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THE CONFIDENCE BUILDERS Address: 275 Commerce Drive, Winnipeg, MB R3P 1B3, Canada, Phone: +1(437) 800-4968. APPLICATION FOR EMPLOYMENT NATIONALITY DATE OF APPLICATION: PERSONAL INFORNATION Name: iret Las, Middle Permanent Address: Street capo, City/State ip Code Alternative Adress ‘stret City/State Zip Contact Information: Mobile Telephone E-mal Passport Detail Passport No, Issued Date Expiry ate, Sex Marital Status Date of Birth POSITION APPLIED Curently Employed’? ___StartingDatex_ EDUCATION Name Graduate?___Degree? ___Major/ Subjects of Study College or University Other Education Specialized Training HIGH SCHOOL PREVIOUS EXPERIENCE Please list beginning from most recent Dates Employed Company Name Location Role/Title Job notes, tasks performed and reasons for leaving INFORMATION TO THE APPLICANT As part of our procedure for processing your employment application, your personal and employment references may be check, If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may take a written request for information derived from the checking for your references. IPnecessary for employment, you may be required to provide your birth certificate or other proof of authentication to work in Canada, Thereby authorize the above listed employers and references to release information as to ‘my qualifications for employment at EWS Group of Companies LTD, ‘understand and agree to the information above. Applicant Signature:

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