Confidential

Application For Employment

Position(s) Applied: Expected Salary: HK$

Personal Particulars 個人資料

HKID Card No./

Name (English): (Surname) Name (Chinese): Passport No.:
英文姓名 中文姓名 香港身份證號碼/
護照號碼
(First Name)
Date of Birth: Sex: Nationality: Marital Status:
出生日期 性別 國籍 婚姻狀況
(DD/MM/YY)
Telephone: (Home) (Mobile): Email:
電話(住址) (手提電話) 電郵地址
Residential Address:
居住地址(英文)

Academic Background 教育背景

From To
Name of Education Institution 由 至 Degree / Cert. / Dip. Major & Minor
教育機構名稱 學位 / 證書 /文憑主修及副修科目
Month / Year Month / Year
月 / 年 月 / 年

Employment History 過往任職記錄

From To
Last
由 至
Name of Company Position Remuneration
公司名稱 Month / Year Month / Year Package
職位
月 / 年 月 / 年 最後薪酬組合

Referees 諮詢人
Name Relationship Occupation Contact No. Email
姓名 關係 職業 聯絡電話 電郵地址

Applicant’s Signature: Date:

申請人簽名 _______________________________ 日期 ____________________________________

*All information are only used as this employment application purpose.

 Employment Reference

I hereby give my consent to Donnelley Financial Solutions Hong Kong Limited (“the Group”) to collect and
verify any personal data from my previous employers, for the purpose of assessing my suitability for
employment by the Group. I agree that the Group may use all information obtained for all purposes relating to
my employment with the Group.

I am aware that if I choose not to authorise the release and disclosure of the information sought herein, I may be
denied employment as a result of my decision.

____________________________ __________________________________
Signature of Prospective Employee Full Name and HKID/Passport No.

* To be filled in by the Referees

Name of Prospective Employee:

HKID Card / Passport No.:

Name of Previous Employer:

Employment Period: From: _________________ To: ___________________

Last Position Held: _________________________________________________

Last Salary: ________________________________ (per month / annum)

Allowance, if any: ________________________________ (per month / annum)

(Please specify the nature)

Last Bonus Received: _________________________________________________

Reason for Leaving: [ ] Resignation [ ] Termination [ ] Redundancy

[ ] Others, please specify___________________________

Overall Performance: [ ] Excellent [ ] Good [ ] Satisfactory [ ] Poor

Would you consider rehiring the above-mentioned person? If no, please give reason.

_________________________________________________________________________________

Other Comments:

_________________________________________________________________________________

Name in Block: ______________________ Contact Phone No.:_________________________

Position: ______________________ Company Chop: _________________________

Signature: ______________________ Date: _________________________