attach 7 application-staff up-30.dec.11

7/27/2019 Attach 7 Application-Staff Up-30.Dec.11

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Employment Application Formn Xin Vic

A. Recruitment Information ( Thng tin tuyn dng)Applied Position :V tr xin tuyn

How many days do youneed us to inform prior to

start of work?(Bn cn baonhiu ngy thng bo trc khibt u i lm)

1week (01 tun) 2Week (02 tun)

3Week (03 tun) 4Week (04 tun) 6Week (06 tun)

Expectation salary in VND:Mc lng mong mun: Ti thiu la:

B.Personal Information (Thng tin c nhn)

Full name(H v tn)

Personal Tax Code(Ms thu c nhn)

SI Book No.(S s BHXH)

Date ofBirth(Ngy sinh)

Gender(Gii tnh) Race(Dn tc) Religion(Tn giao)

ID No. / PassportNo.(S CMTND/Hchiu)

Issued date(Ngy cp) Issued place(Ni cp)

Health status(Tnh trng sc kho)

Very good (Rt tt)

Good(Tt)

Normal(B.thng)

Height (cm) (Chiu cao) Weight (Kg) (Cn nng)

Marriage Status(Tnh trng hn nhn)

Single(c thn) Married( lp gia nh) Divorced ( Ly hn)

No. of Child ( S con):. Childs age (Tui cua con)..

Address(a ch)

Permanent (H khu thng tr):

Temporary (a ch tm tr)

Contact infor:(Thng tin lin lc cnhn)

Home tel.:(in thoi nh)

Mobile:(in thoi di dng)

E-mail:(ia chi th in t)

Emergency contact(Lin lc khi khn cp)

Name(H & tn): ..

Tel.(in thoi) Mobile No.

C. Housing Information( Thng tin Ni - hy nh du X vo mc thch h p)

With parents house ( cung nha vi cha, me)

With relatives house ( cung nha vi hohang)

Own house ( nha ring t lp)

Rental House ( nha thu):

Alone ( mt minh) With relatives ( cung vi ho hang)

With Friends ( vi ban) With co-worker( cung ngnghip)

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Photo(4x 6)

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D. Family Information (thng tin v Gia nh ghi y v b, me , v.chng v anh ch em rut)RelationshipMi quan h

Full nameHo v tn

AgeTui

CareerNgh nghi p

Company/Unit nameTn c quan n vi lm vic

E. Qualification / Training Information (Thng tin trnh v o to)

For Graduate Candidate

(Dnh cho ng vin tt nghip )

For Not graduate yet Candidate

(Dnh cho ng vin cha tt nghip)

Graduation level(Tt nghip loi)

Excellent (Gii) Good (Kh) Fair(Trung bnh) N.A ( Khng xp hang)

Average score of years study?(im trung bnh ca cc k hc)

When will you graduate?(Khi no bn tt nghip)

Period(Thi gian) School name

(Tn trng)Major

(Chuyn mn)Obtained level

(Trnh )From (T) To (n)

F. Training course (o to chuyn mn/ chng ch)

Period(Thi gian) Training course name(Tn kho hc)

Main content(Ni dung chnh)

Organized by(T chc bi)

From (T) To (n)

G. Employment History(Qu trnh cng tc ch ghi ti a 5 cng ty gn y nht)

Period(Thi gian) Company name(Tn cng ty)

Job title(Chc v)

Reason for leaving(Ly do ngh vicl)From (T) To (n)

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H. Job description for any title that you keep over 1 year and above( M ta chc nng nhimvu cac vi tr cng vic m ban am nhim lin tuc t 1 nm tr ln):Period(Thi gian) Job title/Position

(Chc v)Main Roles & Responsibility( Vai tro v trach nhim chnh)From (T) To (n)

I. Reference Information(Thng tin tham kho)

Hobbies(S thch)

Characters(Tnh cch)

Pls. mention full name of any your friend/relative at SEVand their contact tel. ( (Hy vit tn ban bn v ngi thn anglm vic ti SEV vo y.)

Pls. mention full name of any your friend/relative at SDIVand their contact tel. ( (Hy vit tn ban bn v ngi thn anglm vic ti SDIV vo y.)

Where did you find ourrecruitment information?(T u m bn bit thng tin tuyndng ca chng ti?)

Friends whore working at Company(Bn b ang lm vic ti cng ty)

Samsung information internal board

(Bng tin ca cng ty)

Local labor office (C quan lao ng a phng)

Local broadcasting (H thng pht thanh ti a phng)

Leaflet / poster (T ri hoc thng bo tuyn dng)

Recruitment Webs with free of charge (Cc trang tuyn dng)

Vietnamworks with fees (Trang tuyn dng ca Vietnamworks)

Advertisement on Newspapers/TV/Radio(Qung co trn bo/i, tivi)

Advertisement on TV(Qung co trn truy n hnh)

Other(Khc)

The main reason you want to join Samsung Company?Ly do chnh m bn mun n p h s d tuyn ti Cng ty Samsung?

Current basic salary in VND:( Lng c ban)Skill allowance:(Phu cp ky nng)Transsport-allowance:( Phu cp i lai)

Current position salary/allowance:(Lng hoc phu cp chc vu hin tai)Language allowance:(Phu cp ngoai ng)Housing allowance:(Phu cp nh )

I hereby declare that the information given by me in this form is correct and true to the best of my knowledge. I trulyunderstand and accept any disciplinary measure if the false declaration.(Ti xin xc nhn thng tin nu trn y l hon ton xc thc. Ti xin hon ton chu trch nhim v k lut nu khai bo sai)

__________________________________ Date (Ngy):_____________Applicants signature & name (K v ghi r tn)

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J. Screening interview byHR Department ( Hang muc phong vn cua phong Nhn s)Criteria C B- B B+ A Comments

1. Apprerance 1 2 3 4 5

2. Education adequate 1 2 3 4 5

3. Occupational experience 1 2 3 4 5

4. English language skills 1 2 3 4 5

5. Special skills/achievements 1 2 3 4 5

6. UK Test score or other test 1 2 3 4 5

7. Technical knowledge test 1 2 3 4 5

8. Interpersonal skills 1 2 3 4 5

9. Communication skills 1 2 3 4 5

10. Personality 1 2 3 4 5

11. Career orientation ( Business mind) 1 2 3 4 5

12. Ability to train 1 2 3 4 5

13. Recruitment source 1 2 3 4 5

14. Location advantage 1 2 3 4 5

15. Interest in the job 1 2 3 4 5

16. Interest in the Company 1 2 3 4 5

17. Fit with the required job 1 2 3 4 5

18. Fit with the Companys culture 1 2 3 4 5

Overall commentsGrade:

Additional Notes:

Recommendation: Recuit 2nd interview Reserve/KIV Reject

Position offered: ---------------------------------- Grade offered: ----------------------------------

1st

Interviewd by: ------------------------------- Signature ---------------------------- Date -----------------

H. Final record by C&B section (HR Dept) before signing labour contract:

Unit: VND

No Basic salary Competencesalary

Title/positionallowance

Languageallowance

Transportallowance

Housingallowance

Other

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Prepared by HR staff Certified by HR part leader Approved by HR Dept.Head

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attach 7 application-staff up-30.dec.11

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