Job Application Form

Personal Information

Name: {{ $user->firstname }} Name: {{ $user->lastname }}
Title: {{ $user->title }} Maritial Status: Single
Position Applying For: {{ $user->position }} Email: {{ $user->email }}
joining Date: {{ date("F jS, Y", strtotime($user->emp_start_date)) }} Phone: {{ $user->phone }}
DOB: {{ date("F jS, Y", strtotime($user->dob)) }} Age: 22 years
Student ?: No Work Permit ?: No
Address: {{ $user->address }}

Employment Information

Serial # Start Date End Date Name & Address Position Salary

Medical Information

Serial # Disease Option Details
1 Typhoid or Paratypohoid No
2 Recurrent Infection of Mouth nose and Year No
3 Back Trouble No
4 Heart Disease No
5 Chest Disease No
6 Kidney or Bladder Disease No
7 Any Other Serious Illness No
8 Always wear glasses No
9 Always wear glasses for close work No
10 Any mental illness No
11 Receving any Treatment No

Emergency Information

Name: {{$user->emergencyContacts->name}} Relationship: {{$user->emergencyContacts->relationship}}
Phone (Home): {{$user->emergencyContacts->home_phone}} Phone (Work): {{$user->emergencyContacts->work_phone}}
Address: {{$user->emergencyContacts->address}}

Bank Information

Bank/Branch Name: {{$user->bank->bank_name}} Account Name: {{$user->bank->account_name}}
Account No: {{$user->bank->account_no}} Post Code: {{ $user->bank->post_code }}
Branch Address: {{$user->bank->address}}

References

Employment 1

Name: {{$user->references->refName1}} Address: {{$user->references->refAdrs1}}
Postcode: {{$user->references->refPostCode1}} Phone: {{$user->references->repPhone1}}

Employment 2

Name: {{$user->references->refName2}} Address: {{$user->references->refAdrs2}}
Postcode: {{$user->references->refPostCode2}} Phone: {{$user->references->repPhone2}}

Personal

Name: {{$user->references->refName3}} Address: {{$user->references->refAdrs3}}
Postcode: {{$user->references->refPostCode3}} Phone: {{$user->references->repPhone3}}