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Institute Of Materials Research and Engineering (IMRE)
 
Application of
(Name)
for the appointment of
(State Post and Research Programme)
 
RECRUITMENT OFFICER
INSTITUTE OF MATERIALS RESEARCH AND ENGINEERING
3 RESEARCH LINK
SINGAPORE 117602

 

SECTION A: PERSONAL PARTICULARS
Full Name:
Postal Address:
Home Address:
Telephone No. (Home) : Confidential Fax No:
Telephone No. (Business): E-Mail:
Nationality: If Permanent Resident (PR) of Singapore,please indicate date PR granted:
Identity Card No:
(If Singapore/Malaysia citizen, state whether IC is pink,blue or red):
Passport No: Place Of Issue:
Date of Issue: Date of Expiry:
Date of Birth: Place of Birth:
Ethnic Group: Religion:
Sex:
Marital Status (if married, state names and ages of children):
Child 1: Age:
Child 2: Age:
Child 3: Age:

 

EDUCATION (List Secondary Schools, Universities and other institutions attended
From To Institution Attended QUALIFICATIONS OBTAINED

(with dates for honours degree, state field of study and class of honours)
Membership of Professional Institutions or Societies (give date awarded)
Scholarships/Awards obtained (give particulars, including year of award and whether under bond to any authority)
 
NATIONAL SERVICE STATUS (if applicable)
Reservist
Exemption
Waiting
Completed
Not Applicable
Branch (if applicable):
Department (if applicable):

 

LANGUAGES (Please state proficiency e.g excellent/good/fair/poor)
Written:   Spoken:  

 

EMPLOYMENT HISTORY
Present Appointment (Include name & address of employer)
Date of Present Appointment:   Present Gross Annual Salary:  
If appointed:

(a) earliest date available:
(b) whether resigning or taking leave from present appointment (If taking leave, state type of leave & period):

 

PREVIOUS APPOINTMENTS
(If Singapore citizen or permanent resident of Singapore, please include period served in National Service, where applicable)
Dates: Employer (name and address) Position Held
From To
Only Applicable for Research Positions:
RESEARCH : List the area(s) of your specialization and current research
PUBLICATIONS: List publications in chronological order on a separate sheet including title, journal and date. In respect of books published, indicate name of publisher, place and date of publication and number of pages.
PATENTS: List patents in chronological order. (Use a separate sheet, where necessary)

 

 REFEREES: Please ask your referees, who should be able to comment on your academic standing, professional competence and research ability,to send their confidential reports directly to the Director , IMRE within 2 weeks of the date of your application.
Name Appointment Address / Confidential Fax No. / E-Mail Address
1.
2.
3.

 

SECTION B
OTHER INFORMATION
LIST COUNTRIES IN WHICH YOU HAVE RESIDED DURING PAST FIVE YEARS
From To Address Country

 

SECTION C: OTHER INFORMATION

PLEASE ANSWER THE FOLLOWING QUESTIONS. IF THE ANSWER IS YES, GIVE DETAILS ON A SEPARATE SHEET OF PAPER.

1. Have you been convicted in a court of law of any country?
2. Have you been dismissed, discharged or suspended from employment?
3. Have you ever had, or are you suffering from any:
      - Physical Impairment?
      - Disease?
      - Mental Illness?
      - Medical Condition?
4. Have you ever had any surgical operation previously?
5. Have you ever submitted an application for an appointment at IMRE before?
IMPORTANT NOTES:
False particulars or suppression of material facts will render you liable to disqualification and if appointed, to dismissal.
DATE: