‫إدارة اﻟﻤﻮارد اﻟﺒﺸﺮﯾﺔ واﻟﺸﺆون اﻹدارﯾﺔ‬

‫ﻃﻠﺐ ﺗﻮﻇﯿﻒ‬
‫‪EMPLOYMENT APPLICATION‬‬

‫ﺷـــــــــــــــــﺮوط اﻟﻄﻠــــــﺐ ‪Conditions of Application‬‬

‫‪1- Answer all the questions. Do not leave blank.‬‬ ‫‪ -1‬ﯾﺠﺐ اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﺟﻤﯿﻊ اﻷﺳﺌﻠﺔ اﻟﻮاردة ﻓﻲ ھﺬا اﻟﺨﻄﺎب‪.‬‬
‫‪2- Use your handwriting (block letters).‬‬ ‫‪ -2‬أﻣﻸ اﻟﻄﻠﺐ ﺑﺨﻂ ﯾﺪك وﻻ ﺗﺴﺘﻌﻤﻞ اﻵﻟﺔ اﻟﻜﺎﺗﺒﺔ ‪.‬‬
‫‪3- Applicant must agree to undergo a complete medical examination.‬‬ ‫‪ -3‬ﻋﻠﻰ اﻟﻤﺘﻘﺪم ﻟﻄﻠﺐ اﻟﻮﻇﯿﻔﺔ اﻟﻤﻮاﻓﻘﺔ ﻋﻠﻰ إﺟﺮاء ﻓﺤﺺ ﻃﺒﻲ ‪.‬‬

‫‪favorite city‬‬ ‫اﻟﻤﺪﯾﻨﺔ اﻟﻤﻔﻀﻠﺔ‬

‫‪Position Applied For :‬‬ ‫اﻟﻮﻇﯿﻔﺔ اﻟﻤﻄﻠﻮﺑﺔ ‪:‬‬
‫‪1-‬‬ ‫____________________________‬ ‫‪-1‬‬ ‫___________________________________________________________________________‬

‫‪2-‬‬ ‫‪____________________________ -2‬‬

‫___________________________________________________________________________‬
‫‪3-‬‬ ‫‪____________________________ -3‬‬

‫ﺻﻮرة ﺷﻤﺴﯿﺔ‬ ‫اﺳﻢ اﻟﻌﺎﺋﻠﺔ‪Family Name‬‬ ‫اﺳﻢ اﻟﺠﺪ ‪grand father's‬‬ ‫اﺳﻢ اﻷب‪Fathers Name‬‬ ‫اﻻﺳﻢ اﻷول‪First Name‬‬

‫اﻟﺪﯾﺎﻧﺔ ‪Religion‬‬ ‫اﻟﺠﻨﺴﯿﺔ ‪Nationality‬‬ ‫ﻣﻜﺎن اﻟﻤﯿﻼد‪Place of birth‬‬ ‫ﺗﺎرﯾﺦ اﻟﻤﯿﻼد‪Date of birth‬‬

‫‪Date of issue‬‬ ‫ﺗﺎرﯾﺦ اﻹﺻﺪار‬ ‫ﻣﻜﺎن اﻹﺻﺪار ‪Place of issue‬‬ ‫‪No. of ID / Eqamah‬‬ ‫رﻗﻢ ﺑﻄﺎﻗﺔ اﻷﺣﻮال اﻟﻤﺪﻧﯿﺔ‪ /‬اﻹﻗﺎﻣﺔ‬

‫‪Date of issue‬‬ ‫ﺗﺎرﯾﺦ اﻹﺻﺪار‬ ‫ﻣﻜﺎن اﻹﺻﺪار ‪Place of issue‬‬ ‫‪No. of Passport‬‬ ‫رﻗﻢ اﻟﺠﻮاز‬

‫‪Mobile No. :‬‬ ‫__________________________________________________‬ ‫‪ . Home Phone No. :‬اﻟﺠﻮال ‪:‬‬ ‫__________________________________________________‬ ‫ھﺎﺗﻒ اﻟﻤﻨﺰل‪:‬‬
‫‪E-Mail :‬‬ ‫__________________________________________________‬ ‫‪ Work Phone No. :‬اﻟﺒﺮﯾﺪ اﻹﻟﻜﺘﺮوﻧﻲ‪:‬‬ ‫_______________________________________________‬ ‫ھﺎﺗﻒ اﻟﻌﻤﻞ‪:‬‬
‫‪Post :‬‬ ‫__________________________________________________‬ ‫‪ Present Address :‬اﻟﺒﺮﯾﺪ ‪:‬‬ ‫__________________________________________________________‬ ‫اﻟﻌﻨﻮان اﻟﺤﺎﻟﻲ ‪:‬‬

‫‪Marital status:‬‬ ‫ﻣﺘﺰوج ‪ Married‬أﻋﺰب ‪Single‬‬ ‫□‬ ‫□‬ ‫اﻟﺤﺎﻟﺔ اﻻﺟﺘﻤﺎﻋﯿﺔ‪:‬‬

‫?‪Have you any dependents‬‬ ‫ﻻ ‪NO‬‬ ‫□‬
‫ﻧﻌﻢ ‪YES‬‬ ‫□‬ ‫ھﻞ ﺗﻌﻮل أﺣﺪا ؟‬
‫إذا ﻛﺎﻧﺖ اﻹﺟﺎﺑﺔ " ﻧﻌﻢ "ﺑﯿﻦ اﻟﻤﻌﻠﻮﻣﺎت اﻟﺘﺎﻟﯿﺔ ‪If answer is “yes” Please state following.‬‬
‫‪Relation‬‬ ‫اﻟﻘﺮاﺑﺔ‬ ‫اﻟﺴﻦ ‪Age‬‬ ‫‪Name‬‬ ‫اﻻﺳﻢ‬ ‫اﻟﻘﺮاﺑﺔ ‪Relation‬‬ ‫اﻟﺴﻦ ‪Age‬‬ ‫‪Name‬‬ ‫اﻻﺳﻢ‬

‫‪Their residence address :‬‬ ‫ﻋﻨﻮان إﻗﺎﻣﺘﮭﻢ ‪:‬‬

‫_____________________________________________________________________________________________________________________________________________________________‬

‫_____________________________________________________________________________________________________________________________________________________________‬

‫‪1‬‬
 ‫إدارة اﻟﻤﻮارد اﻟﺒﺸﺮﯾﺔ واﻟﺸﺆون اﻹدارﯾﺔ‬

Were you employed by this Company before? □‫ﻻ‬

NO □‫ﻧﻌﻢ‬
YES ‫ھﻞ ﺳﺒﻖ وﻋﻤﻠﺖ ﻓﻲ ھﺬه اﻟﺸﺮﻛﺔ ؟‬
When can you start working ? ____________________________________________________________________________________________________ ‫ﻣﺘﻰ ﺗﺴﺘﻄﯿﻊ ﻣﺒﺎﺷﺮة اﻟﻌﻤﻞ ؟‬
Are you employed now ? NO□‫ﻻ‬ YES□‫ﻧﻌﻢ‬ ‫ھﻞ ﺗﻌﻤﻞ ﺣﺎﻟﯿﺎ ؟‬

Your Previous employment record ‫اﻷﻋﻤﺎل اﻟﺘﻲ ﻣﺎرﺳﺘﮭﺎ ﺳﺎﺑﻘﺎ‬

Salary( ) ‫اﻟﺮاﺗﺐ‬ Job Title ______________________ ‫ﻣﺴﻤﻰ اﻟﻮﻇﯿﻔﺔ‬ To / / ‫إﻟﻰ‬ from / / ‫ﻣﻦ‬
Allowance( )‫اﻟﺒﺪﻻت‬ Description of your duties‫ﺗﻔﺎﺻﯿﻞ ﻋﻦ واﺟﺒﺎﺗﻚ‬ Name of co/Org . ‫ ﺻﺎﺣﺐ اﻟﻌﻤﻞ‬/ ‫اﺳﻢ اﻟﺸﺮﻛﺔ‬
________________________________________________________
Reason for Quit ‫ﺳﺒﺐ ﺗﺮك اﻟﻌﻤﻞ‬ __________________________________________________
Address &Telephone No. ‫اﻟﮭﺎﺗﻒ واﻟﻌﻨﻮان‬
__________________________________________________ __________________________________________________
________________________________________________________
__________________________________________________ __________________________________________________ ________________________________________________________

Salary( ) ‫اﻟﺮاﺗﺐ‬ Job Title ______________________ ‫ﻣﺴﻤﻰ اﻟﻮﻇﯿﻔﺔ‬ To / / ‫إﻟﻰ‬ from / / ‫ﻣﻦ‬
Allowance( )‫اﻟﺒﺪﻻت‬ Description of your duties‫ﺗﻔﺎﺻﯿﻞ ﻋﻦ واﺟﺒﺎﺗﻚ‬ Name of co/Org . ‫ ﺻﺎﺣﺐ اﻟﻌﻤﻞ‬/ ‫اﺳﻢ اﻟﺸﺮﻛﺔ‬
________________________________________________________
Reason for Quit ‫ﺳﺒﺐ ﺗﺮك اﻟﻌﻤﻞ‬ __________________________________________________
Address &Telephone No. ‫اﻟﮭﺎﺗﻒ واﻟﻌﻨﻮان‬
__________________________________________________ __________________________________________________
________________________________________________________
__________________________________________________ __________________________________________________ ________________________________________________________

Salary( ) ‫اﻟﺮاﺗﺐ‬ Job Title ______________________ ‫ﻣﺴﻤﻰ اﻟﻮﻇﯿﻔﺔ‬ To / / ‫إﻟﻰ‬ from / / ‫ﻣﻦ‬
Allowance( )‫اﻟﺒﺪﻻت‬ Description of your duties‫ﺗﻔﺎﺻﯿﻞ ﻋﻦ واﺟﺒﺎﺗﻚ‬ Name of co/Org . ‫ ﺻﺎﺣﺐ اﻟﻌﻤﻞ‬/ ‫اﺳﻢ اﻟﺸﺮﻛﺔ‬
________________________________________________________
Reason for Quit ‫ﺳﺒﺐ ﺗﺮك اﻟﻌﻤﻞ‬ __________________________________________________
Address &Telephone No. ‫اﻟﮭﺎﺗﻒ واﻟﻌﻨﻮان‬
__________________________________________________ __________________________________________________
________________________________________________________
__________________________________________________ __________________________________________________ ________________________________________________________

Salary( ) ‫اﻟﺮاﺗﺐ‬ Job Title ______________________ ‫ﻣﺴﻤﻰ اﻟﻮﻇﯿﻔﺔ‬ To / / ‫إﻟﻰ‬ from / / ‫ﻣﻦ‬
Allowance( )‫اﻟﺒﺪﻻت‬ Description of your duties‫ﺗﻔﺎﺻﯿﻞ ﻋﻦ واﺟﺒﺎﺗﻚ‬ Name of co/Org . ‫ ﺻﺎﺣﺐ اﻟﻌﻤﻞ‬/ ‫اﺳﻢ اﻟﺸﺮﻛﺔ‬
________________________________________________________
Reason for Quit ‫ﺳﺒﺐ ﺗﺮك اﻟﻌﻤﻞ‬ __________________________________________________
Address &Telephone No. ‫اﻟﮭﺎﺗﻒ واﻟﻌﻨﻮان‬
__________________________________________________ __________________________________________________
________________________________________________________
__________________________________________________ __________________________________________________ ________________________________________________________

Salary( ) ‫اﻟﺮاﺗﺐ‬ Job Title ______________________ ‫ﻣﺴﻤﻰ اﻟﻮﻇﯿﻔﺔ‬ To / / ‫إﻟﻰ‬ from / / ‫ﻣﻦ‬
Allowance( )‫اﻟﺒﺪﻻت‬ Description of your duties‫ﺗﻔﺎﺻﯿﻞ ﻋﻦ واﺟﺒﺎﺗﻚ‬ Name of co/Org . ‫ ﺻﺎﺣﺐ اﻟﻌﻤﻞ‬/ ‫اﺳﻢ اﻟﺸﺮﻛﺔ‬
________________________________________________________
Reason for Quit ‫ﺳﺒﺐ ﺗﺮك اﻟﻌﻤﻞ‬ __________________________________________________
Address &Telephone No. ‫اﻟﮭﺎﺗﻒ واﻟﻌﻨﻮان‬
__________________________________________________ __________________________________________________
________________________________________________________
__________________________________________________ __________________________________________________ ________________________________________________________

Salary( ) ‫اﻟﺮاﺗﺐ‬ Job Title ______________________ ‫ﻣﺴﻤﻰ اﻟﻮﻇﯿﻔﺔ‬ To / / ‫إﻟﻰ‬ from / / ‫ﻣﻦ‬

2
 Allowance( )‫اﻟﺒﺪﻻت‬
Reason for Quit ‫ﺳﺒﺐ ﺗﺮك اﻟﻌﻤﻞ‬
__________________________________________________
__________________________________________________
G. O. S. I. No. Available
Minimum salary required : ______________________________________________________________________________________________________________ : ‫اﻟﺮاﺗﺐ اﻷدﻧﻰ اﻟﻤﻄﻠﻮب‬
Description of your duties‫ﺗﻔﺎﺻﯿﻞ ﻋﻦ واﺟﺒﺎﺗﻚ‬
__________________________________________________
__________________________________________________
__________________________________________________
3
Name of co/Org . ‫ ﺻﺎﺣﺐ اﻟﻌﻤﻞ‬/ ‫اﺳﻢ اﻟﺸﺮﻛﺔ‬
________________________________________________________
Address &Telephone No. ‫اﻟﮭﺎﺗﻒ واﻟﻌﻨﻮان‬
________________________________________________________
________________________________________________________
‫رﻗﻢ اﻟﺘﺄﻣﯿﻨﺎت اﻻﺟﺘﻤﺎﻋﯿﺔ إن وﺟﺪ‬
 ‫إدارة اﻟﻤﻮارد اﻟﺒﺸﺮﯾﺔ واﻟﺸﺆون اﻹدارﯾﺔ‬

‫‪DRIVING LICENCE‬‬ ‫رﺧﺼﺔ اﻟﻘﯿﺎدة‬

‫رﻗﻤﮭﺎ ‪Number : ___________________________________________________________ :‬‬ ‫ﻧﻮﻋﮭﺎ ‪Category : ________________________________________________________ :‬‬
‫ﺗﺎرﯾﺦ اﻧﺘﮭﺎﺋﮭﺎ ‪Expiry date : _____________________________________________ :‬‬ ‫ﺗﺎرﯾﺦ ﺻﺪورھﺎ ‪Date of issue : _________________________________________ :‬‬
‫ﻓﺼﯿﻠﺔ اﻟﺪم ‪Blood group : _______________________________________________ :‬‬ ‫ﻣﻜﺎن اﻹﺻﺪار ‪Place of Issue : _________________________________________ :‬‬
‫? ‪- Have you ever been convicted‬‬ ‫‪NO‬‬ ‫ﻻ□‬ ‫‪YES‬‬ ‫ﻧﻌﻢ□‬ ‫‪ -‬ھﻞ ﺻﺪرت ﺑﺤﻘﻚ أﺣﻜﺎم ﻗﻀﺎﺋﯿﺔ ؟‬
‫‪- If answer is "yes" please give details.‬‬ ‫‪ -‬ﻓﻲ ﺣﺎل اﻹﺟﺎﺑﺔ ﺑﻨﻌﻢ ﯾﺮﺟﻰ ﺑﯿﺎن اﻟﺘﻔﺎﺻﯿﻞ ‪.‬‬
‫____________________________________________________________________________________________________________________________________________‬

‫ﻣﺪة اﻟﺪراﺳﺔ‬ ‫اﺳﻢ اﻟﻤﺪرﺳﺔ ‪/‬اﻟﺠﺎﻣﻌﺔ‬

‫اﻟﺪرﺟﺔ‬ ‫اﻟﺘﺨﺼﺺ‬ ‫اﻟﻤﺪﯾﻨﺔ ‪ /‬اﻟﺒﻠﺪ‬ ‫اﻟﺘﺤﺼﯿﻞ اﻟﻌﻠﻤﻲ‬
‫‪Duration of study‬‬ ‫‪Name of‬‬
‫‪Grade‬‬ ‫‪Specialize‬‬ ‫‪City / Count‬‬ ‫‪Education‬‬
‫‪To‬‬ ‫ﻣﻦ ﺗﺎرﯾﺦ‪ From‬إﻟﻰ‬ ‫‪school/University‬‬
‫اﺑﺘﺪاﺋﻲ‬
‫‪Elementary‬‬
‫إﻋﺪادي‬
‫‪Intermediate‬‬
‫ﺛﺎﻧﻮي‬
‫‪Secondary‬‬
‫دﺑﻠﻮم ﺑﻌﺪ اﻟﺜﺎﻧﻮﯾﺔ‬
‫‪High diploma‬‬
‫اﻟﺠﺎﻣﻌﺔ‬
‫‪University‬‬
‫دراﺳﺎت ﻋﻠﯿﺎ‬
‫‪Post graduate studies‬‬
‫اﻟﺘﺨﺼﺺ‬ ‫إﻟﻰ‬ ‫ﻣﻦ ﺗﺎرﯾﺦ‬ ‫اﻟﻤﺪﯾﻨﺔ ‪ /‬اﻟﺒﻠﺪ‬ ‫اﺳﻢ اﻟﻤﻌﮭﺪ‬ ‫اﻟﺪورات اﻟﺘﺪرﯾﺒﯿﺔ‬
‫‪Specialize‬‬ ‫‪To‬‬ ‫‪From‬‬ ‫‪City / Count‬‬ ‫‪Name of institute‬‬ ‫‪Training Courses‬‬

‫ھﻮاﯾﺎت وﻣﮭﺎرات‬
‫‪...........................................................................................................................................‬‬
‫‪Hippies & Skills‬‬
‫ﻣﮭﺎرات أﺧﺮى‬ ‫ﺳﺮﻋﺔ اﻟﻄﺒﺎﻋﺔ‬ ‫ﺳﺮﻋﺔ اﻻﺧﺘﺰال‬ ‫‪Writing‬‬ ‫اﻟﻜﺘﺎﺑﺔ‬ ‫‪Reading‬‬ ‫‪ Speaking‬اﻟﻘﺮاءة‬ ‫اﻟﺘﺤﺪث‬ ‫ﻣﻌﺮﻓﺔ اﻟﻠﻐﺎت‬
‫‪Other skills‬‬ ‫‪TYPING‬‬ ‫‪SHORTHA‬‬ ‫‪Knowledge of‬‬
‫‪SPEED‬‬ ‫‪ND SPEED‬‬ ‫ﺣﺴﻦ‬ ‫ﺟﯿﺪ‬ ‫ﻣﻤﺘﺎز‬ ‫ﺣﺴﻦ‬ ‫ﺟﯿﺪ‬ ‫ﻣﻤﺘﺎز‬ ‫ﺣﺴﻦ‬ ‫ﺟﯿﺪ‬ ‫ﻣﻤﺘﺎز‬ ‫‪languages‬‬
‫‪F.‬‬ ‫‪G.‬‬ ‫‪EX.‬‬ ‫‪F.‬‬ ‫‪G.‬‬ ‫‪EX.‬‬ ‫‪F.‬‬ ‫‪G.‬‬ ‫‪EX.‬‬
‫اﻟﻌﺮﺑﯿﺔ ‪Arabic‬‬
‫اﻹﻧﺠﻠﯿﺰﯾﺔ‪English‬‬
‫أﺧﺮى‪Others..............‬‬

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 ‫إدارة اﻟﻤﻮارد اﻟﺒﺸﺮﯾﺔ واﻟﺸﺆون اﻹدارﯾﺔ‬

How did you came to know about the job? : _____________________________________________________________ : ‫ﻛﯿﻒ ﻋﺮﻓﺖ ﻋﻦ ﻓﺮﺻﺔ اﻟﻌﻤﻞ‬
Do you have any relatives employed our company?(Specify) : : (‫ھﻞ ﻟﺪﯾﻚ أﻗﺎرب ﯾﻌﻤﻠﻮن ﻓﻲ ﺷﺮﻛﺘﻨﺎ؟ )أذﻛﺮھﻢ‬

_____________________________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________________________

References : List 3 persons ( not relatives ) (‫ أذﻛﺮ أﺳﻤﺎء ﺛﻼﺛﺔ أﺷﺨﺎص )ﻣﻦ ﻏﯿﺮ اﻷﻗﺎرب‬: ‫اﻟﻤﻌﺮّﻓﻮن‬
Address . ‫اﻟﻌﻨﻮان‬ TEL . ‫اﻟﮭﺎﺗﻒ‬ Company . ‫اﻟﺸﺮﻛﺔ‬ Position . ‫اﻟﻮﻇﯿﻔﺔ‬ Name . ‫اﻻﺳﻢ‬

Other data which may be of interest; __________________________________________________________________________ ‫ھﻞ ھﻨﺎك ﻣﻌﻠﻮﻣﺎت أﺧﺮى ﺗﻮد إﺿﺎﻓﺘﮭﺎ ؟‬
_____________________________________________________________________________________________________________________________________________________________________

I Hereby certify that all the foregoing information is to the best of my ‫أﺷﮭﺪ أن ﻛﺎﻓﺔ اﻟﻤﻌﻠﻮﻣﺎت اﻵﻧﻔﺔ اﻟﺬﻛﺮ ﺣﺴﺐ ﻣﻌﺮﻓﺘﻲ‬
knowledge and belief, correct and complete and I authorize you to ‫واﻋﺘﻘﺎدي ھﻲ ﺻﺤﯿﺤﺔ وﻛﺎﻣﻠﺔ وأواﻓﻖ ﻋﻠﻰ أن ﺗﺘﺤﻘﻘﻮا‬
verify it. Any false or omitted information will be sufficient cause for ‫ وأي ﻣﻌﻠﻮﻣﺎت ﻏﯿﺮ ﺻﺤﯿﺤﺔ ﺳﺘﻜﻮن ﺳﺒﺒًﺎ‬، ‫ﻣﻦ ﺻﺤﺘﮭﺎ‬
my responsibility. . ‫ﻛﺎﻓﯿﺎ ﻟﻤﺴﺄﻟﺘﻲ‬
Ps. Copies, and not originals of educational and experience certificates ‫ ﯾﺠ ﺐ إرﻓ ﺎق ﻧﺴ ﺦ ﻣ ﻦ اﻟﺸ ﮭﺎدات اﻟﺪراﺳ ﯿﺔ‬: ‫ﻣﻼﺣﻈ ﺔ‬
must be enclosed. . ‫وﺷﮭﺎدات اﻟﺨﺒﺮات اﻟﻌﻤﻠﯿﺔ وﻟﯿﺲ اﻟﺸﮭﺎدات اﻷﺻﻠﯿﺔ‬
Date:_____/___/____ : ‫ اﻟﺘﺎرﯾﺦ‬Signature: __________________________ : ‫اﻟﺘﻮﻗﯿﻊ‬ Name: ___________________________________________ : ‫اﻻﺳﻢ‬

For Company Use Only ‫ﻻﺳﺘﻌﻤﺎل اﻟﺸﺮﻛﺔ ﻓﻘﻂ‬

Appointment Empowered Notes : ................................................................ : ‫ﻣﻼﺣﻈﺎت ﻣﺴﺆول اﻟﺘﻮﻇﯿﻒ‬
____________________________________________________________________________________________________________________________________________________________________________

__________________________________________ : ‫اﻟﺘﻮﻗﯿﻊ‬

Section Manager’s Recommendations : ............................................................ : ‫ﺗﻮﺻﯿﺎت رﺋﯿﺲ اﻟﻘﺴﻢ‬

____________________________________________________________________________________________________________________________________________________________________________

__________________________________________ : ‫اﻟﺘﻮﻗﯿﻊ‬

‫ﻗﺮار ﻣﺪﯾﺮ إدارة اﻟﻤﻮارد اﻟﺒﺸﺮﯾﺔ واﻟﺸﺆون اﻹدارﯾﺔ‬

Human Resources & Administrative Manager's Decision
____________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________

__________________________________________ : ‫اﻟﺘﻮﻗﯿﻊ‬
_________/___/___ : ‫اﻟﺘﺎرﯾﺦ‬
‫* اﻷﺻﻞ ﻟﻤﻠﻒ اﻟﻤﻮﻇﻒ‬