Recruitment Submission Form

PACIFIC MEDICAL RECRUITMENT
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
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Residency Status*

CitizenPermanent ResidentOther (Please Specify)
Others (Please Specify):
Do you hold VALID Practicing License of Respective Professional Council in order to practice in Singapore? If yes, please indicate the type of professional practicing license

YesNo
Type of License*
Position Applying:

Full TimePermanent Part TimeLocum
Preferred Work Setting ( Indicate Top 3 Preference )

Restructured HospitalCommunity Hospital ( CH )Day Rehab Center ( DRC )Senior Care Center ( SCC )Home CareOthers
My Projected Start Date ( Indicative )
Preferred Working Hours ( Applicable for Locum Applications )
Example :half days / full days / how many days per week
Preferred Working Location:

NorthSouthEastWestI'm Flexible
My Available Schedule

MondayTuesdayWednesdayThursdayFridaySaturdaySundayI'm Flexible
Expected Salary is between SGD to SGD
Are you referred by someone?*

YesNo
I am referred by:
If yes, please provide us the6 name of your referrer
Upload your CV*

Cancelof
Upload your AHPC License*

Cancelof
Upload Academic Transcripts *

Cancelof
Consent & Declaration
Employment Service Agreement:
I, Name* acknowledge that I have read, understood, and agree to the terms and conditions outlined in the Employment Services Agreement enclosed.
Signature

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Privacy | Pacific Rehab Group

By providing your personal information, you consent to its collection, use, and disclosure as described in this privacy statement. We may collect personal information, including but not limited to your name, address, email address, phone number, and other relevant details, for the purpose of specify purpose, such as account creation, reference checks, customer support, or marketing initiatives. We take the privacy and security of your personal information seriously and will implement reasonable measures to safeguard it from unauthorized access, use, or disclosure. However, please note that no data transmission over the internet or electronic storage method can guarantee absolute security. PRIVACY TERMS | Pacific Rehab Group
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