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	Section A: Personal Particulars Name: * Contact Number: * Gender: Please Select Male Female * NRIC/Passport No: * (Login username) Date Of Birth: DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 *(Login password) Country of Birth: Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Hercegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt EL Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (North) Korea (South) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Monaco Mongolia Montserrat Morocco Mozambique Myanmar Nambia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Others Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic Of Moldova Reunion Romania Russia Rwanda Saint Kitts And Nevis Saint Lucia Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand TOGO Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe * Race: Please Select Chinese Malay Indian Others * Email: * Address: * Highest Qualification: Please Select A Levels Uni Undergrad (Poly Entry) Uni Undergrad (A Level Entry) Uni Graduate Polytechnic Student Polytechnic Diploma Professional Diploma Post Graduate Master Degree Phd Others * Other Qualification: (if applicable) Special Qualification: Please Select Full-Time Tutor School Teacher Ex-School Teacher Relief/Contract Teacher NIE Trainee Teaching/Tutoring experience: (No of Years) Please Select 0 - 1 1 - 2 2 - 3 3 - 4 4 - 5 5 - 6 6 - 7 7 - 8 8 - 9 9 - 10 >10 * Section B: Preferred Subjects* Lower Primary: English Chinese Malay Tamil Maths Science Upper Primary: English Chinese Malay Tamil Maths Science Higher Chinese Lower Secondary: English Chinese Malay Tamil Maths Science History Geography Literature Social Studies Higher Chinese Upper Secondary: English Chinese Malay Tamil E Maths A Maths Chemistry Physics Biology Geography History Literature Accounts Social Studies Higher Chinese Science (Phy, Chem) Science (Chem, Bio) Junior College: General Paper Chinese AO Chinese A Malay Tamil C Maths F Maths Physics Chemistry Biology History Geography Literature Economics Accounting Music: Piano Guitar Other Subjects: (if applicable): Section C: Preferred Location* Location: West1 (Boon Lay, Jurong West, Jurong East) West2 (Bukit Batok, Bukit Gombak, Bukit Panjang, Choa Chu Kang, Yew Tee) West3 (Clementi, Commonwealth, Buona Vista, Queenstown, Tiong Bahru) West4 (Pasir Panjang, Telok Blangah, Bukit Merah, Bukit Purmei) North1 (Admiralty, Marsiling, Woodlands) North2 (Sembawang, Yishun, Khatib) Central1 (Yio Chu Kang, Ang Mo Kio, Bishan, Toa Payoh, Braddell) Central2 (Novena, Newton, Orchard, Dhoby Ghaut, Bugis, Lavender) North-East1 (Hougang, Kovan, Serangoon) North-East2 (Boon Keng, Macpherson, Potong Pasir) North-East3 (Punggol, Seng Kang, Buangkok) East1 (Aljunied, Marine Parade, Kallang, Katong, Geylang, Bendemeer) East2 (Bedok, Simei, Tampines, Pasir Ris) Specific Location: (if applicable) Section D: Education Details* Name of Institute: Faculty: Class of Honours Please Select First class Second upper class Second lower class Third class Others A Level O Level General Paper: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Chinese AO: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Chinese A: Please Select A B C D E O F Malay: Please Select A B C D E O F Tamil: Please Select A B C D E O F C Maths: Please Select A B C D E O F F Maths: Please Select A B C D E O F Physics: Please Select A B C D E O F Chemistry: Please Select A B C D E O F Biology: Please Select A B C D E O F History: Please Select A B C D E O F Geography: Please Select A B C D E O F Literature: Please Select A B C D E O F Economics: Please Select A B C D E O F Accounting: Please Select A B C D E O F English: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Chinese: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Malay: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Tamil: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 E Maths: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 A MAths: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Chemistry: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Physics: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Biology: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Geography: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 History: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Literature: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Accounts: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Social Studies: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Higher Chinese: Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Science (Phy, Chem): Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Science (Chem, Bio): Please Select A1 A2 B3 B4 C5 C6 D7 E8 F9 Section E: Others Remarks: