Professional Documents
Culture Documents
Initials:
Surname:
Passport Number:
Expiration Date:
Email Address:
Military Service:
YES
YES
NO
If successfully screened and qualified for Interview prior to Employment, are you willing to submit to a pre-employment
Drug Screening Test?
YES
NO
Section 2:
Years Attended:
Degree:
Major or Emphasis:
Years Attended:
Degree:
Major or Emphasis:
Section 3:
List any Wor k Training Exper ience:
Interests:
Section 4:
MA NDA TORY INSTRUCTIONS:
This Employment Application must be completed with a clear Passport Photograph at section (1) of the Application by
the Applicant applying for a Job. All spaces must be completed - please PRINT and complete this Employment
Application.
Section 5:
Azerbaijan
Kuwait
Qatar
China
Canada
Saudi Arabia
Ger many
Spain
India
Italy
Lebanon
South Korea
Malaysia
Switzer land
Australia
Japan
Yemen
Indonesia
United States
Iraq
Israel
Holland
New Zealand
Ukraine
Belgium
United Kingdom
Bahrain
Egypt
Singapore
Oman
NOTE: You may also include copies of any Diplomas, Certificates and Degrees of Education or
Profession; this will help facilitate the Screening.
APPLICANT MAKING ANY MISSTATEMENT AS TO EXPERIENCE OR OTHER QUALIFICATIONS, OR
ANY APPLICANT SUBSCRIBING TO OR VOUCHING FOR ANY MISSTATEMENT SHALL BE SUBJECT TO
THOSE PENALTIES AS PROVIDED FOR IN THE APPOINTMENT STATUTES.
Section 6:
Do you have any sanction, prosecution or pending prosecution that relates to Employment in and outside your Country?
If the answer to this question is Yes please tick the box below and provide a description of the nature of the sanction
in the space below.
YES
NO
YES
NO
If YES, please attach a Statement providing the date(s) of Conviction(s), the Court(s) w here the cases were decided and
a description of the circumstances relating to each Conviction(s).
DECLARATION: I hereby swear under penalty of perjury that the information and particulars provided ar e both tr ue
and accurate. I am the signator y on the aforementioned Particulars. In the event of employment, I understand that false
or misleading information given in my application or inter view(s) may result in dischar ge.
Section 8:
Data Protection
In accordance with Articles 2 through 5 of the Due Diligence Convention and the circular of Data Protection Act 1998,
the following information may be supplied to companies for verification of Identity and Employment purposes.
All parties have an obliga tion to respect Professional Secrecy and take all appropriate precautions to protect the
confidentiality of the information each hold in respect of the others activities. T he Legal obligation shall remain in full
force at all times.
By completing and submitting this Application; you are confirming that the information you are supplying is correct to
the best of your knowledge, and you are accep ting the terms and conditions for granting an Appointment for
Employment.