EMPLOYMENT APPLICATION FORM FO-HR-006-EN ver. 1.0 page 1 from 6 EMPLOYMENT APPLICATION FORM Please read carefully and answer each question clearly. 1. Position/s applying for 1) 2) 3) 2. PERSONAL INFORMATION a. Name Middle name Last name Maiden name (if any) Sex: M b. Date and place of Citizensh Nationali birth ip ty Current address residence Marital status Tel. no.: E-mail: Name c. Are any of your relatives employed by KOSTT company: (if “yes” than submit information on the right side) Yes F Relationship No d. Would you accept employment for less than six month? Yes No Can you work nights? Yes No 3. KNOWLEDGE OF LANGUAGES? Your mother tongue: (remark: the following squares to be fulfilled with “X”) OTHER LANGUAGES READ Fluently Not Fluently WRITE Fluently Not Fluently SPEAK Fluently Not Fluently UNDERSTAND Fluently Not Fluently 4. EDUCATION, Give full details a. University or other formal education Education Attended from/to institution name, Month/Year and Place Gained Title Main Course of Study Diploma EMPLOYMENT APPLICATION FORM FO-HR-006-EN ver. 1.0 page 2 from 6 b. Training or other formal qualification Education institution Type training or name, and Place other education Years attended From To Certificates or Diplomas Obtained Remarks 5. SKILLS a. Computer skills MS Word c. Other Skills MS Excel MS PowerPoint Other(specify) b. Do you have a Driver’s License? Yes No EMPLOYMENT APPLICATION FORM FO-HR-006-EN ver. 1.0 page 3 from 6 6. EMPLOYMENT RECORD Please list your work experience beginning with your current and most recent job held Name of employer Address, Phone number Name of last supervisor Employment dates From To Your last job title Reason for leaving (be specific) Description of your duties and responsibilities, etc. Name of employer Address, Phone number Name of last supervisor Employment dates From To Your Last Job Title Reason for leaving (be specific) Description of your duties and responsibilities, etc. Name of employer Address, Phone number Name of last supervisor Employment dates From To Your last job title EMPLOYMENT APPLICATION FORM FO-HR-006-EN ver. 1.0 page 4 from 6 Reason for leaving (be specific) Description of your duties and responsibilities, etc. Name of employer Address, Phone number Name of last supervisor Employment dates From To Your last job title Reason for leaving (be specific) Description of your duties and responsibilities, etc. Name of employer Address, Phone number Name of last supervisor Employment dates From To Your last job title Reason for leaving (be specific) Description of your duties and responsibilities, etc. Name of employer Address, Phone number EMPLOYMENT APPLICATION FORM FO-HR-006-EN ver. 1.0 page 5 from 6 Name of last supervisor Employment dates From To Your last job title Reason for leaving (be specific) Description of your duties and responsibilities, etc. Name of employer Address, Phone number Name of last supervisor Employment dates From To Your last job title Reason for leaving (be specific) Description of your duties and responsibilities, etc. 7. REFERENCES EMPLOYMENT APPLICATION FORM FO-HR-006-EN ver. 1.0 page 6 from 6 List three persons, not related to you, and are not current KOSTT staff members, who are familiar with your character and qualification. Do not repeat names of supervisors listed in the “EMPLOYMENT RECORDS” Full Name Tel. no. Occupation Full Address 8. ADDITIONAL INFORMATION a. Please state any other skills or relevant facts that will be considered regarding your application b. May we contact your present employer? Yes No 9. HAVE YOU EVER BEEN ARRESTED, CONVICTED OR TRIALED IN ANY LEGAL CASE? Yes No If “yes”, give full particulars of each case in an attached statement. 10. I confirm that all provided information in this application are true, complete and correct. For all information and other documents provided as incorrect I will bear the responsibility till the termination or dismissal from work. Date : Personal No.: Signature : Remark: You will be requested to supply certified evidence which verifies data given in this application. However, do not submit or send any certified evidence unless required from KOSTT company. P.S. Thank you for filling the application form and for your interest in KOSTT company.
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