Application for Employment

Thank you for your interest in the employment opportunities with the Singapore-MIT Alliance for Research and
Technology (SMART) Centre.

List the position which you are applying.

How do you get to know of this post?

For example: SMART Website, My Careers Future, AcademicKeys.com, Euraxess Jobs, Postdocjobs.com,
Jobstreet.com, NUS/ NTU Student Career Websites, Recruitment Agency, Linkedln etc.

Once your application for employment is received, we will evaluate your experience and background based on the
position(s) you have applied. While we would like to speak with everyone, we regret that only shortlisted candidates
will be contacted.

Once again, thank you for your interest in SMART.

HUMAN RESOURCE OFFICE

SINGAPORE-MIT ALLIANCE FOR RESEARCH AND TECHNOLOGY CENTRE

1 CREATE WAY #09-03 CREATE TOWER

SINGAPORE 138602

Singapore-MIT Alliance for Research and Technology (SMART) Centre respects the privacy and confidentiality of
your personal data. We are committed to implementing policies, practices and processes to safeguard the collection,
use and disclosure of the personal data you provide us.

By submitting your information in this form, you have provided us with your personal data and consent to us
collecting, using and disclosing your personal data for purposes reasonably required by SMART to process your
employment application and assess your suitability for the position which you are applying for. Please refer to
SMART Centre Privacy Policy, in compliance with the Singapore Personal Data Protection Act (PDPA) 2012, to
understand how we collect, use and disclose your personal data. This policy is available at SMART website:
https://smart.mit.edu/privacy-policy.

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PERSONAL PARTICULARS

FULL NAME as in NRIC / Passport

Full Name:

Surname / Family Name:

Postal Address:

Mobile Number: E-Mail:

Nationality: NRIC/ FIN No.: Passport No.:

Passport Details

Place of Issue: Date of Issue: Date of Expiry:

EDUCATION
List Junior College, Polytechnics, Universities and other institutions attended and attach copies of relevant certificates and transcripts.

Name of Institution/ Country of Mode of Study

From To Qualification Attained
(please state full-time, part-
(MM/YYYY) (DD/YYYY) Institution Attended time, distance learning)
(state field of study and class of honours)

Membership of Professional Institutions or Societies (Please provide date awarded):

Scholarships/Awards obtained (Please provide year of award, bond to any authority):

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

Written:

Spoken:

HR-R0-009 Page 2 of 4
EMPLOYMENT HISTORY
List the most recent position first. For Singapore citizen or permanent resident of Singapore, please include period served in National
Service.

From To
Name and Address of Employer Position Held Reason for Leaving
(MM/YYYY) (MM/YYYY)

REFERENCES
Please provide at least 2 references from your immediate supervisor, one must be from your current or most recent employment. If you
are a recent graduate without any previous full-time work experience, please provide at least 2 referees, one must be from your tertiary
institution preferably your project supervisor/mentor who knows you well in terms of your academic work/performance. The second
referee be from a supervisor from part-time employment, club activity, or volunteer work.

E-Mail Address and

Name of Referee (indicate the relationship) Company and Appointment
Contact Number

SALARY INFORMATION
Please attach a copy of your latest payslip.

Current Monthly Salary: SGD

Current Annual Salary:

SGD
(Please specify types of bonuses)

Expected Monthly Salary/ Annual Salary: SGD

Earliest Join Date:

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 Please tick (√ )
OTHER INFORMATION
Yes No

1. Have you ever been convicted by a court of law of any country?

☐ ☐
If yes, please specify:

2. Are you in sole proprietorships/partnership/directorship with any business firms?

☐ ☐
If yes, please specify:

3. Have you been employed by SMART Centre previously?

☐ ☐
If yes, please specify:

4. Are you and any of your immediate family members in sole proprietorship/ partnership/ directorship
with any business firms?
☐ ☐
If yes, please specify:

5. Do you have any family members or relatives presently working at SMART Centre?

If yes, please state who you are related to and how you are related:
☐ ☐
Name of relation :

Nature of relationship :

PLEASE READ CAREFULLY AND SIGN BELOW WHERE APPROPRIATE

I confirmed that information given above is true and complete. I understand that if I misrepresent and/ or withhold information, my
application will be rejected and that I will be terminated from employment if the misrepresentation or omission is discovered after my
employment begins.

I authorize the Centre to make inquiries from my previous employers regarding my history and character. I understand that the Centre
might wish to conduct background checks which it deems appropriate. I hereby release SMART Centre, all employers, schools entities,
or individuals from all liability in connection with such inquires.

I understand that employment is contingent upon satisfactory completion of various background checks or investigations and my
compliance with other employment requirements, such as approved work pass.

__________________________________
Applicant’s Signature

__________________________________
Applicant’s Name

__________________________________
Date

HR-R0-009 Page 4 of 4