New Application

JOB TITLE APPLYING FOR

COUNTRY APPLYING FOR

SOURCE OF APPLICATION

COMPANY WEBSITE

WEB POSTING

PAPER AD

INTERNAL REFERRAL

OTHER

EXECUTIVE NEWS BULLETIN

YOUR PERSONAL INFORMATION

SALUTATION

COMPANY

FIRST NAME

GENDER

MIDDLE NAME

RELIGION

SURNAME

RACE

YEAR OF BIRTH

STATUS IN SINGAPORE
(IF APPLICABLE)

PLACE OF BIRTH

MARITAL STATUS

NATIONALITY

HEIGHT (CM)

COUNTRY OF RESIDENCE

WEIGHT (KG)

NUMBER OF CHILDREN

PHOTO

YOUR ADDRESS & CONTACT INFORMATION :

PRESENT ADDRESS

PRESENT EMAIL

PRESENT TEL NO.

PRESENT MOBILE NO.

YOUR EDUCATIONAL QUALIFICATIONS (STARTS WITH THE HIGHEST)

NAME OF SCHOOL	COUNTRY	DATE OF JOINING	DATE OF LEAVING	HIGHEST STANDARD PASSED

YOUR EMPLOYMENT HISTORY (STARTS WITH THE MOST RECENT)

NAME OF COMPANY / EMPLOYER	POSITION	DATE OF JOINING	DATE OF LEAVING	SALARY (INCLUDE CURRENCY)	REASON FOR LEAVING

YOUR CHARACTER REFERENCES

NAME OF COMPANY / EMPLOYER	NAME OF CONTACT PERSON	POSITION	CONTACTS NOS

YOUR COMMENCEMENT & SALARY EXPECTION

EARLEST START DATE

EXPECTED SALARY

YOUR DECLARATION

1.HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL CHARGE?	YES NO
2.HAVE YOU EVER SUFFERED OR ARE YOU SUFFERING FROM ANY PHYSICAL IMPAIRMENT OR DISABILITY?	YES NO
IF YES, PLEASE SPECIFY :
3.HAVE YOU EVER BEEN DISMISSED, SUSPENDED OR GAZETTED OUT OF SERVICE OF THE GOVERNMENT OR OTHER ORGANISATION?	YES NO
4.ARE YOU A MEMBER OF ANY POLITICAL ORGANISATION?	YES NO
IF YES, PLEASE SPECIFY :
5.ARE YOU AN UNDISCHARGED BANKRUPT?	YES NO

YOUR RESUME

(PDF,WORD OR ZIP FILE ONLY)

* I certify that all information given in the application is correct and true to my knowledge and that I have not willfully suppressed any material fact. I fully understand that any false particulars contained in this form would render me liable for disqualification and subject to dismissal. I further understand that a medical examination is a condition for the appointment and I express my willingness to be so examined (if required) and to furnish the consulting physician with full details of my previous medical history. I authorise the company to do verification check on my declared qualifications and experiences as deemed necessary for my application.

* I hereby agree and give my consent to Executive Ship Management to collect personal information required and relevant to my application and employment, in accordance with the Personal Data Protection Act 2012 and all subsidiary legislation related thereto. In respect of disclosure, I fully understand that upon my employment, the company may disclose my personal information to government, judicial bodies, and third party service providers that process data on its behalf, where necessary.

* All personal information collected from unsuccessful applicants may be retained for 1 year from the date of submission for the purpose of any suitable future opportunity and will be removed thereafter. If you wish to withdraw your consent at any time before the stated timeframe, please write in to pdpa@executiveship.com.

I hereby confirm that I have read the above and agree to give my consent to Executive Ship Management

I hereby confirm that I have read the Data Protection Notice and agree to give my consent to Executive Ship Management

Executive Ship Management Pte Ltd.