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PERSONAL QUESTIONARY FOR RECRUITMEN PURPOSES

PERSONAL DATA
Family Name:
First Name:
Birth Date:
Birth Place:
Phone No.:
Family Status:
ADDRESS
Residence Place:
Postal Code:
Street:
House No.:
Apartment No:
EDUCATION
Education Level:
School/University Name:
Year of Graduation:
Profession:
Specialization:
EDUCATION SUPPLEMENTED
Level of Supplemented Education:
System of Supplemented Education:
Date of Education Commencing:
School/University Name:
Specialization:
PROFESSIONAL UPGRADING
Training Class Name/Authorization Completion Date Authorization Expiration Date
FOREIGN LANGUAGES
Name Level of Proficiency Certificate
PROFESSIONAL LIFE HISTORY
Company Name
Post(s)
Employment Period Termination Way
MILITARY DATA
Military Duty Status:  
Military Duty Completion Date:: 
Do you have Mobilization Assignment:  
ADDITIONAL INFORMATION
Questionary Submission Goal:
Preferred Department/Post:
Expectation Relating POCH S.A.:
Salary Expectations:
Plans for future:


By sending this questionary I am confirming my agreement on processing of my personal data contained in this document for purposes of necessary needs allowing the recruitment process execution, according to the Act of 1997-08-29 about Personal Data Protection (Dz. U. No. 133, item 883).











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