1 Employment Application Name: （In English and Chinese or Christian or Other Name ）Address: (Telephone No: Office) （Res.）Position Desired Salary Expected Second Choice When will your be available PERSONAL INFORMATION Date of birth:(D/M/YR) Age: Place of birth: Sex: Weight: Height: Native province: ID. Card No. Passport No. Nationality: Marital Status: Single Married Widowed Separated Divorced Name of Spouse His/ Her Occupation Salary Children （ fill in year of birth ）(D/M/YR) In case of emergency notify: Name Relation Tel. No. Address Relatives: Father, Mother, Brother and Sister. Name Relationship Occupation Address＆ phone Mark with anYES NO Have you ever been discharged form employment because you conduct and work was not satisfactory? Did you receive any other income such as retirement pay compensation for injuries, etc? Have you ever been arrested and convicted of a crime? May we ask your present employer regarding your qualifications and character? PRACTICAL EXPERIENCE State briefly your practical experiences which you think you’ d be of use to this Company.SKILLS ＆ ABILITIES Mark with []to each of the following in which you are experienced or trained. accounting telex filing system auditing electric typewriter w/m cashier data processing manual typewriter w/m computer system short hand w/m other EMPLOYMENT RECORD Recent PhotoM F 2 List Names of Previous Employers (Show present employer first) Period JOB Title Starting Monthly Salary Last Monthly Salary Reason For Leaving Do you now have or have you ever had any of the following ailments? Yes No I f yes, indicate which High blood pressure Back injury Ulcers Arthritis or Rheumatism Nervous disorders Diabetes Heart trouble Tuberculosis Other Have you ever had serious injury or surgical operation? If yes, please describe briefly: LANGUAGES Mark with anUnderstanding Speaking Reading Writing Good Fair Little Good Fair Little Good Fair Little Good Fair Little Cantonese Mandarin English Japanese Other EDUCATIONAL RECORD School Month/year Month/year Degree/ certificate High School ＆ Form attended University Others Other countries you have lived in or visited for more than one month From To City Country Personal References do not include relatives or former employers. Name Occupation Length of Acquaintance Complete Address Tel. No. PRE EMPLOYMENT STATEMENT I certify that to the best of my knowledge, the foregoing statements and medical history information given by merely true and correct. I understand that if I am Employed, any misrepresentation or omission by me herein will be sufficient cause for dismissal form the service of the Company. I also authorize any investigation of the above information for purposes of verification. I consent to taking any pre-employment physical examination required by the Company and such future physical examinations as may be required by the Company. Signature of applicant Date
