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Section 1:

Personal Infor mation

Title (Mr. or Mrs.):


First Name:

Initials:

Surname:
Passport Number:

Expiration Date:

Telephone Number (Please include the Dialing Code):


Mobile Number:

Email Address:

Military Service:
YES

Are you a Veteran?


NO

What position are you applying for?

YES

Desired Monthly Salary:


NO
Are you infected with any Disease?
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:

Educat ional Background

Name of High School & Locat ion:

Years Attended:

Degree:

Major or Emphasis:

College / University & Location:

Years Attended:

Degree:

Major or Emphasis:

Section 3:
List any Wor k Training Exper ience:

List any Professional Exper ience:

List any Computer Skills:

Languages and Proficiency:

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:

Desired Country of Employ ment


Please tick the Box to describe the Countries you wish to receive an Appointment for Employment.

Russian Federat ion

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

United Arab Emirates

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.

Final Application deadline:


48 hours
(Application submitted after this period may not be accepted or processed).

Section 6:

Sanctions and Prosecut ions

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

Section 7: Declarat ion


Has the Applicant ever been convicted of a Felony Cr ime?

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.