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Name Surname
:
Gender
:
Male
Famale
Place of Birth
:
Date of Birth
:
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
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25
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29
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31
Mount
01
02
03
04
05
06
07
08
09
10
11
12
Year
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
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1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
Nationality
:
Civil Status
:
Married
Single
Number of Children
:
Home Phone
:
Cellular Phone
:
Email Address
:
In the City
:
Military Service
:
Done
-
Postponed
-
Free
Education
:
Select
Primary School
Junior High School
High School
University
Master's Degree
Doctorate
Schools (Please indicate respectively.)
:
Foreign Language
:
No
Little
Medium
Good
Very Good
No
Little
Medium
Good
Very Good
No
Little
Medium
Good
Very Good
No
Little
Medium
Good
Very Good
Courses and Certifications
:
Work Experience
:
Business Name
Process
Job
Reason for Departure
0-1 Mounth
1-6 Mounth
6-12 Mounth
1-3 Year
3-10 Year
0-1 Mounth
1-6 Mounth
6-12 Mounth
1-3 Year
3-10 Year
0-1 Mounth
1-6 Mounth
6-12 Mounth
1-3 Year
3-10 Year
Computer Programs
:
Did you have a serious medical condition? What is the situation?
:
Do you have disability? What is the situation?
:
Recourse Position
:
Requested Fee
:
Your Note
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