FCB EMPLOYMENT APPLICATION FORM
Affix
Latest
Passport
Post applied for: __________________________________
1.
Photograph
PERSONAL DETAILS
Full name: _______________________________________
Date of Birth: Date
Marital Status: Married (
Month
) Single (
Sex: Male (
) Female (
)
Year
) Religion: ________________________________________
Nationality: ___________________________Citizenship ID No.: ______________________________
Village/ Thromde: ______________________ Dzongkhag/ Gewog: ____________________________
Dzongkhag: ___________________________________
Thram No.: ____________________________ House No.: ___________________________________
2.
CONTACT DETAILS:
Contact Telephone No.: Fixed: _________________________ Mobile: __________________________
Email ID: _________________________________________________
Present Mailing Address:
3.
FAMILY DETAILS:
RELATION
FATHER
MOTHER
GUARDIAN
SPOUSE
CHILDREN
4.
NAME
NATIONALITY
ACADEMIC QUALIFICATIONS:
OCCUPATION
ADDRESS
(FILL WHERE APPLICABLE ONLY)
Class X
Name of Institute/ School: ____________________________________________________________
Country: ___________________________________________________________________________
Subject: ___________________________________________________________________________
Year of Completion: _________________________________________________________________
Percentage Obtained (Best of 5): _______________________________________________________
Class
XII
Name of Institute/ School: ____________________________________________________________
Country: ___________________________________________________________________________
Subject: ___________________________________________________________________________
Year of Completion: _________________________________________________________________
Percentage Obtained (Best of 5): _______________________________________________________
Certificate
Name of Institute/ School: ____________________________________________________________
Country: ___________________________________________________________________________
Subject: ___________________________________________________________________________
Year of Completion: _________________________________________________________________
Percentage Obtained (Best of 5): _______________________________________________________
Diploma (Including PG Diploma)
Name of Institute/ School: ____________________________________________________________
Country: ___________________________________________________________________________
Subject: ___________________________________________________________________________
Year of Completion: _________________________________________________________________
Percentage Obtained (Best of 5): _______________________________________________________
Degree
Name of Institute/ School: ____________________________________________________________
Country: ___________________________________________________________________________
Subject: ___________________________________________________________________________
Year of Completion: _________________________________________________________________
Percentage Obtained (Best of 5): _______________________________________________________
5.
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6.
I HEREBY SOLEMNLY DECLARE THAT:
I’ve never been convicted of any criminal offences
I’ve never been terminated or compulsorily retired from the Civil Service, Government
corporation or Projects
I’ve never been previously selected by FCB and dishonored the selection/ appointment
I’ve not been adjudged medically unfit for employment by a competent doctor
I’ve not furnished fake/ forged testimonials or documents
TRAINING DETAILS:
(If applicable -use additional page if required and attach all relevant document)
SL.
No
1
2
3
4
5
6
7
7.
Name of the Institute
Country
Field of Study
Year of Completion
Duration
EMPLOYMENT HISTORY: (If applicable, please start with present employ)
Organization
Position
Held
Post
Period
From
To
Appointment
Place
Reasons for
Status
Served
Change
8.
EXTRA CURRICULAR ACTIVITIES : (please tick and attach attested copies of the
certificates)
i)
Sport (
)
ii)
Leadership (
)
iii)
Membership in community/ association (
iv)
Awards Received (
)
v)
Literary (
)
vi)
Others (
)
9.
)
DECLARATION:
I hereby declare that the information provided herein is true and complete to the best of my knowledge. In
the event of detection of false or misleading information, I understand that Food Corporation of Bhutan
shall withdraw/ refuse application for the selection interview/ terminate service without any recourse,
confiscate all my transcription/testimonial and prosecute in the court of Law for legal actions. I also
undertake to abide by all Rules and Regulations.
Date: _____/_____/_________
Applicant
Signature of
(Affix Legal Stamp)