`

PICTURE nh

T KHAI XIN VIC

EMPLOYMENT APPLICATION FORM V TR XIN D TUYN:
Position apply for

PH PHNG NGHIN CU V PHT TRIN

A. L LCH C NHN
Personal Information H V TN Full Name GII TNH Gender DN TC Race TNH TRNG GIA NH Merital Status A CH THNG TR Permanent Address A CH TM TR/HIN TI Current Address S IN THOI C NH Tel Number S CHNG MINH NHN DN ID Card Number S S BO HIM 361897423 0710.3839136 IN THOI DI NG Mobile Number NGY CP Issued Date NGY CP Issued Date NGY CP Issued Date 7/7/2010 0945.380386 E-Mail NI CP NI CP Issued Place NI CP Issued Place CC THU CN TH KINH H VN THNG

Nam Male

N Female

NGY/THNG/NM SINH 12/4/1981 Date of birth TN GIO Religion KHNG Ly d Divorced

NI SINH

NGH AN ViT NAM Ly thn Separated

Place of birth QUC TCH Nationality Go Widowed

c Thn Single

C gia inh Maried

290/1G NG L BNH, PHNG HNG LI, QuN NINH KiU, THNH PH CN TH

hvthang@ctu.edu.vn
CN TH

a ch Email

Issued Place

Insurance book number

M S THU THU NHP C NHN (NU C): Personal Income Tax number (if any)

3/17/2009

1800856948
S H CHIU (NU C) Passport Number S TI KHON (NU C): Account number (if any) B5176354 NI CP Issued Place TI: at CN TH NGY CP Issued Date 31/3/2011 NGY HT HN Expiration Date 31/3/2021

0 BIDV

0 VCB

CHI NHNH: CN TH Branch

B. V GIA NH
Family information H V TN Full name H NGC MN HONG TH NGHA H TH XUN QUNH H TH XUN HNG H TH KHNH THNH TUI Age 67 60 38 36 35 MI QUAN H Relationship CHA M CH CH CH NGH NGHIP Occupation NGH HU NGH HU GING VIN GING VIN GING VIN UAE, CC TIU VNG QUC RP 290/1G/27 NG L BNH, THNH PH CN TH A CH Address 290/1G NG L BNH, THNH PH CN TH // IN THOI Tel 0710.3839136 0945.560919 0917.931048

0939.020088

LIT K NHNG NGI PH THUC, I TNG THUC DIN C GIM THU THU NHP
H V TN Full name H NGC MN HONG TH NGHA TUI Age 67 60 List Dependents to reduce your tax income MI QUAN H NGH NGHIP Relationship Occupation CHA M NGH HU NGH HU A CH Address 290/1G NG L BNH, THNH PH CN TH // IN THOI Tel 0710.3839136 0945.560919

C. QU TRNH HC TP/O TO
Education History
TN A CH TRNG M BN TNG HC U T PTTH Name/Place of School BT THI GIAN ATTENDED FROM/TO Thng/Nm Thng/Nm Month/Year Month/Year BNG CP V CHNG CH T C DEGREE and CERTIFICATION CHUYN NGNH FACULTY

TRNG PTTH CHU VN LIM TRNG I HC CN TH TRNG I HC TOKYO

Sep-96 Sep-00 Oct-10

May-99 Feb-05 Sep-12

BNG TT NGHIP PTTH K S XY DNG MASTER OF ENGINEERING XY DNG DN DNG GEOTECHNICAL ENG

D. QU TRNH LM VIC
Employment History

HY LIT K CC CNG TY, T CHC, N V M BN LM VIC T TRC N NAY. List bellow every employment (including private and public organization/companies) since you began to work

CNG TY/T CHC/N V GN Y NHT

Current/Last Company/Organization T THNG/NM Month/Year Apr-05 N THNG/NM Month/Year N NAY SALARY/Mc lng
BT BT U U/Start /Sart KT THC/Ending

CHC V EXACT TITLE OF YOUR POST

GiNG VIN

1 TRIU I HC CN TH S IN THOI Telephone Fax E. Mail: hvthang@ctu.edu.vn

TN V A CH CNG TY/ T CHC NAME AND ADDRESS OF EMPLOYER

M T NHIM V V TRCH NHIM CHNH DESCRIPTION OF YOUR DUTIES _ BIN SON GIO TRNH V DY MN C HC KT CU _ BIN SON GIO TRNH V DY MN CU KIN B TNG CT THP _ HNG DN N C HC KT CU _ HNG DN N B TNG CT THP _ HNG DN THC TP VT LiU XY DNG

NGNH NGH KINH DOANH TYPE OF BUSINESS TN NGI QUN L/GIM ST NAME OF SUPERVISOR CHC V: Position IN THOI LIN H CONTACT NUMBER L DO THI VIC REASON OF LEAVING

CNG TY/T CHC/N V TRC

T THNG/NM Month/Year Sep-07 N THNG/NM Month/Year Aug-09 Previous Company/Organizations SALARY/Mc lng CHC V BT BT U U/Start /Sart KT THC/Ending EXACT TITLE OF YOUR POST 4 TRIU 5 TRIU S IN THOI Telephone Fax M T NHIM V V TRCH NHIM CHNH DESCRIPTION OF YOUR DUTIES _ iU HNH CC CNG ViC CA CNG TY _ TRC TiP RA QUYT NH V CC VN V K THUT NGNH NGH KINH DOANH TYPE OF BUSINESS TN NGI QUN L/GIM ST NAME OF SUPERVISOR CHC V: Position IN THOI LIN H CONTACT NUMBER L DO THI VIC REASON OF LEAVING TP TRUNG HC CAO HC E. Mail TH NGHIM V KiM TRA CHNG NHN S PH HP CA CHT LNG CNG TRNH XY DNG GIM C iU HNH

TN V A CH CNG TY/ T CHC NAME AND ADDRESS OF EMPLOYER

CNG TY/T CHC/N V TRC

Previous Company/Organizations T THNG/NM Month/Year N THNG/NM Month/Year SALARY/Mc lng
BT BT U U/Start /Sart KT THC/Ending

CHC V EXACT TITLE OF YOUR POST

TN V A CH CNG TY/ T CHC NAME AND ADDRESS OF EMPLOYER

S IN THOI Telephone Fax E. Mail

M T NHIM V V TRCH NHIM CHNH DESCRIPTION OF YOUR DUTIES

NGNH NGH KINH DOANH TYPE OF BUSINESS TN NGI QUN L/GIM ST NAME OF SUPERVISOR CHC V: Position IN THOI LIN H CONTACT NUMBER L DO THI VIC REASON OF LEAVING

CNG TY/T CHC/N V TRC

Previous Company/Organizations T THNG/NM Month/Year N THNG/NM Month/Year SALARY/Mc lng
BT BT U U/Start /Sart KT THC/Ending

CHC V EXACT TITLE OF YOUR POST

TN V A CH CNG TY/T CHC NAME AND ADDRESS OF EMPLOYER

S IN THOI Telephone Fax E. Mail

M T NHIM V V TRCH NHIM CHNH DESCRIPTION OF YOUR DUTIES

NGNH NGH KINH DOANH TYPE OF BUSINESS TN NGI QUN L/GIM ST NAME OF SUPERVISOR CHC V: Position IN THOI LIN H CONTACT NUMBER L DO THI VIC REASON OF LEAVING

CNG TY/T CHC/N V TRC

Previous Company/Organizations T THNG/NM Month/Year N THNG/NM Month/Year SALARY/Mc lng
BT BT U U/Start /Sart KT THC/Ending

CHC V EXACT TITLE OF YOUR POST

TN V A CH CNG TY/T CHC NAME AND ADDRESS OF EMPLOYER

S IN THOI Telephone Fax E Mail

M T NHIM V V TRCH NHIM CHNH DESCRIPTION OF YOUR DUTIES

NGNH NGH KINH DOANH TYPE OF BUSINESS TN NGI QUN L/GIM ST NAME OF SUPERVISOR CHC V: Position IN THOI LIN H CONTACT NUMBER L DO THI VIC REASON OF LEAVING
C TH GHI THEO TRNH A, B, C Candidates can arrange by A, B, C levels. (obtained certification)

E. KH NNG NGOI NG
Language Skill NGOI NG LANGUAGE C/READING (Excellence/Good/Fair) Xut sc/Tt/Trung bnh XUT SC

VIT/WRITING (Excellence/Good/Fair) Xut sc/Tt/Trung bnh TT

NI/SPEAKING (Excellence/Good/Fair) Xut sc/Tt/Trung bnh XUT SC

TiNG ANH

F. S DNG CC PHN MM/THIT B KHC

Ability to use software/machine XIN VUI LNG LIT K NHNG MY MC, PHN MM M BN C TH S DNG C List computer software or machines which you are familiar _ AUTOCAD _ SAP 2000 _ ORIGIN _ PLAXIS V GEO-SLOPE

G. THNG TIN KHC

Other information TRC Y BN C TNG NP H S VO FECON KHNG? Have you previously applied for a position in the FECON? BN TNG LM VIC CHO FECON CHA? Have you previously worked for FECON? [ ] C Yes [X] KHNG No NU C, B PHN NO? If yes, which organizations? (Pls fill out) THNG 2 C Yes

KHNG No

NU C, KHI NO__________ If yes, when

NU C TIP NHN VO LM VIC, KHI NO BN C TH BT U LM VIC? If offered an appointment, when can you start work MC LNG BN MONG MUN? How much salary do you expect? NHNG YU CU KHC M BN MONG MUN? What other requirements do you want? MI TRNG LM VIC THN THIN 15-20 TRIU

NU CHI TIT CC KHO HUN LUYN QUN S HOC THI GIAN PHC V TRONG QUN I: Give details of military service of training S THCH C NHN (TH TIU KHIN, HOC NHNG MN TH THAO M BN THCH) Personal intersest (hobbies, sport ect..) BN BAO Gi B BT CHA? Have you ever been arrested LIT K CC QUC GIA M BN TNG N List countries have you ever been NU C, LIT K CHI TIT /If yes, please give details TNG THAM GIA. NHT BN CHA

KHNG C

XEM BNG , TP V THUT, XEM PHIM HNH NG

C Yes

KHNG No

VUI LNG LIT K CC CNG VIC ON TH, CC HOT NG X HI, HOT NG CC T CHC NGH NGHIP M BN List schoolastic honors, professional societies and activities, public or international affairs _ THIT K V XY DNG NH TNH NGHA CHO CC H NGHO V GIA NH CHNH SCH TI TNH HU GIANG _ HNG DN SINH VIN I MA H XANH

VUI LNG LIT K NHNG IM MNH V IM YU CA BN List your strong and weak points
CC IM MNH CA BN STRONG POINTS _ NHIET TINH, THAN THIEN VA COI MO _ CHIU KHO HOC HOI _ KHONG NGAI KHO KHAN CC IM YU CA BN WEAK POINTS _ HOI NONG TINH _ THICH LAM VIEC MOT MINH

BN VUI LNG LIT K CHO CHNG TI BIT HAI NGI KHNG PHI L NGI THN CA BN M BIT R V QU TRNH CA BN Pls give us at leat two people who are understandly about your background H V TN NGH NGHIP MI QUAN H S IN THOI Full name Occupation Relationship Contact number NGUYN ANH DUY NGUYN DUY PHC GiNG VIN I HC CN B ON NG NGHIP BN HC 0939.759968 0918.061666

TI XIN CAM OAN NHNG LI KHAI TRONG BIU MU NY L HON TON NG S THT, NU PHT HIN C BT K SAI ST NO V S KHNG TRUNG THC. TI S HON TON CHU MI HNH THC K LUT CA CNG TY
IN CERTIFY THAT THE STATEMENTS MADE BY ME IN ANSWER TO THE FOREGOING QUESTION ARE TRUE, COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT ANY MISREPRESENTATION OR MATERIAL OMISSION MADE ON THIS FORM OR OTHER DOCUMENT DOCUMENT REQUESTED BY THE FECON RENDERS AS STAFF MEMBER OF FECON CORPORATION LIABLE TO TERMINATION OR DISMISSAL.

NGY/THNG/NM Date/Month/Year

31/10/2012

K TN:____________________________________ H VN THNG Signature

S hiu: BM/QT-NS-01-02

DANH MC H S NHN S
Personal Dossier Check List
H V TN: Phng ban:
STT TN DANH MC S YU L LCH C XC NHN CA CHNH QUYN NI NGI LAO NG C TR (THI HN KHNG QU 6 THNG) GIY KHAI SINH (BN SAO C XC NHN CA A PHNG) CHNG MINH TH NHN DN (BN PHOTO CNG CHNG) BNG CP CHUYN MN (BN PHOTO CNG CHNG) BNG IM (BN PHOTO CNG CHNG) CHNG CH O TO/BI DNG V K NNG, V NGHIP V/TAY NGH/BNG LI (BN PHOTO CNG CHNG) GIY CHNG NHN SC KHE (THI HN KHNG QU 6 THNG) S BO HIM X HI HP NG LAO NG, CC QUYT NH, GIY T LIN QUAN TI QU TRNH LM VIC TRC S H KHU GIA NH (BN PHOTO CNG CHNG) H CHIU (NU C) (BN PHOTO CNG CHNG)

Ngy ban hnh: 22/10/2011 Ln ban hnh: 01 S trang: 1/1

Chc v: n v:
S LNG THC T

K tn:
CHECK C Khng

1 2 3 4 5 6 7 8 9 10 11 12 13

04 nh 3x4; 02 nh 4x6
BN KHAI L LCH THEO MU CA FECON (BT BUC)

CC LOI GIY T /H S KHC (NU C XIN LIT K PHN DI) 14 15 16 17 18

Ngi nhn h s: Phng/Ban:

K tn: n v:

Ngy Ngy

//

S hiu: BM/QT-NS-01-02

Ngy ban hnh: 22/10/2011

Ln ban hnh: 01

S trang: 1/1

K tn:
GHI CH

Ngy