Job Application Form

A. Personal Information

Full Name Tewodros Yohannis Zewide

Date of Birth 04-07-1997 Sex: male
Current Address Addis Abeba
Phone 0935-36-48-73 E-mail /Skype tewodrosyohanis30@gmail.com
B. Education (choose what is applicable to you and delete the others)

Post Graduate

Qualification : MA
Name of University Aksum university
Field of Study Computer science
Country Ethiopia
Dates Attended From 21-10-2017 To 13-02-2021

Under Graduate

Qualification : BA ☐ BSc ☐ Others Specify ☐ Click here to enter text.

Name of University Click here to enter text.
Field of Study Click here to enter text.
Country Click here to enter text.
Dates Attended From Click here to enter text. To Click here to enter text.

Other Technical and vocational School

Qualification : Click here to enter text.

Name of Institute Click here to enter text.
Field of Study Click here to enter text.
Dates Attended From Click here to enter text. To Click here to enter text.

C. Experience (Use the numbers you need and delete the others)
Include all work experience, starting with the present or most recent ones.
1. Employer Name Click here to enter text.
Job Title Click here to enter text.
Dates From Click here to enter text. To Click here to enter text.

Major duties and responsibilities: (briefly in bullet points)

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2. Employer Name Click here to enter text.
Job Title Click here to enter text.
Dates From Click here to enter text. To Click here to enter text.

Major duties and responsibilities: (briefly in bullet points)

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3. Employer Name Click here to enter text.
Job Title Click here to enter text.
Dates From Click here to enter text. To Click here to enter text.

Major duties and responsibilities: (briefly in bullet points)

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4. Employer Name Click here to enter text.
Job Title Click here to enter text.
Dates From Click here to enter text. To Click here to enter text.

Major duties and responsibilities: (briefly in bullet points)

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5. Employer Name Click here to enter text.
Job Title Click here to enter text.
Dates From Click here to enter text. To Click here to enter text.

Major duties and responsibilities: (briefly in bullet points)

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6. Employer Name Click here to enter text.
Job Title Click here to enter text.
Dates From Click here to enter text. To Click here to enter text.

Major duties and responsibilities: (briefly in bullet points)

 Click here to enter text.

D. List of professional licenses, certifications, computer skills, training, and other skills and
abilities you consider the most relevant to the position

1. Click here to enter text.

2. Click here to enter text.
3. Click here to enter text.
4. Click here to enter text.
5. Click here to enter text.

E. Language Ability

Language Fair Good Very Good Excellent

Amharic ☐ ☐ ☐ Excellent
English ☐ ☐ ☐ Excellent
Tigerigna ☐ Good ☐ ☐

F. Disability

Yes ☐
Do you have disability?
No ☐
Regardless of whether you have a disability, do you require any adjustments to be Yes ☐
made to facilitate your participation in the selection process? If yes, a member of
Human Resources will contact you to ascertain how best to assist you. No ☐

G. Personal Qualities And Skills

Click here to enter text.

H. Have you ever been convicted of a criminal offence? No

If yes, please give details below of the offence and the sentence imposed:

Click here to enter text.

I. Have you ever been any misconduct behavior related to chaild/sexual abuse?

No
If yes, please give details below of the offence and the sentence imposed:

Click here to enter text.

J. List at least three latest references who are/were your direct supervisor with their contact
information

Relation with Organizational Personal email Telephone

Name of reference
you* Email Address address Number
Samuel Friend 0947880409

* Direct supervisor, N+1, colleague, …

K. Is it ok with you if we contact your references directly?

Yes

L. Signature and Certification

I certify that, to the best of my knowledge and belief, all of the information on this application is
true, correct, and made in good faith. I understand that false or fraudulent information on this
application may be grounds for not hiring me or termination/dismissal after I begin work, and
may be punishable by fine or imprisonment according to the law.

Name Tewodros Yohanis zewide Date 06-09-2021

N.B. Typing your name and submitting this form will be taken as binding as your
signature