Bangkok Pattaya Hospital - Thailand : The International Standard Award Winning Hospital by the Sea , thailand hospital, thai health, medical tourism

Apply for	Position1 :
	Position2 :
	Position3 :

1. Personal Data
เลขที่บัตรประชาชน (Citizen ID):

Apply Date:

When can you start working? *

!!! Please input the date format into yyyy/mm/dd only Exp. 2005/5/16. Another format cannot accept.

Full Name English :	Name Thai :
Birth Date : Age :	Sex : Male Female
Birth Place :
Nationality :	Race :
Religion :	Marital Status:

Weight : Kgs. Height : Cms.
Home Address : Phone :
Mailling Address :
Phone1 : Phone2 : Mobile1 : Mobile2 : E-mail:
Other Panel
Citizenship/ Passport Data
Country:
Passport NO.:
	Issue Date:	Expiration Date:
Issue Country:
	State:	City:

2. Education (2 highest levels)

Degree	Year Earned	GPA	Major	School

3. Skill

Skill Name	Year Acquired	Proficiency Level (High/Medium/Low)	Year Last Used

4. Training

Training Course Title	School Name	Course Date

5. Language (Non-Native Language)

Language	Speak	Read	Write	Able to translate	Native



	Typing
English:			Remark:
Thai			Remark:

6. Licenses and Certifications

License/Certificate

Issue Date

Coutry Issue

License No.

Issue by

Expiration Date

7. Prior Work Experience

1. Employer :

City: Country : Phone :

Start date : End date :

Ending Job Title : Ending Pay Rate(Monthly) :

Reason for leaving:

2. Employer :

City: Country : Phone :

Start date : End date :

Ending Job Title : Ending Pay Rate(Monthly) :

Reason for leaving:

8. Reference

1. Reference Name : Employer :

Job Title : Phone :

2. Reference Name : Employer :

Job Title : Phone :

9. Application Data

Minimum Acceptable Pay Rate : (monthly rate): (Baht)

Willing to Travel Willing to Relocate

Relative in Company Previous Employed by Company

Status of Employee : Full time Part time