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RJSS CONSTRUCTION LTD. THAILAND

Job Application form

Our policy is to provide equal employment opportunity to all qualified persons without regard
to colour , race, creed, belief , religious, sex, age, national origin, ancestry, physical or mental
disability or veteran status.
Application Date_____ ______________
Last name __________________First name __________________ Middle name____________
Date of Birth_______________________ Sex_______ Passport No_______________________
Street Address____________________________________________________________________________

E-Mail Address___________________________________________
City _____________________ State ____________________ ZipCode ____________________
Telephone ___________________________ Social Security # ___________________________

Three (3) Positions applied for 1.___________________________________________________

2._______________________________________3.____________________________________
Current Salary per month INR_____________________
When can you start? _____________________ Expected Salary in INR/$______________
Are you looking for full-time employment?  Yes No

If no, what hours are you available? ______________

Are you willing to work swing shift?  Yes No

Have you ever been convicted of a felony? (This will not necessarily affect your application.)
 Yes  No
If yes, please describe conditions. __________________________________________________
______________________________________________________________________________
Educational Qualifications:
School Name and Location Year Major Degree
High School ___________________________________________________________________
College _______________________________________________________________________
Post-College ___________________________________________________________________
University_____________________________________________________________________
Other Training _________________________________________________________________
In addition to your work history, are there other skills, qualifications, or experience that
we should consider?
______________________________________________________________________________
______________________________________________________________________________
Give two personal references:
1._______________________________________________
2._______________________________________________
Current Employment History: (Start with most recent employer)
Company Name ________________________________________________________________
Address ____________________________________ Telephone _________________________
Date Started ___________ Starting Wage ____________ Starting Position ________________
Date Ended _____________ Ending Wage ____________ Ending Position ________________
Name of Supervisor _______________________________
May we contact?  Yes No

Responsibilities _______________________________________________________________
_____________________________________________________________________________
Reason for leaving ______________________________________________________________
Attach additional information if necessary.
Statement of Purpose
I certify that my application and all attachments are true and complete to the best of my knowledge.

I understand that any incorrect, incomplete, or false statements or information furnished by me at

the discretion of the RJSS Construction Ltd. Thailandmay cause my dismissal

Signature/Date_______________________________________
Applicant
OFFICIAL USE ONLY:
Verified By______________________

Verifier’s Signature_________________