APPLICATION
FORM
INSTRUCTIONS
Please answer each question clearly and completely. Read carefully and follow all directions. Only the information provided in this
form will be considered. TYPE OR PRINT IN INK.
POSITION APPLIED FOR (or preferred field of work):
1.
PERSONAL DATA
2.
3.
Family Name
4.
First & Middle Name
5.
6.
Date of Birth (dd/mm/yyyy)
9.
Maiden Name, if any
8.
7.
Place of Birth
10.
Nationality at Birth
Marital Status
Gender
11.
Present Nationality
Second Nationality, if any
CONTACT INFORMATION
12
.
13.
Permanent Address (Street, City, Country)
Current Home Telephone No.
14
.
15.
Present Address (Street, City, Country)
Work Telephone No.
16
.
17.
E-Mail Address
18.
Mobile Telephone No.
EDUCATION - Give exact names of institutions and titles of degrees above secondary school, as they appear in the diploma(s). Please do not
translate or equate to other degrees.
Month/Year attended
from
to
Degrees and Academic Distinctions
Main Course of Study
Name, Place and Country
Please indicate if any of the studies specified above was not finished or is in progress and give reasons for any overlaps of study periods. If you wish,
provide any other information regarding your education that you consider relevant:
18.
EDUCATION - Give exact names of institutions and titles of degrees above secondary school, as they appear in the diploma(s). Please do not
translate or equate to other degrees.
Month/Year attended
from
19.
to
Degrees and Academic Distinctions
Main Course of Study
Name, Place and Country
EMPLOYMENT RECORD - Starting with your most recent post, list in reverse order every appointment you have had. Use a separate block for
each post. Include also service in the armed forces and note any period during which you were not gainfully employed. If you need more space,
attach additional pages of the same size.
From (mm/yyyy)
To (mm/yyyy)
Total
Year(s)
Month(s)
Exact title of your post:
Type of business:
Name of employer:
Name and title of supervisor:
Have you any objections to our making enquiries of your employer?
Number and kind of employees supervised by you:
Reason for leaving:
Total annual net income (after deduction of tax):
DESCRIPTION OF YOUR DUTIES:
20.
If you have had more jobs, please describe them below. Please indicate the total number of years and months of each employment.
21.
DEPENDENTS OR NEXT OF KIN - If you have dependents give the following information:
Name
Date of Birth
(Year/Month/Day)
Relationship
Age
If you wish, provide any other information regarding your dependants that you consider relevant:
Status (studying, working, etc.)
22.
KNOWLEDGE OF LANGUAGES:
What is your mother tongue?
Please specify other languages you know and indicate your level of knowledge by using the following keys: LIMITED (LIM) = Limited conversation, reading
of newspapers, routine correspondence. WORKING KNOWLEDGE (WK) = Engage freely in discussions, read and write more complex material. FLUENT
(FL) = Speak, read and write nearly as well as mother tongue.
No.
1.
Language
Speak
Read
Write
2.
3.
4.
23
.
COMPUTER SKILLS
Please indicate and comment on your computer knowledge in the areas listed below. When indicating your level of knowledge, use the following keys:
FAIR = limited experience. WORKING KNOWLEDGE = regular use of the software and ability to apply it to meet the requirements of the job. PROFICIENT
= advanced user; able to perform complex tasks. If you have no knowledge of any area, leave the corresponding field blank.
Word Processing:
Spreadsheets:
Presentation/Desktop publishing:
Databases:
Internet:
E-Mail/Communication:
Programming:
Other software:
Computer hardware/Special equipment:
24
.
MISCELLANEOUS
Have you taken up legal permanent residence status in any country other than that of your
nationality?
Have you taken any legal steps towards changing your present nationality?
If the answer to either question is yes, explain fully:
Have you ever been arrested, indicted or summoned into court as a defendant in a criminal proceeding or convicted, fined or imprisoned for the violation
of any law (excluding minor traffic violations)?
If yes, give full particulars of each case in an attached statement.
Where did you learn about job opportunities at OPEL?
25
.
WORK CONDITIONS
Have you previously worked for any OPEL
Auto Sales Dealer?
If so, when?
Have you previously submitted an application for employment with any OPEL
Auto Sales Dealer?
If so, when?
26
.
Do you know anyone in OPEL?
If the answer is yes, give the following information:
Name
27.
Position
Relationship
REFERENCES - List three persons, not related to you, who are familiar with your character and qualifications. DO NOT repeat names of
supervisors listed in the employment record.
Full name
e-mail address
Business or occupation
28.
IMPORTANT - Please provide any other information that you consider important for the evaluation of your candidature:
32.
I certify that the statement made by me in answer to the foregoing questions is true, complete and correct to the best of my knowledge and belief.
Date:
Signed
Name:
