KINGDOM OF SAUDI ARABIA

Ministry of Higher Education

TAIBAH UNIVERSITY

Strategic Science & Advanced

Technology Unit
Madinah Munawwarah

www.Taibahu.edu.sa
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APPLICATION FOR EMPLOYMENT

Please print OR write all information in Capital Letters
1. GENERAL INFORMATION
Position Applied for:___________________________________________
Field of Specialization: ___________________________________________
Date of availability for TU employment: ___________________________________________
Name of Applicant: First:__________________ Father ________________Family: _____________
Date and Place of birth: ________________________________________________________
Nationality: _____________________
_________________ _________________
(At present)
(At birth)
Religion
Mobile No. __________________________________________________________________
Residence Tel. No. ___________________

Fax No. _______________________________

Business Tel. No.___________________

Fax No. _______________________________

Email: _____________________
Present Address: ____________________________________________________________
____________________________________________________________
____________________________________________________________
Permanent Address: _________________________________________________________
____________________________________________________________
____________________________________________________________
Point of Origin: (Place of Residence according to Passport): __________________________
Nearest Airport: _____________________________________________________________
Have you applied for a job at Taibah University before? If yes, when? __________________
Were you interviewed? _________________ If yes, when? _________________________
Indicate briefly why are you interested in TU employment? __________________________
Names of relatives employed by Taibah University: ________________________________

P.O.Box. 344, Madinah Munawwarah, Saudi Arabia. Tel: 966 4 8460020 Fax: ++966 4 841172

2. EDUCATION
Last Degree obtained: ______ Is the degree honorary or earned? _____ Year of Graduation:_____
Name and address of Institution: ________________________________________________

Month Year

Full/Part Time

Month Year

To

Medium of Instruction

From

(Major/Minor)of SpecializationSubject(s)

Name of Institution
with location
(City/Country)

or other earnedCertificate, Diploma, Degree

Degree Certificate/ Type of

Attended

Year Graduated

Languages spoken (Other than English): _________________________________________

Bachelor
Master
Doctoral
Any other
qualifications
Title of thesis (theses) with degree (attach abstract): ________________________________________

3. RESEARCH PUBLICATIONS & PROFESSIONAL ACTIVITIES

Note: Provide the following information in figures & attach lists with full details)
Number of papers published in refereed journals
Number of papers published in other periodicals
Number of research projects completed
Number of research projects in progress
Number of books published
Number of books in progress
Number of seminars attended
Participation in Uni./Dept./Thesis Committees
Membership of or affiliation with professional associations/societies:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

4. PREVIOUS EXPERIENCE
List present or last position first and continue in reverse chronological order.
Name & Address of
Employer

Position or
Rank

From
Month Year

To

Last Annual
Salary

Reason for
Change

Month Year

Note: You may use a separate sheet to provide additional information, if necessary
* Detail of courses you have taught.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
5. HEALTH & PERSONAL INTERESTS

1.

2.

Mention any mental or physical disability or serious illness in the past or present:________
Your interest in extracurricular activities: _______________________________________

3.

Have you ever been convicted for involving yourself in any criminal, political or other activities?
If yes, explain: _________________________________________________________
6. REFERENCES
(List four persons, your present employer, to whom we may contact about you)

1.__________________________________________________________________________
__________________________________________________________________________
2.

__________________________________________________________________________
__________________________________________________________________________

3.

__________________________________________________________________________
__________________________________________________________________________

INFORMATION FOR VISA APPLICATION AND RESIDENCE

(Please print OR write all information in Capital Letters)
1. APPLICANT
Name of Applicant: ________________________________________ Sex: ______________
Religion: ________(A religious certificate/affidavit is required by the Saudi Consulate for Visa
purpose)
Family Status: Check the appropriate box.

Single

Engaged

Separated

Married

Divorced

2. SPOUSE
Name of wife (as in the Passport): ________________________________________________
Religion: __________________________
Place and Date of Birth: ______________________ Nationality _____________________
(At present)
(At birth)
List special skills of spouse: ____________________________________________________
Name of spouse's Father: _____________________________________________________
3. CHILDREN
Name
(First)(Middle)(Last)

Sex
M

Date of Birth
D

Grade in School
Y

Please indicate clearly if any step and/or adopted children are listed above.

Nationality

4. RESIDENCE NEEDS IN SAUDI ARABIA

Check who will accompany you to Saudi Arabia: Spouse

Yes

No

Children (First Names only): ____________________________________________________

____________________________________________________
____________________________________________________
I hereby certify that the above information is True and Correct.
Date: ___________________________
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