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Etos Human Resources Asia

22 B , 22 Floor Payathai Plaza Payathai Rd, Payathai Ratchatewee Bangkok Thailand Te/: +6622146345/ Fax: +662 214 6346 etos.hr.asia@gmail.com

PERSONALBIO-DATA 1. Personal data Name Family Address

Code Possition

11A fU

t;>

5J A

Surname

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HA b DcS C- A R.,b 11N1 R.. CA


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5"_ ;?Ol

2AK~OA~&~

PHILlPP1NeC;

Passport Picture

Height Age

5 ':L

Cm

Weight

5'-4

Kg

4~

Birth Date 0.2.. - ()<f -

&

Religion

C--A trf (/ L I C/
e-D No.of Children 4
Sisters~

Marrital Status fv{p<r2,IV No. of brothers~No.of

You are,the No._' _ in the family Education Level (mark ">I")


~Iementary school o Vocational study &"High school DUniv. graduate

~ollege course Special skills '-------------------------------Language spoken

i A C; Pt, 1-.0 f..p! B N tR Lt ~ l1

PA

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g; R

2. Local Employment Background Employer Location Position Duration Reason for leaving

(!>Klc.
3. Haveyou worked overseas before? If so, where? fJ 0 First Foreign Employer: Country ContactNo.orAddress: Reasonforleaving: Main job responsibiIHies: Length of service: years From To _ _ _ _ _

r
I

'"

Code

Second Foreign Employer: Country Contact No. or Address: Reason for leaving: Main job responsibilities: Length of service: years From To

4 Do you have experience in the possition desired? If yes detail please:

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AN~I~ f-l1A

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.2001:[

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eo i -.:L D o

WA/

rfte;s-C::, ,

Iq q.1-

~:",. Do you have any relatives or friends in the country you wish to work? If yes detail please. 5

,,-to

DECLARATION BY APPLICANT I hereby confirm that all information and answers given are true and correct and that any deliberate falsification of information may result in my being repatriated back to country of origin at my expense.

oateOtJ./

.20

.20(0

Signature

Comments from Agency: English speaking: Other comments:

b DOt>
Goo'b

M4t6

Special skills: -HD"S.fi-\.~Q

E~EGq'e!vC

I CAN

l'Jo Si'Nf)(e- ('~Jf.

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Date Applied

2<0 ' '2... ) () .

Agency Signature

J1i
:-

Date Submited

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