Blk 130, Jurong Gateway Road #04-221, Singapore 600130
Tel: 6899 3088
Fax: 6899 9318
www.securus.com.sg
A Post
B Personal
C Family
D Employment
E NS
F Education
G Language
H Health
I Criminal
J General
K Declaration
Fill Test Data
Section A
Post Applied For
Enter the position applied by the applicant.
Required
Post applied for
*
-- Select Post Applied For --
Security Officer (SO)
Senior Security Officer (SSO)
Security Supervisor (SS)
Senior Security Supervisor (SSS)
Chief Security Officer (CSO)
Concierge
Facility Officer
Control Room Officer
Adhok Officer
Other
Section B
Personal Data
Applicant details as stated in NRIC / official document.
Full name as stated in NRIC
*
NRIC No.
*
Date of birth
Home tel
Mobile no.
*
Email
Home address
Race
Chinese
Malay
Indian
Others
Gender
Male
Female
Marital status
Single
Married
Widow
Personal bank name
Account no.
Uniform Size
-- Select Uniform Size --
XS
S
M
L
XL
2XL
3XL
4XL
5XL
Other
Any Other Company PLRD Notify
-- Select --
No
Yes
Advance Mode
-- Select Advance Mode --
Weekly Advance
Monthly Advance
No Advance
Emergency Contact
— person to notify in case of emergency.
Name
Tel no.
Address
Relationship
Section C
Family Background
Add family members. Extra rows can be added.
Relationship
Name
Age
Qualification
Occupation
+ Add family row
Section D
Employment History
Most recent employer first.
From - To
Company
Last salary
Reason for leaving
+ Add employment row
Section E
National Service
Male Singapore citizens only.
Date of enlistment
Operational ready date
Rank
SAF / SPF / SCDF
PES grading
If not served NS, state reason
Section F
Educational Background
Add school / institution records.
School / Institution
From
To
Qualification Attained
+ Add education row
Section G
Language Proficiency
Select languages applicant can speak and write.
English
Mandarin
Malay
Tamil
Others
Section H
Health Declaration
Select Yes/No and enter details where required.
Section I
Criminal Record
Have you been screened at CID for any investigation?
No
Yes
Have you been convicted in the Court of Law in any country?
No
Yes
Section J
General Information
Have you previously applied for employment in this company?
No
Yes
Do you know anyone in this company?
No
Yes
Section K
Declaration
Applicant to sign using tablet screen.
1) I give my consent for the company to obtain and verify from or with any source, as deemed appropriate for the assessment of my application for employment.
2) I declared the particulars given by me in this application for employment and the attached sheets are true to the best of my knowledge and belief. I have not willfully suppressed any material fact. I accept that if any of the information given by me in this application is any way false or incorrect, I shall be disqualified from employment or dismissed from service.
3) To submit medical certificate certifying that I am physically healthy to perform the role (for applicants above 60 years old).
4) I will conform to the code of conduct governed by Police Licensing Regulatory Department and if I failed to do so, I understand that I will be subjected to disciplinary action which may include termination.
Applicant signature
Clear Signature
Photo / Attachment
Take Photo / Attach Documents
Tablet camera can be used for applicant photo and documents.
Employee Photo — PDF Page 1 top-right
Office Use
For Official Use Only
This section remains blank in generated PDF for HR office use.
Submit Application
PDF will be generated using original Securus format and sent to HR email when SMTP is configured.
Generate PDF & Submit