VERY CONFIDENTIAL

Rakuten Asia Job Application Form

Please complete the application form and submit supporting documents to HR.
Take note:
1 We require all information requested below to evaluate your suitability for the role you are applying for. Failure to provide all requested information may affect
our evaluation and the outcome of your application.
2 We are not obliged to provide reasons for the shortlisting or rejection of our candidates.
3 Provision of any false particulars and wilful suppression of material facts are both regarded as serious disciplinary offences in our Company, and will lead to
immediate disqualification, dismissal and/or legal proceedings, if appropriate.

(A) Post(s) applied for (Please indicate which platform did you use to apply for this position e.g. Linkedin / JobsBank / Others)

Position: Recruitment Platform: ( )

(B) Personal Information

Full Name (as stated in NRIC/FIN/Passport): Nickname:

Citizenship: Singapore Citizen Singapore Permanent Resident Foreign Citizen

(C) Contact Information

Address:
Skype ID:

Contact No.:

Country: Postal Code/Zip: Email Address:

(D ) Language Proficiency
Language / Dialect Proficiency (Written & Spoken / Spoken Only)

(E) Educational / Technicial / Professional Qualificiations

Duration of course
Name of School - primary / secondary / college /
Country Highest academic qualifications attained
polytechnic / university attended From To
(DDMMYY) (DDMMYY)

(F) References
Please provide particulars of a referee from your current or previous company who would be able to testify about your character and working ability. Your referee
should not be a family member. By providing us with the personal information of your referee below, you represent that you have informed and obtained their
consent to do so, and for us to contact them in relation to your job application with us.

Name: Contact No.:

Designation / Company: Email Address:

Years Known:
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(G) Previous & Present employment in chronological order (Please bring along testimonials if available)
From To Annual Income Leave Welfare &
Company name (Country) Designation Reason for leaving
(DDMMYY) (DDMMYY) (SGD) Entitlement Benefits

(H) General Information (Please indicate where applicable)

Will you require the company to apply for Dependent Pass(es) on your behalf? Yes No
If yes, spouse
child (under 21 years old)

Are any of your family members working for competitor companies? Yes No
If yes, please state:
Which Position?

Will you be concurrently be involved in any other business or trade as an Yes No

employee, director, shareholder, agent or otherwise? If yes, when?
Which Position?

Have you previously applied for employment with Rakuten? Yes No

(Through recruiters / online portals) If yes, please state:
Which Position?

Are you suffering from any chronic illnesses / disabilities / diseases? Yes No
If yes, please state:

Are you an undischarged bankrupt? Yes No

Have you ever been convicted in a court of law in any country or have had criminal
proceedings commenced against you? Yes No

If Yes to any of the above, please provide details:

Have you been dismissed or suspended from employment? Yes No

If Yes, please provide details:

Expected Salary (SGD): Notice period of current job:

If negotiable, please state range: Earliest commencement date:

VERY CONFIDENTIAL

(I) Declaration
(1) I hereby give consent to my data being used for the purposes of recruitment and employment.
(2) I declare that the information provided in this application and the attachments (if any) is true and correct to the best of my knowledge and that I
have not wilfully suppressed any material fact. I accept that if any of the information given by me in this application is in any way false or incorrect, my
application may be rejected, any offer of employment may be withdrawn or my employment with the Company may be terminated summarily or I may
be dismissed.

Signature of applicant Date:

(J) For Internal Use Only :

Selected Not Selected KIV Interviewed By:

Remarks:

Date of Commencement: Date of Interview:

Position: Salary: Grade:

Organisation Group: Rating: Pitch:

Job Category: Emp ID: Job ID: