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Employment Application

|position applied for |

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|NAME |

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|father’s name |

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|DATE |

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|Applicant Information |

|City/Country of Birth | |

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|Present Address | |

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|Phone | |E-mail Address | |

|Age | |Date of Birth | |Citizenship | |

|Marital Status | | |

|(Single/Married/ | | |

|Widowed/Divorced) | | |

|) | | |

|education qualifications |

|Name of the Institute & Address |Year Of |Certificate/Diploma/Degree |

|(Start from high School) | | |

| |Entering |Leaving | |

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|NATIVE language |

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|other languages (*indicate “fair,” “good,” or “excellent” in each category for each language) |

|Language |Spoken |Read |Written |Understand |

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|computer skills |

|Computer Skills – word processing? |Please list all computer programs you are able to work on. |

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|YES / NO | |

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|Previous Employment (please list salary history for at least last three years) |

|Company | |Phone |( ) |

| | | |May we contact? YES/NO |

|Address | |Supervisor | |

|Job Title | |Starting Salary |(Gross) US$ | |(Gross) US$ |

| | | | |Ending Salary | |

| | | | |(Attach Supporting | |

| | | | |Documentation) | |

|Responsibilities | |

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|List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this |

|company. |

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|From | |To | |Reason for Leaving | |

|Previous Employment |

|Company | |Phone |( ) |

| | | |May we contact? YES/NO |

|Address | |Supervisor | |

|Job Title | |Starting Salary |(Gross) US$ | |(Gross) US$ |

| | | | |Ending Salary | |

| | | | |(Attach Supporting | |

| | | | |Documentation) | |

|Responsibilities | |

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|List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this |

|company. |

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|From | |To | |Reason for Leaving | |

|Previous Employment |

|Company | |Phone |( ) |

| | | |May we contact? YES/NO |

|Address | |Supervisor | |

|Job Title | |Starting Salary |(Gross) US$ | |(Gross) US$ |

| | | | |Ending Salary | |

| | | | |(Attach Supporting | |

| | | | |Documentation) | |

|Responsibilities | |

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|List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this |

|company. |

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|From | |To | |Reason for Leaving | |

|Previous Employment |

|Company | |Phone |( ) |

| | | |May we contact? YES/NO |

|Address | |Supervisor | |

|Job Title | |Starting Salary |(Gross) US$ | |(Gross) US$ |

| | | | |Ending Salary | |

| | | | |(Attach Supporting | |

| | | | |Documentation) | |

|Responsibilities | |

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|List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this |

|company. |

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|From | |To | |Reason for Leaving | |

|references (Please list three professional references.) |

|Full Name: | |

|Title and Company: | |

|Address: | |

|Telephone #: | |

|Email: | |

|Relationship to Applicant: | |

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|Full Name: | |

|Title and Company: | |

|Address: | |

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|Telephone #: | |

|Email: | |

|Relationship to Applicant: | |

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|Full Name: | |

|Title and Company: | |

|Address: | |

|Telephone #: | |

|Email: | |

|Relationship to Applicant: | |

|Other Information |

|Are you related/known to any of the present employees of VT? YES/NO |

|If yes, to whom? Describe relationship: |

|Have you ever been interviewed by VT before? If yes, give details. |

|If selected, how much time would you require to join? |

|Declaration: |

|I certify that the particulars mentioned in the application form are correct to the best of my knowledge and belief and in case any information is proved to|

|be factually incorrect, my services are liable to be terminated without assigning any reason or notice. |

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|Date: Signature: |

| for official use |

|Date Application Received on: CV included with application? Yes/No |

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|Received By (HR Representative Signature): References Contacted? Yes/No |

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|Interviewed By (Name and Signature): Salary Verified? Yes/No |

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Attach Photograph Taken Within Past 3 Months

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