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ใบสมครเลขท...................................

ใบสมครพนกงานราชการทวไป สงกดกรมการพฒนาชมชน

๑. ขอมลสวนตว ชอและนามสกล (นาย/นาง/นางสาว)...................................................................................

สมครต าแหนง นายชางไฟฟา

ทอยทตดตอได........................................................................................... …............................................................................................................... หมายเลขโทรศพทมอถอ............................................................................ e-mail Address...................................................................................... เลขบตรประจ าตวประชาชน..................................................................... ออกใหทอ าเภอ/เขต.........................................จงหวด............................. วน เดอน ป ทออกบตร............................................................................. วน เดอน ป ทบตรหมดอาย......................................................................

วน/เดอน/ปเกด …..........................................

อาย ….......................................

ภมล าเนา …..........................................

เชอชาต ….......................................

สถานภาพสมรส ….......................................... การรบราชการทหาร …..........................................

สญชาต …....................................... ศาสนา ….......................................

๒. ขอมลการศกษาและฝกอบรม

ป พ.ศ. สถานศกษา/หนวยงาน ประกาศนยบตร/ปรญญาบตร/วชาเอก

จาก ถง

๓. ขอมลการท างานและประสบการณท างาน (โปรดใหรายละเอยดของงานทท าในชวง ๓ ปหลง)

ป พ.ศ. ชอหนวยงาน

ต าแหนงงานและ หนาทโดยยอ

เงนเดอน สาเหตทออกจากงาน จาก ถง

รปถาย

ขนาด ๑x๑.๕ นว (ถายไมเกน ๑ ป)

- ๒ - โปรดระบความส าเรจของงานทท าผานมาในชวง ๓ ปหลง (ถาม)

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............................................................................................................... ........................................................................ โปรดใหความเหนเกยวกบประสบการณทไดรบ และอธบายวาประสบการณนน ๆ เปนประโยชนตองานทสมครในครงนอยางไรบาง

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............................................................................................................................. .......................................................... ๔. ขอมลความรความสามารถพเศษ (ถาม)

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............................................................................................................................. .......................................................... ๕. บคคลอางอง (ขอใหระบชอบคคลทคนเคยกบการท างานของทาน เชน ผบงคบบญชาโดยตรง โปรดอยาระบชอบคคลทเปนญาตหรอเพอน)

ชอและนามสกล ต าแหนงปจจบน ทท างานปจจบนและโทรศพท ระบความสมพนธกบทาน

ขาพเจามคณสมบตครบถวนตามทระบไวในประกาศรบสมครของกรมการพฒนาชมชน ลงวนท ๒ สงหาคม พ.ศ. ๒๕๖๑ เรอง รบสมครบคคลเพอสรรหาและเลอกสรรเปนพนกงานราชการทวไป ต าแหนงนายชางไฟฟา ขอรบรองวาขอความทกลาวขางตนเปนความจรงทกประการ หากมขอความตอนใดเปนความเทจหรอไมตรงกบความจรง ใหถอเปนหลกฐานเพอเลกจางขาพเจาไดทนท

ลงชอ..................................................................................ผสมคร (….............................................................................) ยนใบสมครวนท...............เดอน............................พ.ศ...................