Application Vejthani Hospital aims to provide excellent medical services. 1 2 3 Position Application Expected SalaryStarting Date Date Format: MM slash DD slash YYYY 1. PERSONAL DETEAILSName-Surname (Mr./Mrs./Miss) Name Surname NicknamePresent Address Address Address Line 2CityState / ProvinceZIP / Postal CodePermanent Address Same Present Address Address Address Line 2CityState / ProvinceZIP / Postal CodeTelephone HomeMobile PhoneE-mail Place of BirthRaceNationalityReligionIdentification Card NoIssued atExpiry Date Date Format: MM slash DD slash YYYY Date of Birth Date Format: MM slash DD slash YYYY AgeSexWeightHeightMilitary StatusExemptedNon ExemptedTerritorial Degree StudentDate Entered ServiceIn case of emergency please contactName-Surname Name Surname Address/Workplace Address Address Line 2 City State / Province ZIP / Postal Code RelationsTelephone2. FAMILY DETAILSMarital StatusSingleMarriedDivorcedWidowedFather-Name-SurnameFather-AgeFather-Occupation/PositionFather-Address/Office AddressFather-TelephoneMother-Name-SurnameMother-AgeMother-Occupation/PositionMother-Address/Office AddressMother-TelephoneSpouse-Name-SurnameSpouse-AgeSpouse-Occupation/PositionSpouse-Address/Office AddressSpouse-Telephone Family DetailsName-SurnameAgeOccupation/PositionAddress/Office AddressTelephone Father Mother Spouse Do you have any brothers and sisters?YesNoHow many brothers and sistersYou are numberbrothers and sisters1-Name-Surnamebrothers and sisters1-Agebrothers and sisters1-Occupation/Positionbrothers and sisters1-Address/Office Addressbrothers and sisters1-Telephonebrothers and sisters2-Name-Surnamebrothers and sisters2-Agebrothers and sisters2-Occupation/Positionbrothers and sisters2-Address/Office Addressbrothers and sisters2-Telephonebrothers and sisters3-Name-Surnamebrothers and sisters3-Agebrothers and sisters3-Occupation/Positionbrothers and sisters3-Address/Office Addressbrothers and sisters3-Telephonebrothers and sisters4-Name-Surnamebrothers and sisters4-Agebrothers and sisters4-Occupation/Positionbrothers and sisters4-Address/Office Addressbrothers and sisters4-Telephone Number of ChildrenName-SurnameAgeOccupation/PositionAddress/Office AddressTelephone 1 2 3 4 Have childrenYesNoNumber of ChildrenChildren1-Name-SurnameChildren1-AgeChildren1-Occupation/PositionChildren1-Address/Office AddressChildren1-TelephoneChildren2-Name-SurnameChildren2-AgeChildren2-Occupation/PositionChildren2-Address/Office AddressChildren2-Telephone Number of ChildrenName-Surname AgeOccupation/PositionAddress/Office AddressTelephone 1 2 3. EDUCATION BACKGROUNDMaster Degree-Institute/DistrictMaster Degree-Degree/CertificateMaster Degree-Faculty/MajorMaster Degree-GraduatedMaster Degree-GPABachelor Degree-Institute/DistrictBachelor Degree-Degree/CertificateBachelor Degree-Faculty/MajorBachelor Degree-GraduatedBachelor Degree-GPADiploma/Higher Vocational-Institute/DistrictDiploma/Higher Vocational-Degree/CertificateDiploma/Higher Vocational-Faculty/MajorDiploma/Higher Vocational-GraduatedDiploma/Higher Vocational-GPAHigh School/Vocational-Institute/DistrictHigh School/Vocational-Degree/CertificateHigh School/Vocational-Faculty/MajorHigh School/Vocational-GraduatedHigh School/Vocational-GPAOther-Institute/DistrictOther-Degree/CertificateOther-Faculty/MajorOther-GraduatedOther-GPA LevelInstitute/DistrictDegree/CertificateFaculty/MajorGraduatedGPA Master Degree Bachelor Degree Diploma/Higher Vocational High School/Vocational Other Extra curriculum activitiesAre you continuing your studies?NoYes (Explain)4. JOB TRAINING/INSPECTION/APPRENTICESHIP/CERTIFICATE1. job-training-Course1.job-training-Institute1.job-training-Degree/Certificate1.job-training-Period1.job-training-Year2.job-training-Course2.job-training-Institute2.job-training-Degree/Certificate2.job-training-Period2.job-training-Year3.job-training-Course3.job-training-Institute3.job-training-Degree/Certificate3.job-training-Period3.job-training-Year CourseInstituteDegree/CertificatePeriodYear 5. Present / previous employment1.Present / previous employment-from Date Format: MM slash DD slash YYYY 1.Present / previous employment-to Date Format: MM slash DD slash YYYY 1.Name & Address Company1.Position & Brief Responsibility1.Salary1.Reason for Leaving2.Present / previous employment-from Date Format: MM slash DD slash YYYY 2.Present / previous employment-to Date Format: MM slash DD slash YYYY 2.Name & Address Company2.Position & Brief Responsibility2.Salary2.Reason for Leaving3.Present / previous employment-from Date Format: MM slash DD slash YYYY 3.Present / previous employment-to Date Format: MM slash DD slash YYYY 3.Name & Address Company3.Position & Brief Responsibility3.Salary3.Reason for Leaving YearName & Address CompanyPosition & Brief ResponsibilitySalaryReason for Leaving FromTo 6. SPECIAL ABILITIESComputer AbilityProgramTyping (W/M)ThaiEnglishOther QualificationsDrive CarYesNoOwn a carYesNoDriving LicenseYesNoRide MotorcycleYesNoOwn a motorcycleYesNoDriving LicenseYesNoLanguage Abilities English Other Language Test or Certificate to be received. TOEFL/TOEIC GRE/GMAT Other Language EnglishListeningExc.GoodFairSpeakingExc.GoodFairReadingExc.GoodFairWritingExc.GoodFairOtherLanguageListeningExc.GoodFairSpeakingExc.GoodFairReadingExc.GoodFairWritingExc.GoodFairTOEFL/TOEICScoredReceived Date Date Format: MM slash DD slash YYYY GRE/GMATScoredReceived Date Date Format: MM slash DD slash YYYY OtherScoredReceived Date Date Format: MM slash DD slash YYYY 7. GENERAL DATA1. Have you ever been seriously ill or contacted with contagious disease?NoYes (explain)explain2. Any physical disability or handicap3. Have you ever been arrested, takes custody, help for investigation or questioning or charged by any law enforcement authority?NoYes (reason)reason4. Have you ever been discharged from employment for any reason?NoYes(reason)reason5. Have you any friend or relative employed here?NoYes (Specify)Specify6. Where did you hear of our vacancy?WebsiteWalk inPersonal RecommendationOthersOthers7. What are your hobbies or interests?Upload ResumeAccepted file types: pdf, doc, docx, png, jpg.Upload PictureAccepted file types: jpg, png, gif.Term and Conditions*I certify that my answers or evidences are true. I understand that any incorrect, incomplete, or false statement of information furnished by me will be considered as just cause for rejection of this application or dismissal from employment without advance notice or any compensation of severance pay whatsoever. (Thailand’s Personal Data Protection Act – PDPA) I consent to the company Use and disclose the above personal information for job application purposes only. Complies with Thailand's Personal Data Protection Act (PDPA) or other relevant laws / regulations. I agree to the Term and Conditions.
