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APPLICATION FORM
FORM.002/HR/ZIN

Please fill in with Block Letters

PRIVATE AND CONFIDENTIAL

Date Earliest starting date Notice required

Alternative position
Position applying for

Current basic net salary Expected basic net salary

Current other benefits

Current working schedule

5 Days 6 Days

Current employment status

1 Year Contract 2 Years Contract Permanent

Personal Information
Name

Gender Male Female

Date of Birth

Blood Type

Race

Religion

Marital Status
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APPLICATION FORM
FORM.002/HR/ZIN

Number of Children & Age

Driving License A B1 B2 C

Own Vehicle None Bicycle Motorcycle Car

Address
Street Number

City ZIP Code

Telephone number Driving time to work

Whatsapp number Fax number

Email address

Skype Others

Employment Record
Please list the last 3 positions you have held, showing present / last position first.

Employer

Address of Employer

Nature of Business

Employed from Employed till

Position & Duties

Reference Name Position Tell Number Email address

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APPLICATION FORM
FORM.002/HR/ZIN
Basic Net Reason for leaving
Salary

Employer

Address of Employer

Nature of Business

Employed from Employed till

Position & Duties

Reference Name Position Tell Number Email address

Basic Net Reason for leaving

Salary

Employer

Address of Employer

Nature of Business

Employed from Employed till

Position & Duties

Reference Name Position Tell Number Email address

Basic Net Reason for leaving

Salary

Other References
Preferable direct superior in your previous companies
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APPLICATION FORM
FORM.002/HR/ZIN

Name Company Position Phone Number Email Address

Preopening Experience

Do You have any pre-opening

experience? Yes No

If yes, please specify

Education and Courses

From To Name school and address Degree / Certificate Major Course of Study
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APPLICATION FORM
FORM.002/HR/ZIN
Languages

Mother tongue

Spoken Written Understanding

Others
Fluent good notions Fluent good notions Fluent good notions

Computer Skills

Explain in brief your computer skills :

Convictions
Do uou have any previous convictions? Yes No

If yes, please specify

Medical History

Do you have any physical disability? Yes No

If yes, please specify

Have you ever had any serious illness Yes No
or accident?
If yes, please specify

How do you know about the vacancy ?

Comments
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APPLICATION FORM
FORM.002/HR/ZIN

Any further comments that might be of use to your application, please list here :

I hereby confirm that all information given is complete, accurate and true.
I authorize the verification of all information provided.
I understand that any incomplete or false statements might cause my immediate dismissal.

Date

Signature