Have you ever been discharged from company for any offence?
Have you ever been afflicted with a communication disease or public health significance?
Have you ever been arrested or convicted for any offence?
Are you pregnant?
Do you allow our company to investigate your background with your former employers or reference persons?
For number 1-4, if the answers are "YES", please specify
For number 5, if the answer is "NO", please specify
I certify that all the answers and statements given are true and correct. I understand that any incorrect or false statements will be considered as a cause for rejection of this application or dismissal from employment of PRANDA Jewelry PCL.