Email
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Salutation Family Name
Given Name
Chinese Characters (if applicable)
NRIC/ Passport Number Nationality
Country of Domicile Singapore Australia China Hong Kong India Indonesia Malaysia Philippines Thailand Others
Place of Birth Date of Birth
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Religion Race
Dialect Group Permanent Address Street Zip/Postal Code City Country Correspondence Address, if it is different from the Permanent Address Street Zip/Postal Code City Country Primary Contact Type Primary Contact Number
Secondary Contact Type Secondary Contact Number
Email Address
Details (Applicable for support for Graduate Studies) Details Highest Education Level
Doctorate Master Degree - 1st Class Honours Degree - 2nd Upper Class Honours Degree - 2nd Lower Class Honours Degree - 3rd Class Honours Degree - Merit Degree - General Diploma International Baccalaureate GCE 'A' level GCE 'O' level GCE 'N' level Higher NITEC/ ITC NITEC/ NTC Primary & below GCE 'O' Levels / School Certificate / Others Name of School Year Obtained (YYYY) Subject Details GCE 'A' Levels / International Baccalaureate / Matriculation Certificate / Diploma Name of School Year Obtained (YYYY) Subjects Details University / College / Polytechnic Detailed Academic Results (1st / 2nd / 3rd / Final Year) / Final Year Project (NOTE: Max. 8000 characters.) TOEFL / SAT I & II TOEFL SAT I SAT II Details (NOTE: For fresh graduate, please select 'NA ' or enter '0 ' if not applicable.) Total Years of Work Experience
(NOTE: Brief Description of Responsibilities - Max. 8000 characters.) Detailed Career in chronological order. Please explain any inactivity between Employments.
(Please input at least 1 record.)
1.
Period (mmm-yyyy)
From
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
To
Now Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Employer Position Held Salary Per Month SGD
Per MonthSalary Per Annum SGD Reason(s) for Leaving Brief Description of Responsibilities 2.
Period (mmm-yyyy)
From
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
To
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Employer Position Held Salary Per Month SGD
Per MonthSalary Per Annum SGD Reason(s) for Leaving Brief Description of Responsibilities 3.
Period (mmm-yyyy)
From
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
To
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Employer Position Held Salary Per Month SGD
Per MonthSalary Per Annum SGD Reason(s) for Leaving Brief Description of Responsibilities Details Details Family combined monthly income (SGD) Below $500 $500 - $999 $1000 - $1999 $2000 - $2999 $3000 - $3999 $4000 - $4999 $5000 - $7499 $7500 - $9999 Over $10000
Type of Dwelling Bunglow Semi-Detached Terrace Condominium & Private Apt HDB 5-Room & Executive HDB 4-Room HDB 3-Room HDB 1&2-Room Other Public Flat Others
(a) Parents (b) Siblings If serving or has completed National Service, please state Details I am exempted/ deferred from National Service because Details Give particulars of two persons who know you well with regards to your character and work performance. Details (a) Share with us the goals you have set for yourself and how you plan to achieve them. Response to (a) (NOTE: Max. 1000 characters / 150 words.) (b) Share with us your career aspirations and the field of work which interests you. Response to (b) (NOTE: Max. 1000 characters / 150 words.) How did you learn of the EDB Scholarship Programme?
--Select-- Print Media Internet Agency/ Executive Search Firm Job Fair/ Career Talk Government Board Campus Staff Referral Others
If Others, please specify (NOTE: If you have selected 'Staff Referral ', please provide the Staff Name, otherwise input 'NA ' if not applicable.) Name of the referred staff (NOTE: If you have selected 'Job Fair/Career Talk ', please provide the Job Fair/Career Talk name, otherwise input 'NA ' if not applicable.) Name of Job Fair/Career Talk Please answer all questions by selecting either 'YES ' or 'NO '. If 'YES ', please give details below. 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 ) Response If "Yes", please give details Have you ever been convicted in a court of law in any other country (excluding parking offences or criminal records disclosed above)? Response If "Yes", please give details Are you at present under any financial embarrassment? Response If "Yes", please give details Have you any obligation under promissory notes either as principal or surety? Response If "Yes", please give details Do you have any physical disabilities (e.g. sight, hearing, heart) or major illnesses? Response If "Yes", please give details Have you ever been dismissed or discharged from the service of any government organisation? (Please give details of appointment and period of service in the space below) Response If "Yes", please give details Have you ever resigned from the service of any Government or Statutory Board? (Please give details of appointment and period of service in the space below.) Response If "Yes", please give details Have you ever received any benefits from the employment adjustment programme of any government organisation? (e.g. SRS, SGS) Response If "Yes", please give details Have you applied for or been accepted by any Scholarship Programme? Response If "Yes", please give details I declare that the particulars stated herein are true and correct to the best of my belief and knowledge, and that I have not willfully suppressed any material fact.