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Human Resources Application Form ::: Communication Information ::: First Name Last Name Correspondence Address City Postal Code Home Phone Work Phone Mobile Phone E-mail Address Personal Information ::: Birth Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 Sex Mr Mrs Do you have driving licence? Yes No Web Address The Country and the City you are living now Country City Country City What kind of methods do you prefer to be contacted by LTB Jeans? E-mail Phone Post Educational Information ::: Educational Status Select High School University Master's Degree PhD Graduated University University Graduation Year (ex. 1990) Department that is studied at university Master's Degree University Department that is studied at Master's Degree Foreign Languages that you have learned 1. 2. 3. Career Information ::: Positions that you are interested in Experience Select 0-1 Year 2-5 Years 6-10 Years 11+ Years Company that you had worked before Period of Time (ex. 1995 - 1998) Position City Company that you had worked before Period of Time (ex. 1995 - 1998) Position City Company that you had worked before Period of Time (ex. 1995 - 1998) Position City Computer Knowledge The earliest date that you can start working Net salary that you request Month : Year : Any person who will give information about you / phone

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