I authorise the relevant St Luke's Instituition(s) to contact my past employer(s) and any other individual reference(s) that I have provided in my application for the purpose of the relevant obtaining information necessary for its/their consideration of my application (such as my previous job performance). I have sought consent from my referees to be contacted. However, my current employer may only be contacted by the relevant with my prior permission if it is indicated in my application that I am still in their employment as at the date of the application.

I understand that any false statement made by me, or any willful suppression of any material fact on my part, in relation to this application or any supplement thereto will constitute sufficient grounds for disqualification or dismissal if I am subsequently appointed by . I also understand that smoking is not permi and its outdoor compounds, as these premises are classified by National Environment Agency of Singapore as designated non-smoking areas.