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APPLICATION FOR EMPLOYMENT
Note:
(a) This form is to be completed and returned to the Human Capital Department. If the space provided is insufficient, please attach separate
sheets and indicate your name on each additional page attached.
(b) Please attach photocopies of all relevant educational, academic and professional certificates and transcripts, testimonials and certificates of
service etc. upon request.
(c) Complete each item in the form which applies to you and insert the words ‘NIL’ or ‘NA’ against items which do not apply. Delete accordingly
for items accompanied by an asterisk (*).
POSITION APPLIED: OPERATION ASSISTANT ( FOOD CHECKER )
How did you find out about this job opening?
SATS Website LinkedIn Career / Job Fairs Jobstreet Fastjobs Newspaper Staff Referral Others
If Staff Referral : Name : Staff No : Contact No :
If Others: (please specify) : Inter Island Manpower Pte Ltd (Yen)
PERSONAL PARTICULARS
Full Name: *Dr / Mr / Ms / Mdm MOHAMAD HAQIM BIN MOHD FADZIUL
Name in Chinese Characters (if applicable): NA
Permanent Address: NO 51, JALAN BERLIAN 31, TAMAN CAHAYA MASAI, 81700 PASIR GUDANG, JOHOR
Correspondence Address (if different from above ): NA
Tel Nos Home: NA Office: NA Mobile: +60139199279
Email Address: mohdhaqim70@gmail.com Nationality: MALAYSIAN PR:: *Yes/ No/ NA Issue Date:
Languages - Written: BAHASA MALAYSIA, ENGLISH Spoken: BAHASA MALAYSIA, ENGLISH
Date of Enlistment (for NS men only): NA
EMPLOYMENT HISTORY (To include vacation employment for school leavers)
Period Salary
Name of Employer Position From To End Reason for Leaving
Start
(mmyy) (mmyy) /Current
NP Trading Operator 07/2016 08/2018 1200 1300 End of contract
Resort World Genting Themepark Assist 09/2018 10/2019 1200 1500 Changing job
Zaman Enterprise 02/2020 12/2022 1400 1600 Changing job
May we contact your employers for references? Yes No
Have you previously worked in any of the SATS Group of Companies? *Yes No *(If “Yes”, please choose from the list below)
SATS Ltd SATS Asia Pacific Star SATS Aerolog GTRSG SATS PPG SATS Seletar Aviation Services SATS Food Services
Primary Industries Country Foods SATS DN SATS Aero Laundry
Have you previously applied to us? *Yes No
Are you related to any of our existing employees? *Yes No
Are you related to any of the Directors of SATS? *Yes No
Is your existing employer a customer / client / partner of SATS? *Yes No Unsure
Does your existing employment contract require you to make any payment if you join us? *Yes No
Do you have any involvement in any other business undertaking (e.g. Partnership, Director)? *Yes No
Do you have any immediate family member(s) working with our competitor(s) (e.g. dnata)? *Yes No
If your answer is “Yes” to any of the above questions, please elaborate below:
REMUNERATION / EMPLOYMENT DATE
Last Drawn / Current Basic Salary: S$ 1600 Per Month S$ 19200 Per Annum
Expected Salary: S$ 1600 Per Month S$ 19200 Per Annum
Is the above salary inclusive of any employer provision of statutory provident contribution? *Yes No
Date available for employment: May 2023
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APPLICATION FOR EMPLOYMENT
EDUCATION / PROFESSIONAL QUALIFICATIONS
From To
School / College / Polytechnic / University / Professional Institution Highest Qualification Attained
(mmyy) (mmyy)
SMK Temerloh Jaya 01/2011 12/2015 Sijil Pelajaran Malaysia
PROFESSIONAL MEMBERSHIP / EXTRA-CURRICULAR ACTIVITIES
From To Level of Participation
Club / Society Position
(mmyy) (mmyy) (e.g. National, School)
FAMILY PARTICULARS (Spouse, Children OR Parents, Siblings)
Name Relationship DOB Occupation Name of Employer
MOHD FADZIUL BIN TAJUDDIN FATHER 01/01/1965 TECHNICIAN Asian Honour Paper Industries
NORAINI BINTI MAJID MOTHER 19/08/1967 NA NA
NORAIMAN BIN MOHD FADZIUL BROTHER 09/09/1993 QA IPC OLAM COCOA PTE LTD
Tel No.: +60142289385
Name of Next of Kin: MUHAMMAD FARIS BIN ROMLI
(To be contacted in the event of an emergency) Relationship: Housemate
DECLARATIONS
I do not suffer from any physical impairments or chronic illness. True *False
I have not been convicted for a criminal offence in a court of law. True *False
I have not been put in a situation of financial embarrassment True *False
I am fully vaccinated against COVID-19 (Definition in accordance to MOH Guidelines1) True False *(If True, please provide the following information)
Name of COVID-19 Vaccine Pfizer Booster Type NA
Date of 1st Dose 30/08/2021 Date of 2nd Dose 20/09/2021 NA
Booster Dose Date
If your answer is “False” to any of the above, please elaborate below:
I declare that the information furnished in this application form is true and correct to the best of my knowledge and belief, and that I
have not willfully suppressed any fact(s). If any information given herein is subsequently found to be incorrect, incomplete or false, I
render myself liable for dismissal. Any offer of employment, verbally or otherwise, will also be nullified.
I also authorize the company to submit the said information to any person, firm, corporation, body, bureau, Police or Government
authority for the purpose of any investigation or verification which the company deems necessary to make with reference to my
employment, conduct or other details relevant to this application.
I shall not hold the company responsible for any liability, demand, claim, suit, proceeding, costs and expenses of any nature arising
from the release of such information as aforesaid.
By submitting this application form, i agree that my personal data may be collected, used and disclosed by SATS and its affiliates,
service providers and agents for the purposes of processing my application, including evaluation of my suitability, conducting
background checks, and contacting me regarding my application.
I warrant that where I have disclosed personal data of individuals (e.g. family members, relatives, friends or referees) to SATS and its
affiliates, service providers and agents in connection with this application, I have obtained the prior consent of such third parties for
SATS and its affiliates, service providers and agents to collect, use and disclose for the above purposes, in accordance with any
applicable laws, regulations and/or guidelines. I also acknowledge that in the course of the collection, use and disclosure described
above, relevant personal data may be transferred outside of Singapore.
Signature of applicant: Date: 14/04/2023
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1. https://www.moh.gov.sg/covid-19/vaccination
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