Application Form

a
Thank you for your interest in our company.
Please fill in this form and hand it to the company representative HR
Specialist
All fields are mandatory and will be taken into consideration when
analyzing your application
Name : Alexandra Nicoleta Teisi
Position you were applied for: _____________________
Gender:
AGE: 23

Male

Female

Marital Status:
2

Date of Birth:

2/

0/

Source:
Name of the Site: __Bestjobs.com_____
_______________
Job Fair Ref: ____________________

Single
9

Married

Recruitment Agency Name:

Referrer Employee Name:

________________
Contact Details:
E-mail (1): __alexandra.teisi@gmail.com
Mobile (private) : + __0784272872___ Emergency Contact No: + _____________________
Line number (from home or relatives): ______________________ Name: ________________
Mobil (partner/spouse/parents/brother/sister): _______________ Name: ________________
Current Address: _Aleea Lirei, nr. 2, Caminul C3_ City: _Timisoara__ Country: Romania
Postal code: _310228_

My first language in school was:

specify)

English

French

German

Others (Please

My total IT/ ITES experience is:

no experience
less than 1 year
more
than 1 year
I previously worked in:
IT Industry
Non IT Industry
not worked
earlier
I have worked in a night shift previously:
Yes
No
My decision to accept a job offer is based on (Select only one) :
Money
Security
Learning
Growth Other (Please
specify)_Schedule
Kindly mention the Language proficiency and tick against each:
(e.g.: Beginner/Intermediate/Advanced)
Language
English
Atos Human Resources

Can Read

Can Write

Advanced

Advanced

1/5

Can
Speak
Advanced

Can
Understand
Advanced

Certification, If
Any

Application Form
French

Beginner

Beginner

Beginner

Beginner

EDUCATION
My last qualification & year of completion :
Undergraduate (High school, Vocational, College, University studies on going);
Bachelor degree (University diploma obtained);
Post Graduate
(MBA, Master, PhD diploma obtained);
I am currently pursuing education:

Course / Degree
Master

Bachelor

Full time course

Specialization

Name of Institute /
University

Physics
applied in
medicine
Medical
Physics

Part time course

Location

Graduati
on

Faculty of Physics/
West University
Timisoara

Timisoara

In course
of
graduati
on

Faculty of Physics/
West University
Timisoara

Timisoara

Bachelor

Aggregat
e Marks

EXPERIENCE DETAILS (Please begin with the current employment Last 3 Jobs)
Job title

Employers
Name

Sales Consultant
Assistant on
Reception/Custo
mer
Service/Checkou
t Points
Department

Benvenuti

Cashier

Auchan

Decathlon

Duration
(MM/YY)
From
To
12.20
08.20
15
16

1400(8h
/ day)

Exhausting schedule

04.20
14
04.20
13

1200(6h
/day)
800(6h/
day)

No further growth
No benefits, small
salary

12.20
15
04.20
14

Monthly
Salary

Reasons for leaving

REFERENCES (Give references under whom you have either worked or who know you
professionally in case of fresher please give contact details of the Teacher/ any person
under whom they have done any project)
Name

Atos Human Resources

Duration &
Nature of
Association
2/5

Title &
Organization

Phone
number

Email

Application Form

ABOUT YOURSELF
The
to the

Your personal strengths?

Your personal areas of

improvement?

Multitasking
Responsibility
Punctuality
Efficiency
Team spirit

answers

Managing in all the types of

hard situations

Your career objectives?

Your expectations from the job?

To obtain professional and

financial heights, both for the
organization and self, through
skill and knowledge

I expect to be a challenging
job in which to use my skills
and to have a benefits from
my work.

following questions will help us to get a deeper insight and acquire better understanding of
you as a person:

ADDITIONAL DETAILS
Nationality:

Romanian

Other (Please Specify) ____________________

Have you attended any selection process at ATOS IT Solutions and Services before?
Yes
No
Please Give details in case of Yes ________________________________
Have you worked with ATOS IT Solutions and Services earlier?
Yes
No
Atos Human Resources

3/5

Application Form
Please Give details in case of Yes _______________________________
Location: _______________
Process: _______________
Dates:
_______________
Do you have relative who work in ATOS IT Solutions and Services ?
Yes
No
Give Details in case of Yes______________________________________
Have you ever been arrested, prosecuted or convicted for any criminal offense, other than
minor traffic offenses?
Yes
No
Give Details in case of Yes ______________________________________
Have you signed a contract other than employment or Non competence with your current
employer?
Yes
No
(In case yes please Specify same with HR during the interview)
Would you be OK working in 24x7 schedules (i.e. weekend working and/or night shifts) (if
relevant)?
Yes
No
Give Details in case of No : I am a Master student and I also I am a volunteer in my domain.

You might not be getting any leave for the first 3 months. Would you be ok with it?
Yes
No
Give Details in case of No: I am a Master student and I also I am a volunteer in my domain,
so my schedule is already full.
Do you have any pre-existing illness or injury which may impact on your ability to safely
perform the inherent requirements of the position(s) for which you have applied?
Yes
No
Give Details in case of Yes _____________________________________________
Current salary net: unemployed
Expected net Pay:
Notice time:

_>1200 lei_
____________________

Tentative date of joining: _13.11.2016

Atos Human Resources

4/5

Application Form

Personal information collected via this application will only be used for the purpose of
recruitment
by Atos IT Solutions and Services.
The information you submit to us may be disclosed only to referees, our team members
who are involved in
recruitment or support roles, security organizations, recruitment agencies and other
third parties who assist
us in the recruitment process.
If you choose not to provide any of the information requested, we may be unable to
send you information,
fully process your application or properly consider you for employment.
Any information we collect about you in future will be used and disclosed in the same
manner as described
above unless we tell you otherwise in advance.
You may request access to personal information about you that is held by us.
I hereby declare that my statements on this application and on my resume or
documents provided by me to ATOS IT Solutions and Services are correct to the best of
my knowledge.
I acknowledge and agree that providing any false information which will affect my
professional and personal abilities; especially those related to education and job
experience may result in a decision not to hire me.
I have disclosed all relevant information in relation to my mental and physical ability to
safely carry
out the inherent requirements of the position(s) for which I have applied.
I am qualified to work in Romania, and if requested, can provide evidence of that fact
(birth
certificate, citizenship certificate, photo ID, as appropriate).
I give consent to ATOS IT Solutions and Services to institute and conduct a background
check to verify the information furnished by me in this form.

Date: 02.11.2016
Signature of the applicant:
Alexandra Nicoleta Teisi

Atos Human Resources

5/5

Place: Timisoara