1. HAVE YOU EVER BEEN ARRESTED? - Includes Picked Up, Held, Handled, Charged, Questioned by Civilian or Military Enforcement Agency other than traffic offences If YES, please elaborate further_________________________________________________

2. HAVE YOU EVER BEEN DISCHARGED OR DISMISSED FROM SERVICE OF PAST EMPLOYERS?

3. DO YOU HAVE ANY NON-COMPETITION OBLIGATION SIGNED WITH YOUR PRIOR EMPLOYERS? If YES, provide details of Terms_________________________________________________

4. HAVE YOU APPLIED ON ANY PREVIOUS OCCASIONS FOR EMPOLYMENT IN ANY CAPACITY WITH MICRON?

5. HAVE YOU EVER CONSUME OR SHOW SIGN OF USE OF INTOXICANTS OR ILLEGAL DRUGS?

6. HAVE YOU EVER BEEN DECLARED A BANKRUPT?

7. DO YOU HOLD A DRIVING LICENCE?

8. HAVE YOU BEEN OR ARE YOU SUFFERING FROM ANY PHYSICAL IMPAIRMENT, ILLNESS, MEDICAL OR MENTAL CONDITION? If YES, provide details below

DECLARATION

I declare that the particulars in this applicant declaration form and any sheets attached hereto are true to the best of my knowledge and that I have not willfully suppressed any material fact. I also understand that if after employment, it is found that I have deliberately made a false declaration on this document; it may lead to my dismissal from service. ____________________ Signature of Applicant (Sign and fax this page attention to James, HR at 021-6335-2008) ____________________ Date Signed

不好意思我不会

我看不懂什么东西南北来的

帮不了你。真遗憾