TAIWAN SEMICONDUCTOR MANUFACTURING COMPANY LTD.

PERSONNEL INFORMATION

For Internal Use / Payroll
No. / Dept. / Date
Employed
Yr. / Mth. / Date.
Job Applied For / 1. 2.

A. GENERAL INFORMATION

Name / Chinese / Nationality / □Republic of China /

Photo

English / □
Birth Date / Yr. / Mth. / Date. / Birth Place
Blood Type / □A □B □O □AB □RH /

Sex

/ Male □ Female□
I.D. No. / Marriage / Single □ Divorce □
Married □ Widow (er) □
Present Address
(May use Chinese) / □□□ / TEL ( )
Permanent Address
(May use Chinese) / □□□ / TEL ( )

E-mail Address

/

Mobile Phone

Military Status /

Service

/ Rank / Status / Active
Service /
From To
Yr. Mth. Yr. Mth.
Certificate No. / Reason of Exemption & Certificate No.

B. EDUCATION

Grade / Name of School / Location / From / To / Major / Graduated /

Degree

/ For Internal
Confirmation
Mth. / Yr. / Mth. / Yr. / Yes / No
High
School / □Daytime
□Nighttime
J. College / □Daytime
□Nighttime
University / □Daytime
□Nighttime
Post graduate / □Daytime
□Nighttime
Other / □Daytime
□Nighttime
Describe any special vocational or technical training and specialized knowledge/ability

License or government certificate

/ Date of issue / Certificate No. / Remarks

C. WORKING EXPERIENCE

From
/

To

/ Title /
Job Grade & on Grade Year / Co. Name / Tel. / Supervisor / Compensation / Reason
for Leaving
Mth. / Yr. / Mth. / Yr. / Name / Title / Base Salary / Allowance
/Bonus / Others
May we contact your present employer? □Yes □No We shall not do so without your permission.
Explain details of your experience.
Languages ability (Name and indicate the extent of your competence i.e. Excellent, Good, Useful, A little, Not at all)
Foreign Language / Read / Write / Speak / Remarks
1. English
2.
3.
English typing speed W/M / English shorthand speed W/M / Chinese typing speed W/M

D. OTHERS

Information regarding family (including parents, parents-in-law, spouse, children, brothers / sisters, other close relatives
and previous spouse, if any)
Relation / Name
(May use Chinese) / Birth Date / Occupation / Address
(May use Chinese) / Telephone No.
Father
Mother
Spouse
Do you have any relatives or friends working tsmc? □No □Yes (Please specify the name relation and dept. below)

Name

(May use Chinese) / Relation / Department /

Name

(May use Chinese) / Relation / Department
Reference Check (Please give three names of your friends, relatives, colleagues, or supervisors)
Name
(May use Chinese) / Relation / Company / Dept. / Title / Telephone No.

(H)

(O)

/

; Mobile:

(H)

(O)

/

; Mobile:

(H)

(O)

/

; Mobile:

Social Interests & Hobbies
Person to notify in case of emergency.

Name

(May use Chinese) / Relation / Address
(May use Chinese) / Telephone No.

What improvements are you seeking? Please tick and give details.

Item

/ Explanation / Item / Explanation
□More responsibility / □New field of work
□Salary (how much) / □Interest
□Security / □Different location
□Any others
When will you be available to start working?

Yr. Mth. Date

/

Expected Salary

/
NT$
Female employee fills in this item. Currently pregnant? □Yes □No
Maimed employee fills in this item. □Body disability □Vision disability
□Hearing disability □Facial injury
□Have disabled certificate
Which channel did you learn the job opening?
□Campus □Internet □Newspaper □Magazines □Friends / Relatives
□Employment Service Office □National Youth Commission □Others______
Use this space for additional information you wish to add
/ Have you ever committed crimes and been plead a charge?
□Yes □No What ______
Are you on the wanted list?
□Yes □No What ______
I authorize investigation of all statements contained in this form and understand that any false statements made herein will be
sufficient cause for termination.
Signature Date
I agree and guarantee that I will strictly follow all regulations provided therein during my employment. If there is any misconduct, I acknowledge that I will be facing all sorts of penalties stated in the Employee handbook with no objections.
Signature Date

Termination

Date:
Reason:

1/4 RS-3-01.02_1, Version 1, 07/15/2003