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PERSONAL PARTICULARS
Full Name as NRIC(*)
Home Telephone
Salutation(*)
Miss
Mdm
Mr
Mrs
Handphone(*)
Email(*)
Date of Birth(*)
Occupation/Retired(*)
Home Address(*)
Unit Number(*)
Postal Code(*)
Interested Opportunities(*)
How do you know about us?(*)
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Schools
Workplace
Family/Friends
Grace Assembly of God English Service
Grace Assembly of God Mandarin Service
Language Spoken(*)
English
Mandarin
Malay
Tamil
Dialect/Others
Do you have any criminal records?(*)
Yes
No
If yes, please specify:
Do you have any communicable diseases? (*)
Yes
No
If yes, please specify:
Do you have any mental/ physical condition(s) which could prevent you from offering your services?(*)
Yes
No
If yes, please specify:
I declare
all information hereby provided is accurate. Should there be any discrepancy, I am aware that I will be terminated without any prior notification.
I consent
to the management of my personal data as stated in the
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