| Application as* |
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| 1. Personal Information: |
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| Family name* (also name of birth) |
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| First name(s)* |
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| Practiced profession |
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| Day of Birth* |
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| Place of Birth |
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| Nationality* |
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| Home address: |
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| Street and number* |
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| Zip-Code* |
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| City* |
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| Country* |
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| Personal status* |
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| Children, Number* |
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| Is Your partner working |
No Yes |
| If yes: practiced profession |
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| 2. Educations und Trainings*: |
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| School- Apprenticeship- and other important Trainings |
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| 3. Profesional activities* (complete datas necessary) |
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| Please list also your military-service and civil-service duty, sabatel-times and times of unemployment. |
If the place is not sufficient, please use the field "Others" at the end of the formular. |
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| Do you have an out-side job?* |
Yes No
If yes, which?
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| 4. Additional capabilities and knowledges* |
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Expirience
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| Computer knowledge (Office application, grafic, CAD, programming languages etc.)* |
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| Further skills, capabilities, knowledges and interests |
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| Driving licences (multible choice with Strg)* |
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| 5. Healthiness* |
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| Are you ready to visit our company doctor? |
Yes No |
| Do you have any ostacles? |
Yes No
If yes: degree of obstacle:
Does you need any expedients on your work place and if yes, which?
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| For female applicants: Are you pregnant? |
Yes No |
| For youths (below 18): Have you visited a doctor with regards to your preffesional activity during the last 12 months ? |
Yes No |
| 6. Military and social services duty |
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| Do you have any military service or social service duty?* |
Yes No |
| Are you mustered? |
Yes No
If yes, with which result?
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| Did you get the induct into your military or social service or when do you expect it? |
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| 7. Others |
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| Your period of notice* |
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| Earliest entrance* |
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| Your salary intention (per hour, month or year in gross)* |
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| Your actuell salary: |
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| Do you have any restrain clause for competitor work?* |
Yes No |
| Do you have any restrain clause about your ideas and inventions? |
Yes No |
| Your references |
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| Your health insurance company? |
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| Are they any sue for a distraint?* |
Yes No |
| Your Phone number* |
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| Other notices;
other important points for you?
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