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MOE_RU_Trained_Appt@moe.gov.sg
MOE_FRU@moe.gov.sg
18/03/14
PERSONAL PARTICULARS First Name* Identification Type* Country of Birth* Present Citizenship* Country of Residence* Postal Address* Email Address* Contact number*
(Country Code)(Area Code)(Local No.)
(Mobile) Proficiency*
(Home)
(Fax)
Language / Dialect*
SUMMARY OF EDUCATIONAL BACKGROUND (GCE O Level, GCE A Level, Standard X, Standard XII, Diploma, International Baccalaureate, Degree etc) Name of Secondary Sch, Post Secondary Start End Country Qualifications Obtained Institutions, Colleges and Universities Date Date attended (YYYY) (YYYY) Example 1996 1999 GCE 'O' Levels ABC Secondary School, Singapore Singapore
DETAILED RESULTS OF GCE 'O' LEVEL OR EQUIVALENT EXAMINATION Year Subjects Grade Medium of Instruction
DETAILED RESULTS OF GCE 'A' LEVEL OR EQUIVALENT EXAMINATION Year Subjects Grade Medium of Instruction
DETAILS OF DIPLOMA, INTERNATIONAL BACCALAUREATE OR EQUIVALENT (IF APPLICABLE) Country of Institution* Name of Institution Graduated From* Other Institutions not listed, please specify Qualification Obtained (Exact Title)* Start Date (dd/mm/yy)* End Date/Expected Date of Graduation (dd/mm/yy)* Course Structure Distance Learning* Medium of Instruction*
DETAILS OF BACHELOR DEGREE OR EQUIVALENT Country of Institution/University* Name of Institution/University* Other Institutions not listed, please specify Name of College (if applicable) Qualification Obtained (Exact Title)* Class of Honours* Start Date (dd/mm/yy)* End Date/Expected Date of Graduation (dd/mm/yy)* Course Structure Distance Learning* Major Subjects* Minor Subjects Medium of Instruction* Title of Dissertation / Thesis / Academic Exercise DETAILS OF POSTGRADUATE QUALIFICATIONS - IF APPLICABLE (e.g. Postgraduate Diploma, Masters, PhD etc) Country of Institution/University* Name of Institution/University* Other Institutions not listed, please specify Name of College (if applicable) Qualification Obtained (Exact Title)* Class of Honours* Start Date (dd/mm/yy)* End Date/Expected Date of Graduation (dd/mm/yy)* Course Structure* Distance Learning* Major Subjects* Minor Subjects Medium of Instruction* Title of Dissertation / Thesis / Academic Exercise % Score or GPA obtained State of Institution/University % Score or GPA obtained State of Institution/University
DETAILS OF TEACHER TRAINING QUALIFICATIONS - IF APPLICABLE (Applicable only if basic degree is not a teaching qualification) Country of Institution/University* Name of Institution/University* Other Institutions not listed, please specify Name of College (if applicable) Qualification Obtained (Exact Title)* Class of Honours* Start Date (dd/mm/yy)* End Date/Expected Date of Graduation (dd/mm/yy)* Course Structure* Distance Learning* Subjects Trained to Teach* Level(s) Trained to Teach* Others (Please State) Age Group Trained to Teach* % Score or GPA obtained State of Institution/University
DETAILS OF PREVIOUS AND PRESENT EMPLOYMENT (In Chronological Order) If you are working or have worked for at least 6 months (per organisation), please provide employment details in the following table. Date of Employment From (dd/mm/yy) Example: 21/12/05 21/12/08 ABC School Singapore Full-Time Subject Head Classroom Teacher Music / English English / English Sec / 13-17 Sec / 13-17 To (dd/mm/yy) Name of Employer Country of Employment Details of Employment
Full-Time/ Part-Time
Designation
DECLARATIONS (All fields are compulsory) Q1. Q2a. Q2b. Q3. Q4. Q5. Have you suffered, or are suffering from any medical condition, illness, disease, mental illness or physical impairment? Do you have a criminal record in Singapore? By this, we refer only to a criminal record of a conviction under the Registration of Criminals Act Have you ever been convicted in a court of law in any other country (excluding parking offences or criminal records disclosed above)? Have you been charged with any offences in a court of law in Singapore or in any other country for which the outcome is pending (excluding parking offences)? Are you aware of being under any current police investigations in Singapore or in any country following allegations made against you? Have you been or are you under any financial embarrassment i.e. (a) an undischarged bankrupt, (b) a judgement debtor, (c) have unsecured debts and liabilities of more than 3 months of last-drawn pay, (d) have signed a promissory note or an acknowledgement of indebtedness ? Have you been in the employment of the Singapore Civil Service before? If Yes, please complete question 7 and 8 below. Which Ministry/ Department were you last with before you left the Singapore Civil Service? Why did you leave the employment of the Singapore Civil Service? (a) Normal Resignation (b) Expiry of Contract (c) Resignation under Special Resignation Scheme (d) Resignation under Special Gratuity Scheme (e) Retirement (optional retirement, early retirement under Section 7(2)(H) of the Pensions Act) (f) Retirement (on reaching statutory retirement age) (g) Dismissal, discharge or termination of service (h) Other grounds (Please Specify) Have you broken any bond, left an employer without serving your period of moral obligatory service or are currently serving any bond or moral obligatory service (eg. bonds associated with scholarships or obligatory service related to training awards or no-pay leave, etc)?
Q9.
If your answer was Yes to any of the questions above, please give details
I give my consent for the relevant Government authorities to obtain and verify information from or with any source, as you deem appropriate for the assessment of my application for employment. I declare that all information given by me in this application for employment and any sheets attached hereto are true to the best of my knowledge and I have not wilfully suppressed any material fact. I 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 or my employment may be terminated summarily or I may be dismissed from service.