THNG TIN NG VIN

APPLICATION FORM

Vtrmunngk
Position Applied
For

Ngy

Phc v

Date

19 _____ /08 ___ /2013 ___

Thng tin c nhn/ Personal Information

Tn

Tnting
Anh

ng Th Anh

Names

English Name

Giitnh

Quctch

Nam

Sex

Ngy thng
nm sinh

Nationality

Nisinh

Place of Birth

02/02/1994

Date of Birth

Dntc

Nguynqun

Kinh

Race

Tnhtrnggianh
Marital Status

ach Email
E-mail Address

Ngycp

Province

Sckhe

c thn

Health

Chiriku.katory@gmail.co
m

Date of issue

12/02/2012

Trnh/chuyn
mn

i hc

HomeTel.

achnh

Home Address

Linlckhn

Emergency Contact

ID No.

Nicp

Place of issue

X Xun Hng, huyn Xun Trng, tnh

Nam nh
Xm 32, x Xun Hng, huyn Xun
Trng, tnh Nam nh
Tt
163320181
Tnh Nam nh

Msthu
Income
Tax No.

Degree/Speciality

inthoinh

CMND

Vit Nam

03503751640

TDD

MobileNo.

01664766314

S nh 24A, ng 97,ph Chnh Kinh, qun Thanh Xun, H Ni

01664766314

Miquanh
Relationship

c thn

Slinlc

Contact
Number

Trnhhcvn/ Education Background

T - n
From To

TnTrng

Name of the School

BngCp
Degree

Chnh
Major

Ph

Minor

Bngcpchuynmn&khatphun/ Professional Qualification & Training

Litk/ Please specify:
1. ......................................................................................................................................................................................................................................
2. ......................................................................................................................................................................................................................................
3. ......................................................................................................................................................................................................................................

Knng/ Skills
Ting Anh
English

TingPhthng
Mandarin

Vi Tnh

Computer

Khc

Others

Tiu s Cngvic (Gnynht)/ Employment Record (from the latest)

T - n

TnCngty

From To

Name of the Company

Vtr

Position

Mclnggnnht
Last Salary

L do nghvic

Reason for Leaving

Thng tin khc/ Other Information

Bncbaogibktntcha? Have you ever been convicted of a crime?
Khng/ No;

C/ Yes. Vuilnggiithchkhino, uvl do g?Please, explain when, where & what?

Bncbaogibchunonbnhnngcha? (nh: Bnhvimgan, bnhtim, bnhTmthn)

Have you ever been diagnosed with any serious disease (Such as hepatitis, heart disease, mental disease)?

Khng/ No; C/ Yes. Vuilnggiithchkhino, uvbnhg? Please, explain when, where & what?
Bncthaikhng? Pregnant
Khng/ No ; C/ Yes.
BntnglmCngtychngticha? Have you ever worked in our company?
Khng/ No; C/ Yes.
Bncbtkngiquen hay bnanglm Cngtychngtikhng? Nuc, vuilnglitkTngim.
Do you have any relatives or friends working in Dang Le.Co.,LTD? If yes, please write his/her name down .

Bnccthng tin Cngtychngtituyndngqua?Your Application Channel is

1 Bo/ Newspaper Advertisement
2. Trang Web/ Websitehttp://
3. Thng qua nhnvin y/ Employee Recommendation _____________________________________________________________ :
4. Khc/ Others.
Mclngmongil/ Your expected gross salary is ____________________________________________:
Ngycthnhnvic/Date of Available: _____/______/______

Likhai/ Declaration:

Ti m bo thng tin m ti in vo n xin vic l hon ton chnh xc. Nu c s kim tra
thng tin trn m sai, th ti s b thi vic ngay lp tc.
I hereby declare that the information given by me on this application for employment is complete
and accurate. I also authorize any investigation of the above information for purpose of
verification. If any information here has been approved to be false, I will take the determination
immediately.

Ktn/ Applicants signature : ___________________________________