Date of Birth: Select Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select Month January February March April May June July August September October November December Select Year 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 1986 1987 1088 1989 1990 Nationality : Religion :

Blood Group: Hight: Weight: Scars :

Place of Birth: Telephone: Mobile Phone: E-mail :

Present Address:

Permanent Address:

I.D Card No.:   Issued at:   Province:  Tax I.D Card No.:

Social Security Card No.: Living Status: Select... Own home Rent home Live with Family Live with Other Merital Status: Select... Single Married Divorced Widowed Separated

In case Married :  Registered  Non-Registered    Have your spouse had income?: Yes   No


Military Status: Exempt   Military Studies   Discharged   Other

Education

Employment

Skill in English and other languages

Thai:                                   Speaking:  Select Excellent Good Fair No    Listening:  Select Excellent Good Fair No      Reading:   Select Excellent Good Fair No    Writing:   Select Excellent Good Fair No

English:                               Speaking:  Select Excellent Good Fair No    Listening:  Select Excellent Good Fair No      Reading:   Select Excellent Good Fair No    Writing:   Select Excellent Good Fair No

Other: Speaking:  Select Excellent Good Fair No    Listening:  Select Excellent Good Fair No      Reading:   Select Excellent Good Fair No    Writing:   Select Excellent Good Fair No

           Speaking:  Select Excellent Good Fair No    Listening:  Select Excellent Good Fair No      Reading:   Select Excellent Good Fair No    Writing:   Select Excellent Good Fair No

           Speaking:  Select Excellent Good Fair No    Listening:  Select Excellent Good Fair No      Reading:   Select Excellent Good Fair No    Writing:   Select Excellent Good Fair No

Special knowlege

Typing     Photography     Facsimile     Computer Programs

Fidelio      Micros              Amadeus     Other

Friend or Relatives employed at Darasamui Beach Resort & Spa

                     Name                                         Position & Department                           Relationship

Have you ever been arrested and convicted of a crime?   Yes   No       Details:

References, do not include relatives

                     Name                                         Occupation                                          Address                                      Telephone

       The above statements are true and correct. Dishonest answer to any question may be grounds for my immediate discharge from employment. I certify that I will work only at Dara Samui Beach Resort & Spa.