If Not Already Submitted
Photograph
(if not already submitted)
For the post of:______
Personal Details
Surname:______
Maiden name:______
First name:______
Date and place of birth:______
Nationality:______
Post code and town/city:______
Street and house number:______
Contact details
Telephone/fax:______
E-mail:______
Marital status/children:______
Health
Are you suffering from any condition
which may affect your ability
to perform the duties of the post
for which you are applying?______
Do you consider yourself
to have a disability or are you
registered disabled?______
If yes, to what extent:______
Education and Employment
(Please provide complete details)
School education[*]:
From month/year / To month/year / Type of school / Type of qualification and resultsCollege/
University
From month/yearFrom month/year / To month/year / College/university, location / Field of study/qualification/degree/doctoratePractical
training
From month/year / To month/year / Form of training(e.g. apprenticeship, internship etc.) / Qualification (e.g. skilled worker’s certificate, certificate of apprenticeship, master craftsman’s diploma)
Employment history:
(including secondary employment)
From month/year / To month/year / Company/sector / Job title/description(In the event of periods of employment being spent abroad, please specify these separately and name the country)
Foreign
languages:
Language / Ability / 4 =(as though) mother tongue3 =problem-free participation in technical
discussions, accurate preparation of documents
2 =good understanding of written texts, ability to conduct simple conversations
1 =limited understanding of written texts and limited oral ability, knowledge acquired at school
Other
qualifications/
certifications:
(IT skills or other professionally useful skills)
______
______
______
______
______
______
General:
Do you have a driving licence?______Class: ______
Are you currently employed?______
If yes, have you already handed in
your notice? ______
How much notice do you have to give?______
Earliest possible starting date:______
What is your current annual salary (gross)?€______
What are your annual wage/salary
expectations (gross)?€______
Which insurance scheme do you
currently belong to?______
Are there any permanent assignments
and/or attachments of salary?______
Have you pledged or already
transferred your payments?______
Do you have any previous convictions
which could be relevant to
the job for which you have applied? ______
If yes, please specify:______
Do you have any entries in the …
central register of traffic offenders?______
Are you subject to any
restraints on competition?______
If yes, please specify the details
of the restraint:______
These details are complete and correct.
Place: ______, Date: ______
Signature
The information on this personnel form will be treated with the strictest confidentiality in accordance with the data protection law. The information will only be saved for future use in the event of appointment or registration and with your agreement.
[*]If not already sent, please attach a copy of your leaving certificate/your employee’s certificates (your degree/doctorate certificate).