<p> JOB APPLICATION FORM </p><p>Position Applied For</p><p>Photo (optional) </p><p>Personal Data</p><p>First Name(s) (underline the one normally used): Last Name/Surname ( in Capital Letters):</p><p>Maiden name (if any):</p><p>Date of Birth: Place of Birth ( City, Country):</p><p>Nationality(ies) ( Present/Previous):</p><p>Optional :</p><p>Sex Female Male</p><p>Marital status Single Married Divorced/ Separated</p><p>Child(ren) Yes No</p><p>Permanent Address: Correspondence Address ( if different) :</p><p>Phone Number: :</p><p>Mobile Number: :</p><p>Email Address: :</p><p>International Office: Rue de Varembé 1, 2nd Floor, 1202 Geneva, Switzerland Tel: +41 (0)22 740 2947 Fax: +41 (0)22 740 2948 Regional Office: 66/2 Pan Road, Silom, Bang Rak, Bangkok 10500 Thailand Tel: +66 (0)2 6379126-7, Fax: +66 (0)2 6379128 Webpage: http://www.forum-asia.org, Email: [email protected] Education and Training (University Degree, Postgraduate Studies, Language or IT Courses, Specific Skills Workshops/Diploma) Dates Name/Address of Institution or Details of Course Qualifications Course Provider Attended Gained From: </p><p>To: From: </p><p>To: From: </p><p>To: From: </p><p>To: From: </p><p>To: From: </p><p>To: </p><p>Note (if any):</p><p>Publication(s) (if any)</p><p>International Office: Rue de Varembé 1, 2nd Floor, 1202 Geneva, Switzerland Tel: +41 (0)22 740 2947 Fax: +41 (0)22 740 2948 Regional Office: 66/2 Pan Road, Silom, Bang Rak, Bangkok 10500 Thailand Tel: +66 (0)2 6379126-7, Fax: +66 (0)2 6379128 Webpage: http://www.forum-asia.org, Email: [email protected]</p><p>Professional Experience </p><p>(Starting with the most recent, list IN REVERSE ORDER. Please describe any previous experience (including Internships) you have had, giving full details of your duties.) </p><p>1. Name of Employer: Name of Business: Address of Employer: Name/Position of Supervisor:</p><p>Contact Details: Brief Description of Your Duties: </p><p>Exact Title of Your Position:</p><p>Period of Employment from: till: 2. Name of Employer: Name of Business: Address of Employer: Name/Position of Supervisor:</p><p>Contact Details: Brief Description of Your Duties: </p><p>Exact Title of Your Position:</p><p>Period of Employment from: till: 3. Name of Employer: Name of Business: Address of Employer: Name/Position of Supervisor:</p><p>Contact Details: Brief Description of Your Duties: </p><p>Exact Title of Your Position:</p><p>Period of Employment from: till: 4. Name of Employer: Name of Business: Address of Employer: Name/Position of Supervisor:</p><p>Contact Details: Brief Description of Your Duties: </p><p>Exact Title of Your Position:</p><p>Period of Employment from: till:</p><p>Please feel free to add more columns if you have more experience to be stated. </p><p>International Office: Rue de Varembé 1, 2nd Floor, 1202 Geneva, Switzerland Tel: +41 (0)22 740 2947 Fax: +41 (0)22 740 2948 Regional Office: 66/2 Pan Road, Silom, Bang Rak, Bangkok 10500 Thailand Tel: +66 (0)2 6379126-7, Fax: +66 (0)2 6379128 Webpage: http://www.forum-asia.org, Email: [email protected] Other Skills</p><p>Languages (Please indicate your mother tongue and also level of proficiency: Fluent, Good, Intermediate, Basic)</p><p>Language Understand Read Write Speak </p><p>IT skills (Please indicate Level of expertise in programme(s) or specific system(s))</p><p>References</p><p>Name/Title of Reference: Name of Reference:</p><p>Relationship with the reference (current employer):</p><p>Contact Address: Contact Address: Phone Number: Phone Number: Email Address: Email Address: When may we contact the person? When may we contact the person? </p><p>(Before or after short listing): (Before or after short listing):</p><p>Other Information</p><p>Please tell us more about yourself (e.g. hobbies and participation in social activities) and relate also your working or extra-curricular experience to the job descriptions. Moreover, tell us how your abilities fit into our requirements and why are you interested in this position.</p><p>International Office: Rue de Varembé 1, 2nd Floor, 1202 Geneva, Switzerland Tel: +41 (0)22 740 2947 Fax: +41 (0)22 740 2948 Regional Office: 66/2 Pan Road, Silom, Bang Rak, Bangkok 10500 Thailand Tel: +66 (0)2 6379126-7, Fax: +66 (0)2 6379128 Webpage: http://www.forum-asia.org, Email: [email protected]</p><p>If appointed, when can you start? Please state clearly.</p><p>I certify that the statements made by me in answer to the foregoing questions are true, complete and correct to the best of my knowledge and belief. </p><p>Signature: Date: </p><p>Please return/e-mail complete form to</p><p> [email protected]</p><p>Office Address:</p><p>Asian Forum for Human Rights and Development (FORUM-ASIA)</p><p>66/2 Pan Road, Silom, Bang Rak, Bangkok 10500 Thailand Tel: +66 2 6379216-7, Fax: +66 2 6379218 E-mail: [email protected]</p><p>International Office: Rue de Varembé 1, 2nd Floor, 1202 Geneva, Switzerland Tel: +41 (0)22 740 2947 Fax: +41 (0)22 740 2948 Regional Office: 66/2 Pan Road, Silom, Bang Rak, Bangkok 10500 Thailand Tel: +66 (0)2 6379126-7, Fax: +66 (0)2 6379128 Webpage: http://www.forum-asia.org, Email: [email protected]</p>