Employee Particulars Form
for payroll & medical benefits purpose ONLY
Name
*
First Name
Last Name
NRIC
*
NRIC (for HR used only)
*
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Account Number
*
Bank
*
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Joined Date
-
Month
-
Day
Year
Date
Spouse Name
First Name
Last Name
Spouse NRIC
Child 1 Name (age of 15 days to 25 years subject to still studying and unmarried)
First Name
Last Name
Child 1 NRIC
Child 2 Name (age of 15 days to 25 years subject to still studying and unmarried)
First Name
Last Name
Child 2 NRIC
Child 3 Name (age of 15 days to 25 years subject to still studying and unmarried)
First Name
Last Name
Child 3 NRIC
Signature
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Should be Empty: