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For any queries relating to the form please ring (02) 2445858
ON COMPLETION PLEASE EMAIL TO chayapon_cho@dusit.ac.th
Please insert the Post Reference number
applications without a reference may not be considered
Post
Ref:
Personal Details
Surname HEMARA Forename(s) MISS.PAPATSORN
Previous or other
name - Preferred
Name KUNG
House Number
Address
9/3 Moo.3,Koh-Kwang
Muang,Chanthaburi
Postcode 22000 NI Number (9 Digits) -
Day time telephone
No 0808328539 Evening telephone
No 0808328539
Email papatsorn.he22@gmail.com
Do you have any motoring convictions? No
If Yes please
specify -
Education
Please give details of any education, technical and/or professional qualifications. If you are
currently studying please provide details of the qualifications you are studying for.
Degree Institution
GPA Awarding Date Obtained
(MMM-yyyy)
B.Ed.in Early Childhood
Education,Suan Dusit.
3.30 - Present
High School, Tha mai Poolsawat
Ratanukul School.
2.80 - March 30,2000
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Suan Dusit University
APPLICATION FOR EMPLOYMENT
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Training / Job related training undertaken in the last 5 years
Please list any course(s), which you have undertaken that are relevant to the job and/or
specified on the person specification. Continue on a separate sheet if necessary.
Further and Higher Education (Degree, Diploma, BTEC, City and Guilds, NVQ etc)
Length of Course Course Title Certificates / Date Grade
Qualifications gained (MMM-yyyy)
Learing material
develpment
Precious material
Form waste
materials
Certificate Mar,2017
First Aid
Training
For Early
Childhood
Certificate Jon,2016
Membership
Please indicate membership of any organisation(s) relevant to the job.
Name of Organisation Type of Membership Is Membership
Current?
Chantaburi
Municlpality coffice State Employee yes
Skills, Abilities, Experience and Achievements
Please give details of your skills, abilities, achievements and experience (including outside
interests) and use examples to demonstrate how you meet each of the criteria listed in the
person specification.
(State who provided training and duration of training.) Examples could include: short
courses, skills training, external awards/activities, etc.
Computing
-MS Office (Words,Excel,PPT)
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Present or more recent employment, voluntary work or role
Job Title: Teacher Assistant Employer:
Wat Pra Klong Kung
Child Development Center.
Employer’s
Building No &
Address: 3 Talad,Muang,Chanthaburi
Employer’s
Postcode: 22000
Employer’s
Telephone
No:
039-312-605
Hours worked: 9hours Dates
Employed: From 1 Oct To Present
Notice Period: 1 Month in
advance
Current
Salary plus
Benefits:
15,000 bath
Key Duties:
-take care of children
-Manage classroom and school facilities
-File documents
What is your reason for leaving:
I have to move with my family.
Will you continue in any other employment, should you be offered this
appointment? Yes No
Posts working with Children, Young People and Vulnerable Adults
If applying for a post, which involves working with children, young people and/or vulnerable
adults, you are required to provide below the dates you were employed from and to, and
provide details of any gaps in your employment.
Previous Employment History
Starting with the most recent first, please give details of jobs held including part-time and
unpaid work.
Please give details of all previous jobs since leaving full time education. Full details should
be given for any period not accounted for by full time employment, education or training
(e.g. unemployment, voluntary work, raising a family, part time work and working overseas).
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Name of Employer Job Title and Main Duties
Reason for Leaving and
Length of Employment
(Press the F1 Key for help)
Date: From To
Date: From To
Date: From To
Date: From To
Date: From To
Date: From To
Date: From To
Date: From To
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References
Written references will be needed for any candidate who is successful at interview. Please
ensure your referees are aware of this, and are happy to provide this information. Referees
will be asked for information on disciplinary issues, sickness absence etc.,
Give details of two people to whom you are not related and to whom a request for a
reference can be made;
Please note that your present or last employer should be given as your first
reference
In the case of school/college/university leavers, your tutor. In certain circumstances a
reference may be requested from any of your previous employers.
Name
and
positio
n held
MISS.MUTHANA
THAPHRIK Organisation Rajabhat Pannee University
Addres
s
Postco
de
10 Talad,Mung,Chanthaburi
Telephone
No. 0953417604
Fax No. 0953417604
chaiya@gmail.com
May we contact referee prior to
interview. (If No, we will contact
you for permission before
requesting references)
Yes Relationship to
yourself
Name MISS.SIRIWAN
LO.PIBOON
Position/
Occupation
Professioanl level
Teacher
Addres
s
Postco
de
3 Talad,Mung,Chanthaburi
Telephone
No. 0868162599
Fax No. 039611325
lpiboon@gmail.com
May we contact referee prior to
interview. (If No, we will contact
you for permission before
requesting references)
Yes Relationship to
yourself
Headmaster
Disclosure of Criminal Records
Because of the nature of some posts it is important that you complete this section carefully
and accurately. Applicants for posts working with or having access to Vulnerable Adults are
subject to an enhanced disclosure through the Criminal Records Bureau (England) or
Disclosure Scotland (Scotland).
Because the position for which you have applied may be covered by the Rehabilitation of
Offenders Act 1974 and the Care Standards Act 2000, you are required to disclose all
convictions and cautions no matter how long ago they occurred and regardless of
whether the offence was committed as a juvenile or adult.
DO YOU HAVE, OR HAVE YOU EVER HAD, ANY CONVICTIONS,
CAUTIONS, ADMONISHMENTS, REPRIMANDS OR FINAL WARNINGS? No
ARE YOU CURRENTLY THE SUBJECT OF CRIMINAL PROCEEDINGS
OR POLICE INVESTIGATION? No
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