September 23, 2023(65) 6337 7449medical@qa.sg

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Apply now

Fancy a desired position that is listed on our website?  Here is a faster way that you can get in touch with us. You can fill up this short application form and our consultants will contact you shortly.

We will then proceed to invite you down for an interview so as to better understand your needs and preferences. No worries, there is no registration fee involved and your information shall remain strictly private and confidential.

 

    Full Name*

    NRIC/FIN Number (Last 5 alphanumeric)*

    Nationality *

    Citizenship *

    SingaporeanSPROthers

    Contact number *

    Date of Birth (DD/MM)*

    E-mail Address*

    Residential Address *

    Language Spoken:

    EnglishMandarinMalayTamilCantoneseHakkaHokkienTeochewHanianese

    Language Written:

    EnglishChineseMalayTamil

    Self rated Cannulation Skill: /10

    Self rated Venepuncture Skill: /10

    Position Applied

    Position Applied For

    Notice Period

    Working Employment Details

    (1)Most Recent Employer

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    To

    Job Title

    Discipline

    Setting
    Restructured HospitalPrivate HospitalSpecialist ClinicPrivate CompanyMNCSchoolNursing HomeDay Care CentreVWOCommunity HospitalGovernment Sector

    (2) Employer

    From

    To

    Job Title

    Discipline

    Setting
    Restructured HospitalPrivate HospitalSpecialist ClinicPrivate CompanyMNCSchoolNursing HomeDay Care CentreVWOCommunity HospitalGovernment Sector

    (3) Employer

    From

    To

    Job Title

    Discipline

    Setting
    Restructured HospitalPrivate HospitalSpecialist ClinicPrivate CompanyMNCSchoolNursing HomeDay Care CentreVWOCommunity HospitalGovernment Sector

    Education Qualifications

    Highest Educational Qualification Obtained

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    To

    Name of School

    (2) Educational Qualification Obtained

    From

    To

    Name of School

    (3) Educational Qualification Obtained

    From

    To

    Name of School

    Declaration*

    1) Do you have any obligation to your present Company in terms of bond, study loans, etc? YesNo

    2) Do you suffer from any physical impairment or disease including mental illness, deafness, handicap, etc? YesNo

    3) Have you ever been dismissed or discharged from the services of any Company? YesNo

    4) Have you ever been convicted in a Court of Law in any country? YesNo

    5) Have you ever been detained by the Police, CID, CPIB or any government law enforcement institution?YesNo

    6) Have you ever been declared a bankrupt? YesNo

    7) Have you ever been suspended from any license boards / institutions (eg Singapore Nursing Board, Singapore Medical Council, and Singapore Pharmacy Board?YesNo

    * Compulsory field

    Personal Data Protection Policy.

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