TS ART FO 011 r0 screening assessment form

SCREENING ASSESSMENT FORM Interviewee’s name : .... Assessment Qualified for interview Potential for other positions Unqualified 2.. Blacklist check Yes No 3.. Other comments ...

SCREENING ASSESSMENT FORM

Interviewee’s name : Sex :

Applied position : Department :

PART A - CANDIDATE SCREENING I Personal Documents Qualified Unqualified Remark 1 Job Application 2 Resume 3 Health certificate 4 Certificates / Degree 5 ID Card + Permanent Resident Book 6 Picture 7 Termination Decision II Experiences related to applied position Company From To 1 Position: 2 Position: 3 Position: 4 Position: IV Relatives in company Position Department Relationship 1 Name: 2 Name: 3 Name: V Salary Current Expected Negotiated 13 Salary PART B - R&T’S SCREENING ASSESSMENT 1 Assessment Qualified for interview Potential for other positions Unqualified 2 Blacklist check Yes No 3 Other comments

R&T’s signature:

TS-ART-FO-011 R0