[Confidential] | 22112019
PERSONAL DATA FORM
Personal Particulars
Full Name: Derrick Koh Chai Gee NRIC/PASSPORT: S7340838E
Tel (Primary): +65 96954659 (Secondary):
Religion: Buddhist Race: Chinese
Bank Account Information
Bank Name: POSB Bank Account Number: 029-11859-0
Bank Branch: 081 Bank Code: 7171
Employment History
Please indicate details for the last 3 periods of employment below. You may start with your present or most recent position.
Start / End
Company Date Salary Matters Reason(s) For Leaving
(mm/yy)
Present or Last Employer: Chubb Singapore Pte Ltd Basic Salary: 17,660 Better opportunity for wider
geographical coverage.
May 2015 / Dec AWS/VB: 25%
Position: General Manager 2021
Others: 2,000 (transport
allowance)
Second Last Employer: Tyco Fire, Security and Services Pte Ltd Basic Salary: 12,500 To take up a general
Aug 2007 / Apr management opportunity
2015 AWS/VB: 20%
Position: Regional Operations Manager
Others: 750 (transport allowance)
Third Last Employer: O’Connor’s (Singapore) Pte Ltd Basic Salary: 6,000 To take up a Senior Project
Manager offer
Aug 2004 / Aug
AWS/VB: 2 months
2007
Position: Project Manager
Others: 500 (transport allowance)
Educational Details
Date Highest Standard Passed (Grade
Level School / Institution Country Date Graduated
Joined / Degree)
Nanyang Technological Bachelor of Electrical and
Degree Singapore 1996 1999
University Electronic Engineering
Diploma in Electronics and
Diploma Ngee Ann Polytechnic Singapore 1990 1993
Computer Engineering
Professional Qualifications
Project Management
Professional Certificate Project Management Institute Singapore
Professional (PMP)
Languages (state level of proficiency – Fluent / Good / Fair)
Proficiency Level
Languages Spoken / Written / Ability to read
(Fluent, Intermediate, Basic)
English Spoken / Written / Ability to read Fluent
1
Chinese Spoken / Written / Ability to read Fluent
Other Information
Have you ever been arrested for or charged with any criminal offence within or outside Singapore or held by any law
enforcement agency for violation of any law? If yes, please give details. No
Are you an un-discharged bankrupt as of today? If yes, please give details.
No
Have you ever been terminated, dismissed or retrenched in any of your previous employment? If yes, please give details.
No
Have you ever applied/worked in Johnson Controls or any of its subsidiaries, or sub-contractors? If yes, please give
details. No
Do you have friends/relatives working in Johnson Controls/Vendors/Subcontracts? If yes, please give details (name /
Yes
contact no. / relationship)
Name: Irenaeus Clare Pereira
Contact No.: 90081608
Relationship: Spouse
Company: Axis
Communications (Vendor)
Do you hold a driving license? If yes, please give details.
Yes
Have you ever been into major operation or have recovered from major illness? If yes, please provide details. No
Do you think in any circumstances that the job you applied for will be suitable given your past medical conditions e.g. Yes
Stress level, physical demands e.g. Carry heavy equipment / tools etc.
For Singaporean Male Only:
Have you served your National Service Liability? Yes
If exempted, please state reason:
If yes, please complete the following
Johnson Controls Employee Referral Information
Employee's Name:
Johnson Controls Email Address:
Contact No:
Authorization of release of Information
I understand that in processing my application with Johnson Controls, Inc., an investigation may be made to verify my past employment, education, criminal
records and other job related data provided on my application, or via interview process. I authorize you to conduct such investigation and further authorize
the appropriate individuals, companies, institutions or agencies to release them from any liability as a result of such inquiries or disclosures.
The information collected will be kept strictly confidential and will be obtained and used only in accordance with applicable data protection legislation.
I further understand and waive my right of privacy in this investigation and release and hold harmless Johnson Controls, Inc., and its vendor from any liability.
I agree that any decision to hire me is contingent upon the results of the Company’s background investigation, and certify that all statements and answers on
my application, resume, or interview are true, complete and accurate in every respect. I understand that a false statement or omission of facts may disqualify
me from employment or result in my subsequent dismissal for cause if I am employed.
I agree to inform HR promptly if any information changes, and certify that all Information on my application is valid if no promptly informed. I understand that
if documents, letters or stuff deliver by the company cannot reach to the address may result in reached.
Signature
I understand that misrepresentation or omission of facts calls for dismissal and I will be required to produce original documentation to verify my employment
eligibility.
23rd Dec 2021
__________________________________________________ _________________________________________________
Name & Signature of Applicant Date
*Please delete when appropriate
