PRIVATE AND CONFIDENTIAL
APPLICATION FOR EMPLOYMENT FORM
INSTRUCTIONS
1. This form has been designed 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 of this application form must be completed.
3. If space in this application is insufficient, please attach an addendum.
4. X-OPPORTUNITIES reserves the right to terminate the employment of the applicant if any of the particulars supplied by
the applicant in this application form is found to be untrue after engagement.
Post Applied for :
I. PERSONAL PARTICULARS
Name (as in NRIC, please underline surname) :
Name in Chinese characters (if applicable) : NRIC/Passport No :
Singapore PR : Yes / No Singapore IC : Yes / No Color Of IC : Pink / Blue
Place Of Birth : Nationality : Foreign Identity No :
Date Of Birth* : Sex* : Male / Female Marital Status* : Single/Married/Divorced/Widowed
Religion* : Race* :
Address & Contact Telephone Number in Singapore
House/Block No : Street Name : __
Unit No : Building Name : S( )
Telephone No : (Home) (Office) (Mobile)
E-mail Address:____________________________________________________________________________
Driving License : Class 2 / 2A / 2B / 3 / 4 / 5
Overseas Address & Contact Telephone Number (If you are not a Singapore Citizen or permanent resident) :
Address :
Telephone No :
* Required for administrative purposes only.
II. NATIONAL SERVICE (if applicable)
Enlistment Date : ORD :
Service Status : Part-time/Full Time/Deferred/Exempted Vocation :
Rank at ORD : Current Rank :
NS Unit : NS Status : Active / Inactive
If exempted, state reason :
X-OPPORTUNITIES
(Registration Number: 53179821J)
233 TAMPINES STREET 21 #11-625 SINGAPORE 521233
Contact Number: 9119-4742
Email: [email protected]
PRIVATE AND CONFIDENTIAL
III. FAMILY PARTICULARS - Give details of your spouse, children, parents and siblings. If space is insufficient,
please provide the information on a separate sheet of paper.
Name Relationship Nationality Date of Occupation Company
Birth
IV. CONTACT PERSON / NEXT-OF-KIN – In case of emergency
Name : Relationship :
Address :
House/Block No : Street Name : __
Unit No : Building Name : _____ S( )
Telephone No : (Home) _ (Office)_____________________ (Mobile)
V. EDUCATIONAL PROFILE – Attach photocopies of all academic certificates (including GCE ‘N’, ‘O’ and ‘A’ levels)
Qualification Institution / Country Year Year Part-time /
Commenced Completed Full Time
VI. OTHER COURSES CURRENTLY PURSUING
From Expected Date Of Name of Course* Institution
(mm/yy) Completion (mm/yy)
*Please attach partial results if available
VII. SCHOLARSHIPS / AWARDS
Year Of Award Description
X-OPPORTUNITIES
(Registration Number: 53179821J)
233 TAMPINES STREET 21 #11-625 SINGAPORE 521233
Contact Number: 9119-4742
Email: [email protected]
PRIVATE AND CONFIDENTIAL
VIII. COMPUTER LITERACY & OTHER SKILLS
Please indicate the software you are competent in:
Shorthand wpm Typing wpm
IX. EMPLOYMENT HISTORY– Start with your latest or present company
NB: It is the policy of this Company to carry out reference checks with previous companies but only after an applicant
has commenced employment.
From To Company / Country Position Monthly Allowances Bonus Reasons For
(mm/yy) (mm/yy) Basic Salary (if any) (mths) Leaving
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
X. LANGUAGE PROFILE
Please circle Good (G), Fair (F) or Poor (P)
Language Spoken Written Language Spoken Written
English G/F/P G/F/P Malay G/F/P G/F/P
Chinese G/F/P G/F/P Tamil G/F/P G/F/P
Dialect (please specify) : G/F/P G/F/P Others (please specify) : G/F/P G/F/P
1. G/F/P G/F/P 1. G/F/P G/F/P
2. G/F/P G/F/P 2. G/F/P G/F/P
XI. PROFESSIONAL CLUB MEMBERSHIPS
From To Association/Club/Society/Company Position Held
MM/YY MM/YY
/ /
/ /
/ /
/ /
XII. HOBBIES / INTERESTS / GAMES
X-OPPORTUNITIES
(Registration Number: 53179821J)
233 TAMPINES STREET 21 #11-625 SINGAPORE 521233
Contact Number: 9119-4742
Email: [email protected]
PRIVATE AND CONFIDENTIAL
XIII. ADDITIONAL INFORMATION
1. What is your expected salary ? $
2. What length of notice is required by your current employer ?
3. Have you been or are you suffering from any disease / illness / major medical condition / mental disorder Yes/ No
or physical impairment ?
4. Have you been discharged or dismissed from the service of your previous employers ? Yes/ No
5. Have you been convicted in a court of law in any country ? Yes/ No
6. Have you ever been served with a garnishee order or a writ of seizure and sale or been declared a Yes/ No
bankrupt?
7. Are you aware if any bankruptcy proceedings have been commenced against you and which have not Yes/ No
been discharged or satisfied?
8. Do you have any share in any business undertaking other than that in a public-listed company ? Yes/ No
9. Are you holding directorship or other appointment in any company ? Yes/ No
10. Do you have any relatives working in the X-OPPORTUNITIES or any job recruitment business? Yes/ No
11. Have you applied for any employment in the X-OPPORTUNITIES before? Yes/ No
If your answer to any of the above is yes, please give details in the space provided.
(If space is insufficient, please continue on an attachment.)
XIV. 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. I declare that I agree that all payments made to me in regards to the job opportunities offered by X-Opportunities
will be subjected to commission being drawn as its agent fees of an amount in accord to X-Opportunities’ policy.
___________________________
Signature / Date
XV. FOR HR DIVISION USE
Applicant to replace ________________________________ or to fill a new position.
Appointment Starting Salary Executive Level __
Salary Range Date of Commencement __
Regular / Temporary
X-OPPORTUNITIES
(Registration Number: 53179821J)
233 TAMPINES STREET 21 #11-625 SINGAPORE 521233
Contact Number: 9119-4742
Email: [email protected]
