APLICATION FORM FOR FOCUS FIT

JOB TITLE
PHOTO 3x4

I. IDENTITY PLEASE FULL FILLED

FULL NAME MALE FEMALE

PLACE, DATE OF BIRTH RELIGION

ID NUMBER TAX NUMBER

HEIGHT cm WEIGHT kg BLOOD TYPE
STATUS SINGLE MARRIAGE DIVORCE SEPARED
PHONE NUMBER /HP
ADDRESS

II. FAMILY BACKGROUND

JOB TITLE
IN THE FAMILY FULL NAME M/F AGE EDUCATION
COMPANY POSITION
FATHER
MOTHER
BROTHER/ SISTER - INCLUDE YOUR SELF
FIRST CHILD
SECOND CHILD

THIRD CHILD
FOURTH CHILD
FIFTH CHILD
SPECIAL FOR THE MARRIED
HUSBAND/WIFE
FIRST CHILD
SECOND CHILD

THIRD CHILD

III. EDUCATION BACKGROUND

YEAR
EDUCATION NAME CITY FACULTY
FROM/UNTIL
PRIMARY SCHOOL
JUNIOR HIGH
SCHOOL
SENIOR HIGH
SCHOOL
COLLEGE

1 5
2 6
TRAINING
3 7
4 8
IV. WORK HISTORY
1. COMPANY NAME: TYPE OF BUSINESS:
COMPANY ADDRESS: PHONE:
JOB TITLE:
REPORT TO: DIRECTOR NAME
PERIOD: TOTAL SALARY
REASON OF LEAVING

1. COMPANY NAME: TYPE OF BUSINESS:

COMPANY ADDRESS: PHONE:
JOB TITLE:
REPORT TO: DIRECTOR NAME
PERIOD: TOTAL SALARY
REASON OF LEAVING
ORGANIZATIONAL STRUCTURE

RELATION who CAN CONTACT

NAME RELATION PHONE NUMBER JOB TITLE

MARK CROSS TO GIVE THE APPROPRIATE BOXES YES NO EXPLANATION

FRIENDS/FAMILY WHO WORKING IN THIS COMPANY
DEALING WITH POLICE EVER
ILL HARD / ACCIDENT, WHEN?

WORK IN THE FIELD OF FITNESS (IF YES, SPECIFY)

I HEREBY DECLARE THAT I GIVE THE ABOVE INFORMATION IS TRUE. WHEN I WOULD TURN OUT THERE untruth LIABLE
FOR ANY PUNITIVE.

PLACE:________________DATE:__________________

SIGNATURE -->

FULL NAME:___________________________________