Applicant questionnaire

When filling in the questionnaire, you must carefully read all the items and answer the questions accurately, fully and concisely. If you have any doubts about any data and it is not possible to clarify it, please indicate this in the relevant paragraphs.

Bear in mind, that the distortion of the information in the questionnaire, may affect the decision on your enrollment into NNIAT LLC.

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1. Surname Fill in the field

Name Fill in the field

Patronymic Fill in the field

Full name has changed

2. Desired position Fill in the field

3. Date of birth Fill in the field

Citizenship Fill in the field

Gender *

Male Female Specify gender

4. Place of birth Fill in the field

5. Registration Fill in the field

6. Place of residence

Same as the registration address

Fill in the field

7. Passport details *

Series Fill in the field

Number Fill in the field

Date of issue Fill in the field

Issued by Fill in the field

8. Phone number (home, office, mobile) Fill in the field

E-mail Fill in the field

9. Military Status and Military rank Fill in the field

10. Driving license category

A B C D BE CE DE M Tm Tb

11. Height <158158-164164-170170-176176-182182-188188-194194-200>200 Fill in the field

Clothing size <4242-4444-4646-4848-5050-5252-5454-5656-5858-6060-6262-6464-6666-6868-7070-72>72 Fill in the field

Shoe size Size < 37Size 37Size 38Size 39Size 40Size 41Size 42Size 43Size 44Size 45Size 46Size 47Size 48Size 49Size 50Size > 50 Fill in the field

12. Education Incomplete secondary educationSecondary educationInitial vocational educationSecondary vocational educationIncomplete higher educationHigher education Fill in the field

13. Additional education (courses, trainings) Fill in the field

14. Knowledge of foreign languages on the territory of the Russian Federation, proficiency (fluent, conversational, with a dictionary)

---------EnglishGermanFrenchSpanishAbazaAbkhazianAvar A — With a dictionary B — Conversational C — Intermediate D — Fluent Fill in the field

Specify another language

15. What software products have you worked with

Software Windows 7 Windows 10 Windows XP OS X Windows 8/8.1 Other

Office programs Word Excel Access CorelDRAW AutoCAD Other

Special programs 1C Enterprise 1C Accounting 1C Transport Other

Programming languages Basic Pascal C/C++ Assembler Other

16. Work performed since the beginning of professional experience *

No work experience

Month and year

Admission Termination

Month and year of admission Enter the date

Month and year of termination Enter the date

Full name of organization, last position

Fill in the field

Organization location

Fill in the field

Key job responsibilities

Fill in the field

Add position

17. What were the motives of your leaving the last job? Fill in the field

18. What remuneration do you expect (in rubles) Fill in the field

During 3 months employment probation (in rubles) Fill in the field

On a permanent job with prospects (in rubles) Fill in the field

19. Sources and level of your income. Which movable and immovable property is owned by you? Fill in the field

20. Do you have financial obligations to organizations or individuals (loans, debts, mortgages, lending, etc.), which, with whom, maturity Fill in the field

21. Marital status

Single Married Divorced Widow/Widower Civil marriage

SingleMarriedDivorcedWidow/WidowerCivil marriage

22. Your close relatives: parents (including stepfather, stepmother and adoptive parents), siblings, wife (husband), children (including adopted children)

Relation degree

Fill in the field

Full name (indicate if changed) *

Fill in the field

Date of birth

Fill in the field

Place of work, position

Fill in the field

Phone number

Fill in the field

Residence address

Fill in the field

Add position 23. International passport

Series Fill in the field

Number Fill in the field

Date of issue Fill in the field

Issued by Fill in the field

Have you ever been abroad

Country

Fill in the field

City

Fill in the field

Date

Fill in the field

Purpose of stay

Fill in the field

Add position

24. Do you have close relatives permanently residing abroad: (if yes, indicate where) Fill in the field

25. Have you, your wife (husband), close relative been brought to criminal responsibility (when, for what, by whom, measure of punishment) with the indication of Article of the Criminal Code of the Russian Federation Fill in the field

26. Are you registered or have you ever been registered at a psycho-neurological, narcological, tuberculosis dispensaries, other medical contraindications Fill in the field

27. What information about yourself do you consider necessary to report additionally (awards, sports achievements, hobbies, etc.) Fill in the field

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I am fully aware of the responsibility for false representation or forgery in accordance with the legislation of the Russian Federation