Job Application Form Page 4
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4General Information
Do you have a criminal record ?
Yes
No
If yes, please furnish details :
Have you ever been discharged, dismissed or terminated from your previous employment?
Yes
No
If yes, please furnish details :
Have you ever been declared bankrupt?
Yes
No
If yes, please furnish details :
Are you suffering from any handicaps, ailments, disease or is under long term medication?
Yes
No
If yes, please furnish details :
Do you possess a valid driving licence?
Yes
No
If yes, please furnish details :
Have you ever made a previous job application with the NKF?
Yes
No
Position :
Date of Application :
Do you have any friends / relatives working in the NKF?
Yes
No
Name :
Relationship
:
How did you come to know of this vacancy?
Advertisement
Internet
Recommended by :
Agencies :
Please indicate your hobbies :
May we contact your past employers for a reference check?
Yes
No
Expected Salary
Notice Period
Earliest Commencement Date
Declaration
I hereby declare that the information furnished is correct and true to the best of my knowledge. I fully understand,
accept and agree that if at any time after my appointment with the NKF, it is found that I have made a false
declaration, the NKF has the absolute right to dismiss my employment forthwith.
I fully understand that I have to undergo a pre-employment medical examination and passing it is a condition
precedent to my confirmation of appointment. I express my willingness to be examined and to furnish the consulting
physician with full details of my previous medical history.
By disclosing my information in this application, I agree to allow NKF conduct reference check with my past
employers and allow my past employers to disclose information related to my application and allow NKF to use the
information strictly for Human Resource purposes only.
I shall not hold NKF responsible for any liability, demand, suit, proceeding, costs and expenses of any nature from
the use/release of such information as part of Human Resource administration.
Applicant's Signature:
Date:
For Official Use Only (
For Appointment only)
Job Designation:
Department:
Monthly Basic Salary:
Commencement Date:
Employment Status:
Part-Time
Full-Time
Temporary
Remarks (if any):
HR Representative:
Head of Department:
(Signature/Date)
(Signature/Date)
HR-STF-002 Ver.4 02/2016
CONFIDENTIAL
Page 4 of 4
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