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Application form

Please complete the form below in order for your application to be considered and processed. Please complete the *Required section.

1. Personal details

First name*:

Name*:

Date of birth*:

Address*:

Telephone*:

E-mail:

2. Schooling

School (Name and Location) / specialization / dates:

Degree or other Diploma:

3. Qualifications

Foreign language ability

Language:Grade as (Fluent/Good/Fair/Poor):

Computer knowledge:

Driving licence:

Additional qualifications and skills:

4. Work experience

Employment history, areas of specialisation and experience:

5. Trainings

Dates and subjects of trainings:

6. Interests

Interests:

I hereby agree to process my personal data included in my job application due to recruitment process (according to Law on Personal Data Protection from 29 August 1997 (Dziennik Ustaw No.133, item 883)

SEGEPO-REFA Sp zo.o., ul. Strzegomska 23/27 – 58 160 POLAND
Tel: + 48-74-641-91-70 / Fax: +48-74-641-91-90