຋ະຌາ຃າຌ ຑ຺ຄຘະນທັຌ ຘາຌັກຄາຌເນງໞ ໜໞທງ 01, ຊະໜ຺ຌ ແກຘບຌຑ຺ຓທິນາຌ, ຍໟາຌຑະຂາທ, ຽຓືບຄແຆ຋າຌ, ຌະ຃ບຌນຖທຄທຼຄ຅ັຌ ຘຎຎ.

ຖາທ
Tel: (+856 21) 711511-533, Fax: (+856 21) 711556. Email:info@phongsavanhbank.com , www.phongsavanhbank.com

ຍໞບຌຉິຈປູຍ 3X4
ແນນພຬຟກາຘອັນສະໝັກຝະຘັກຄາຘ Photo
APPLICATION FOR EMPLOYMENT

ຉາ຾ໜ່ຄ຋ໃຘະໝັກ Position: .............................................., ຽຄິຌຽຈືບຌ຋ໃຉໟບຄກາຌ / Expected salary:………………..……….……......

ຆືໃ ຾ຖະ ຌາຓຘະກຸຌ: ....................................................................... Name and Surname: ......................................................................

(ຂຼຌຽຎັຌຑາຘາຖາທ) (ຂຼຌຽຎັຌຑາຘາບັຄກິຈ)
ຽກຈ຋ໃ (Place of Birth): ຍໟາຌ ..................., ຽຓືບຄ…
....................., ຾ຂທຄ ........................, ທັຌຽຈືບຌຎຽກຈ (Date of Birth):…
....../....../...........

຋ໃດູ່ຎະ຅ຸຍັຌ (Current address): ຍໟາຌ ...................., ຽຓືບຄ …..................., ຾ຂທຄ ..........................., ຘາຈຘະໜາ (Religion): ........................

ຽຖກຍັຈຎະ຅າຉ຺ທ ນຖື ຘາຓະ຿ຌ຃຺ທ (ID Card or Family book): ................................., ຽຍ຿຋ຖະຘັຍ (Mobile): ..................................................

຃ທາຓຘູຄ (Height): ......................... cm; ຌໄາໜັກ (Weight): ......................... kg; ກຕຸຍຽຖືບຈ (Blood group): ...................

ຘັຌຆາຈ (Nationality): .........................; ຆືຑ

ໃ ໃຌໟບຄຽປັຈທຼກດູຑ
່ ຄ຺ ຘະນທັຌ (ຊໟາຓ) Relationship in PSVB: ...............................................

ຘະຊາຌະ (Marital Status): ຿ຘຈ ຾ຉ່ຄຄາຌ ດ່າປໟາຄ ຽຎັຌໝໟາງ

 Single  Married  Divorced  Widowed
ຍັຌຆກັຍ຋ະຌາ຃າຌຑ຺ຄຘະນທັຌ: ຓ ຍໃຓ
Account with Phongsavanh Bank:  Yes  No
ຊໟາຓ, ຾ຓ່ຌຍັຌຆຎະຽຑຈ: 1.............................................; 2.............................................; 3.............................................
If yes, type of account:
ຆື຋
ໃ ໃຘາຓາຈຉິຈຉໃກຖະຌຘຸກຽຘຌ: ..............................................; ຽຍ຿຋: ..............................................; ຃ທາຓຘາຑັຌ: .........................
Emergency Name: Tel: Relationship:

ລະດັນກາຘສຶກສາ (Education)
຾ຉ່ຎເຈ - ຎເຈ ຆື຿ໃ ປຄປຼຌ ນຖື ຘະຊາຍັຌກາຌຘຶກຘາ ຖະຈັຍກາຌຘຶກຘາ ທິຆາປຼຌ / ຘາຂາປຼຌ ຃ະ຾ຌຌ
From (year) - To (year) (Name of School or Institution) Level / Degree Faculty / Subject GPA

ບະສ຺ນກາຘເອັດວຽກປ່າຘຟາ (Work Experience)

ຍຖິຘັຈ຋ໃຽ຃ງຽປັຈຏໞາຌຓາ (Work Place) 1. 2.
ແຖງະຽທຖາເຌກາຌຽປັຈທຼກ ທ.ຈ.ຎ (Work Duration)

ຉາ຾ໜ່ຄ຋ໃຽ຃ງຽປັຈຏໞາຌຓາ (Work Position)

ຽຄິຌຽຈືບຌ຋ໃຽ຃ງແຈ້ຏໞາຌຓາ (Salary)

ຽນຈຏ຺ຌ຋ໃຖາບບກ (Reason for leaving)

ຆືຑ
ໃ ະງາຌ຋ໃຽປັຈທຼກດູຍ
່ ໞບຌຽກ຺ໃາ (Witness)

ບາຆຍຂບຄຑະງາຌ (Witness’s Job or Position)

ແຖງະຽທຖາ຋ໃປູ້຅ັກກັຍຑະງາຌ (Year Known)

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ຽຍ຿຋ຉິຈຉກ
ໃ ັຍ (Contact number)

ຆືໃຑໃ ຾ຖະ ຾ຓ່ ບາງຸ ບາຆຍ ຉາ຾ໜ່ຄ ຆືໃຍຖິຘັຈຏູ້຅ໟາຄຄາຌ

Name of Parents Age Occupation Position Name of Employer/Company

ຆືໃບໟາງ ຽບືໄບງ ຌໟບຄ ບາງຸ ບາຆຍ ຉາ຾ໜ່ຄ ຆືໃຍຖິຘັຈຏູ້຅ໟາຄຄາຌ ນົື ຿ປຄປຼຌ

Name of Brothers/Sisters Age Occupation Position Name of Employer or School

ຆືໃຖູກ ບາງຸ ບາຆຍ ຉາ຾ໜ່ຄ ຆືໃຍຖິຘັຈຏູ້຅ໟາຄຄາຌ ນົື ຿ປຄປຼຌ

Name of Children Age Occupation Position Name of Employer or School

ທັກສະດ້າຘ຃ຬຟຝິວເຕີ້ (Computer Skill)

຿ຎຕ຾ກຕຓ຋ໃຘາຓາຈຌາເຆ້ (Programe & applications) ຖະຈັຍຉໃາ (Poor) ຖະຈັຍຈ (Good) ຖະຈັຍຈນຖາງ (Excellent)

຃ວາຟອູູ້ດ້າຘຝາສາຕ່າຄບະເທດ (Communication Competency)

ກາຌຒັຄ Listening ກາຌຽທ຺ໄາ Speaking ກາຌບໞາຌ Reading ກາຌຂຼຌ Writing

ຑາຘາ Language
Poor Good Excellent Poor Good Excellent Poor Good Excellent Poor Good Excellent

ຑາຘາຖາທ/Lao

ຑາຘາບັຄກິຈ/English

ຑາຘາ..........

ຑາຘາ..........

ຑາຘາ..........

ກາຘຜຶກຬ຺ນອ຺ຟຕ່າຄໆກ່ຬຘຟາເອັດວຽກກັນທະຘາ຃າຘ (Training Course)

ຆືນ
ໃ ຖັກຘູຈ ທັຌ຋ຽຖຓໃ ຉ຺ໄຌ ທັຌ຋ຘິໄຌຘຸຈ ຘະຊາຌ຋ກໃ າຌຐຶກບ຺ຍປ຺ຓ
Training Course name Start date End date Training Place

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ບະຫວັດກາຘລ຺ຄຜຶກຄາຘ (Training Experience)
ທັຌ຋ຽຖໃຓຉ຺ໄຌ ທັຌ຋ຘິໄຌຘຸຈ ຘະຊາຌ຋ຖ ໃ ຺ຄຐຶກຄາຌ
Start date End date Training Place

ຖ້າທ່າຘຖືກ຃ັດເລືຬກອັນນັຘ຅ຸເຂ຺ີ້າເບັຘຝະຘັກຄາຘ ທຝສວ / Should you be selected please indicate:

຋ໞາຌຘາຓາຈຽຖໃຓທຼກແຈ້ຓືໄເຈ / Date able to commence duty:……………….………

ຍັຌຆຽຒຘຍຸກຂບຄ຋ໞາຌ / Facebook account: ………………………….……………..

ບຽຓທຂບຄ຋ໞາຌ / Email address:……………………………………………...…….

ຂໟາຑະຽ຅຺ໄາຂດັໄຄດືຌທໞາ຋ຸກຂໄ຃ທາຓ຋ໃຂໟາຑະຽ຅຺ໄາແຈ້ຂຼຌຖ຺ຄເຘ່ເຌ຾ຍຍຒບຓຌໄຖໟທຌ຾ຉ່຾ຓ່ຌ຃ທາຓ຅ິຄ ຾ຖະ ຊືກຉໟບຄ. ຊໟາ຋ະຌາ຃າຌ ນາກຑ຺ຍຽນັຌຂຓ

ໄ ູຌເຈ
຋ໃຂໟາຑະຽ຅຺ໄາແຈ້ຂຼຌຖ຺ຄເຘ່ເຌ຾ຍຍຒບຓຌໄ ຍໃ຾ຓ່ຌ຃ທາຓ຅ິຄ ນຖື ຍໃຊືກຉໟບຄ, ຂໟາຑະຽ຅຺ໄາ ງິຌງບຓປັຍຽບ຺າ຃ທາຓຏິຈຑາຈ ຾ຖະ ຋ະຌາ຃າຌ ຑ຺ຄຘະນທັຌ ຘາຓາຈຎ຺ຈ
ຎ່ບງ຿ຈງຍຓ
ໃ ກາຌ຾຅້ຄຽຉືບຌ ນຖື ຃ໞາຆ຺ຈຽຆງເຈໂ຋ັຄຘິໄຌ.
I hereby declare that the particulars and answers given in this application form are to the best of my knowledge and belief true
and correct. I understand that the Bank reserves the right to terminate my service without notice or compensation at any time should the
Bank discover that any of the said particulars and answer were false, untrue or incorrect at the time of completion of this form.

ກະລຸຘາບະກຬນເຬກະສາຘຟາຝ້ຬຟຘີ້:
1. ເຍ຃າປໟບຄຘະໝັກຄາຌຽຎັຌຑາຘາບັຄກິຈ, 2. ຆທະຎະນທັຈຑາຘາບັຄກິຈ, 3. ຘາຽຌ຺າຎຶໄຓຘາຓະ຿ຌ຃຺ທ/ຍັຈຎະ຅າຉ຺ທ, 4. ຘໍໍໍາຽຌ຺າເຍຎະກາຈ ຑໟບຓຈໟທງເຍ຃ະ຾ຌຌ,
5.ເຍ຾຅້ຄ຿຋ຈ, 6. ເຍດັໄຄດືຌ຋ໃດູ່, 7.ເຍ຃ໄາຎະກັຌ, 8. ປູຍຉິຈຍັຈຂະໜາຈ 3x4, 9. ປູຍ຋າຓະຈາ຋຺ໃທແຎ, 10. ຽບກະຘາຌບືໃຌໂຊໟາຓ...

ຽຆັຌ / Signature of Application: …..............................................., Date: ..............................................

FM-HR 03 rev 05_Effective date: 01/12/2020

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