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--------------------------- WORK REQUEST FORM
IMPORTANT INFORMATION Please fill all the spaces completely in this e-request form. Filling this form will make no commitment for the name of our enterprise. The time period spent for evaluating the applications is 1 year. The applications exceeding this time period will not be evaluated. -------------------------------- ----PERSONAL INFORMATION				Photograph

	Name / Surname	*	Sex :	*
	Birth Place and Date	*	Nationality :	*
	E-mail Address		Blood Type :
	Physical Address	*	Related Person’s Telephone Numbers by which we can connect with you :

	House Phone No	* Mobile phone 1 : Mobile phone 2 : Adress :
	Marital Status	*If there is, the number and ages of children :
	Father’s Name and job	Mother’s Name and job :
	Spouse’s Name and job	If she is working, her job address : :

EDUCATION STATUS

Completed Educational Institute	Its Name and Location	Department	Beginning Date	Completion Date	Graduation Degree
Primary School
Secondary School
High School
Technical High School
Univrsity
Master
Doctorate / Subject

WORK EXPERIENCE

INFORMATION OF FOREIGN LANGUAGE

INFORMATION OF COMPUTER

COURSES AND SEMINARS TO WHICH YOU HAVE ATTENDED IN RELATION TO YOUR PROFESSION OR SPECIAL EXPERTISE FIELD

The Name of The Course or Seminar	The Institution Which give the Course or Seminar	The Subject of Course or Seminar	Its Place	Its Duration

REFERANCE INFORMATION

Name / Surname	The Company which he/she works in	His/Her Title (Duty)	Office Phone	Mobile Phone

OTHER INFORMATIONS

STATUS OF MILITARY SERVICE	DRIVING LICENCE---------- CLASS	Do you smoke?	Is there any difficulty for ?	Do you drink alcohol?

Is there any significant illness do you have ? If there is, please define .	Do you have any physical handicap? If there is, please state its degree.

Do you have any compulsory duty in an other institution?	Do you have a conviction record? If you have, state its reason.

Please state the magazines/journals or broadcasts which you follow as in relation to your profession.

What are your cultural, social and sportive activities?		Your body height ?
Do you accept a duty being away from your physical address ?		Your weight ?
Can you perform extra jobs in case of need ?		Your Shoe Number ?
Associations or clubs of which you are a member?		Your Size ?

THE FIELD WHERE YOU WANT TO PERFORM

lease state what kind of work demand or preference you have.	Monthly Net Salary you demand :		Yearly Net :
	Monthly Net Salary you have received in your latest job :		Yearly Net :

Bera Human Resources-2008 Allright Reserved

Please control all the spaces before sending your information.