HATYAI TECHNICAL COLLEGE

TRAINEE INFORMATION ON THE JOB TRAINING IN WORK PLACE

1. Organization Name: ………………………………………………………………………….…..

Placement address: ………………………………………………………………………….……
……………………………………………………………………………………………….……..

2. Name: ……………………………………. Code: …………………... Level: …………………..

Division: ……………………………. Date of birth: ……………................... Age: ……………
Blood type: ……………………... Nationality: …….……..….. Religion: ……………………...
Medical condition: …………………………………. Alleries: ………………………………...
Address: …………………………………………………………………………………………...
……………………………………………………………………………………………………...
Phone number: …………………………………………………………………………………...
Living with: Parents Rented accommodation Other

3. Father’s name: …………………………………………………………………………………...

Mother’s name: …………………………………………………………………………………..
Content’s Address: ………………………………………………………………………………
Phone number: …………………………………………………………………………………..

4. Special skill: ……………………………………………………………………………………...

………………………………………………………………………………………………….….

5. Insurance Company: ……………………………………………………………………………

Phone number: …………………………………………………………………………………..

6. College friend: ……………………………………………………………………………………

Signature ……………………………………

(……………………………………………………)