HUMAN RESOURCES
Full Name
Date of Birth  /   / 
Place of Birth
Military Service Completed Not Completed
Marital Status Married Single Widowed
Number of Children

Adress
Telephone
Mobile Phone
E-mail

Education Status

Status of Working (Work Experience)
1
Name of Employer
Address
Date of Entrance  /   / 
Reason of Exit  /   / 
Occupation
Salary
Reason of Exit
2
Name of Employer
Address
Date of Entrance  /   / 
Date of Exit  /   / 
Occupation
Salary
Reason of Exit
3
Name of Employer
Address
Date of Entrance  /   / 
Date of Exit  /   / 
Occupation
Salary
Reason of Exit
4
Name of Employer
Address
Date of Entrance  /   / 
Date of Exit  /   / 
Occupation
Salary
Reason of Exit

Do You Have Permanent Injury? Do You Have Permanent Disease? Do You Have Criminal Record? Do You Smoke?
Yes No Yes No Yes No Yes No

References (Except of Relatives)
Full Name Adresss Telephone

Which position do you interested in?
Your salary expectation
Could you available for night shift? Yes No
Could you available for over work? Yes No
Do you have any reference who works in our company? Yes No
Have you ever applied a job to our company? Yes No

I hereby declare that my statements in this work requisition are correct. I declare that I accept in advance without claiming any right and compensation that Sera Clothing would put an end to my work in the event that it transpires that they are wrong.


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