I certify that the information provided in this application and supporting materials provided by me is true and complete. I understand the omissions or misrepresentations made on this application or other documentation and / or tests related to employment will be sufficient cause for cancellation of my application and, if employed, for termination from Ben Thanh Restaurant.

By submitting this form I have authorized the management of Ben Thanh, or an agent acting on its behalf, to collect, use and disclose my personal information as contained on this form for purposes of verifying this information and assessing my suitability for employment. This consent is valid for the time for the review of my job application, and, in the event I am hired, for the duration of my employment. I understand that this consent itself may be provided to other organizations in the course of considering references, as proof that I have consented to the collection of my personal information for these purposes.

I understand that:

• Part of the application process includes a written examination;

• If I am hired by Ben Thanh, there will be a three month probationary work period during which my performance and suitability for the position will be reviewed.

Ben Thanh thanks all applicants for their interest. However, only those selected for an interview will be contacted.

By submitting this form, you indicate that you have read and agree to the conditions listed above. Please make sure that you respond to all required fields marked with an asterisk*.