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__________________________________________________________
Position Applied:
__________________________________________________________
Please complete the following salary details. If there are fields which are non-applicable to you, please indicate N/A.
PART I:
MONTHLY REMUNERATION
Note: Monthly fixed allowance does not include allowances that are of reimbursement nature, overseas travel allowance and car loans.
PART II:
Amount: _____________________
Date of last AWS received: _________________ (mm/yy)
Date of next AWS payout: __________________ (mm/yy)
PART III:
Please provide the VB received for the last 3 years in your current or last employment, where applicable.
Year 20___:
Amount: ____________________
Percentage: ____________________
Year 20___:
Amount: ____________________
Percentage: ____________________
Year 20___:
Amount: ____________________
Percentage: ____________________
STRICTLY CONFIDENTIAL
PART IV:
Please provide the performance bonus received for the last 3 years in your current or last employment, where applicable.
Year 20__:
Amount: ____________________
Percentage: ____________________
Year 20__:
Amount: ____________________
Percentage: ____________________
Year 20__:
Amount: ____________________
Percentage: ____________________
PART V:
OVERTIME
PART VI:
STOCK OPTIONS
Please provide details like no. of shares owned, current price of share, date of maturity and payment date. Please attach a copy of the latest stock
statement for verification.
PART VII:
SALARY
PART VIII:
BOND
Are you bonded by the company? If yes, please indicate how much is the bond amount and last day of bond.
PART IX:
NOTICE PERIOD
_________________ (pls also state no. of Annual leave days available to offset, if any)
Earliest Available date: ____________________
PART X:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
STRICTLY CONFIDENTIAL
PART XI :
Name:
Name:
Occupation:
Occupation:
Company Name:
Company Name:
Contact No.:
Contact No.:
Relationship :
Relationship :
GENERAL INFORMATION
Yes
No
Yes
No
Are you currently serving any bond with your present employer?
If yes, please give details.
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
PART XII:
Where did you learn about the position you are applying for?
Philips Career Center
News Paper
PART XIII:
Others:
; Employee No. of Referrer:
PRE-EMPLOYMENT STATEMENT
I consent to taking the pre-employment physical examination and any future physical examinations as may be required by the Company. I agree to wear or use
protective clothing or devices as required by the Company and to comply with all the safety rules and regulations as are in force. I agree that the entire contents
of this form, as well as the report of any such examination, may be reasonably used by the Company at its discretion. I agree to abide all rules, regulations and
polices of the Company, if successful in securing employment with the Company.
I acknowledge and agree that any false declaration, answer or statement made by me on this form or any supplement thereto, will render me disqualified and/or,
will be sufficient grounds for immediate dismissal.
Applicants Signature:
STRICTLY CONFIDENTIAL
Date :