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Employment Application: Asian Disaster Preparedness Center

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EMPLOYMENT APPLICATION ASIAN DISASTER PREPAREDNESS CENTER

979/69 SM Tower 24th Floor, Paholyothin Rd., Samsen Nai,


Phayathai,Bangkok, Thailand 10900
Email: adpc@adpc.net Website: http://www.adpc.net
DATE of APPLICATION: ____________________

PERSONAL INFORMATION

Name: Nationality:

Date of Birth: Age: Sex:

Marital Status: Thai I.D. No. / Passport No.:

Permanent Address: Contact Address:

Tel. No.: Tel. No.: Mobile No.:

Fax No.: Fax No.: E-mail:

POSITION

Position Applying for: Expected Salary:


Source of
Date available: Information for this
Post:

BACKGROUND AND EXPERIENCES

A) EDUCATION

Name of School and Location Major Subjects Start - Complete Date Type of Degree

B) TRAINING / WORKSHOP / SEMINAR ATTENDED


Name Venue Date

C) PROFESSIONAL ORGANIZATIONS, ASSOCIATIONS, HONORS, CERTIFICATIONS, PROFESSIONAL LICENSES AND PUBLICATIONS

D) EMPLOYMENT HISTORY

Employer's Name & Address Position & Responsibilities Duration (from/to) Monthly Salary Reason of Leaving

E) CONSULTANCY HISTORY

Client’s Name Client’s Address Types of Services Countries Covered Dates (From – To) Daily Rate (US$)
Performed
F) COUNTRIES OF EXPERIENCE

(Name of Country & No. of Weeks / Months / Years in Country)


1 4 7

2 5 8

3 6 9

OTHER INFORMATION

SKILLS & INTERESTS


COMPUTER KNOWLEDGE

LANGUAGE ABILITY

Speak Read Write


Language
Fair Good Excellent Fair Good Excellent Fair Good Excellent

REFERENCES

Name Contact Address Tel. No.: Fax No.: Email:

I certify that all the above given information in my application is true, complete and correct. I understand that if I
have misrepresented, given any false statement or deliberately hidden or withheld any required information or
facts on this application and been subsequently offered a job or employed, it will be grounds for the withdrawal
of any offer of appointment or immediate termination of my employment with ADPC. I further authorize ADPC
to check all personal and employment references and to verify all information I have provided in this
application.

Signature : _____________________________

Applicant's Name : _____________________________

Date : _____________________________

Please ensure that the following documents are enclosed


 Resume
 Photo
 Application Letter
 Copy of Diploma(s) and Certificate(s)

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