referred to as “HRD-SPD”).
I authorise that the requested information and records be sent directly to HRD-SPD for their
review and assessment in relation to the suitability of my employment.
Human Resource Department
I hereby release all persons from liability on account of such disclosure.
I understand and consent that this authorisation given by me shall be binding for a period of one
year following its completion and that a replicate of this authorisation be accepted with the same
authority as the original.
Signed by: Date:

(Signature & Name)

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EMPLOYMENT APPLICATION

FULL NAME as per

EDUCATION & RELEVANT PROFESSIONAL QUALIFICATIONS

Name of School/ Institute & Country From To Qualification Obtained

LANGUAGE PROFICIENCY Spoken Written

☐ Fluent ☐ Fair ☐ Poor ☐ Fluent ☐ Fair ☐ Poor

☐ Fluent ☐ Fair ☐ Poor ☐ Fluent ☐ Fair ☐ Poor

☐ Fluent ☐ Fair ☐ Poor ☐ Fluent ☐ Fair ☐ Poor

OTHER CERTIFICATES/ COURSES/ WORKSHOPS/ SEMINARS

Name of Course/ Workshop/ Seminar Qualification/Certificate (if any) Year Attained

Page 1 of 4 Version updated as at 28 August 2023

REPRESENTATIVE IN OTHER ORGANISATION/ASSOCIATION/SOCIETY

Current Salary Monthly Salary: Annual Salary:

Expected Salary Monthly Salary: Annual Salary:

Months Earliest Start Date

(1) Referee Name:

Organisation Name: Designation:

E-mail: Contact No:

(2) Referee Name:

Organisation Name: Designation:

E-mail: Contact No:

Page 2 of 4 Version updated as at 28 August 2023

If yes, please provide details:

If yes, please provide details:

If yes, please provide details:

(Last 4 digits of NRIC/

Applicant’s Signature: Date:

Page 3 of 4 Version updated as at 28 August 2023

I, (Applicant’s Full Name),

(Last 4 digits of NRIC/Passport/FIN No) hereby authorise every person, accreditation

Human Resource Department

I hereby release all persons from liability on account of such disclosure.

Signed by: Date:

Page 4 of 4 Version updated as at 28 August 2023

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