Doc.

Title: Application Form

Doc. Ref. No.: TALABAT/HRD/RCT/F/01
Revision No.: V1.0
No. of Pages: 2
Release date: 01.06.2016

APPLICATION FORM - A

Candidate Ref. No. Date:

Position Applied for: Location:

Source of Candidate: (To be filled by HR)

Name

Mobile No. Email ID

Nationality Gender Male Female

Date of Birth Marital Status Married Single

Passport No. Passport Expiry Date

Civil ID No Residency Expiry Date

Type of Visa Visa Sponsor

Local Driving License Yes No License Expiry Date

Expected Position Type Full-Time Part-Time Temporary Internship

Languages Known English: Speaking Reading Writing

Arabic : Speaking Reading Writing

No. of Yrs. of Experience Overall M.E.N.A Region

Professional work Experience (Elaborate, starting from most recent)

Company Name Position Held From To Reason for Leaving

Current Salary Expected Salary

(In Local currency) (In Local currency)

Other Benefits

Notice Period
Have you applied for a vacancy in Talabat Yes No
before?

Education Status High School Graduate University Graduate Master’s Degree

(Elaborate, starting from
most recent) Diploma Holder Other (Please Specify)

Degree College/University Specialisation Passing Yr. Grade

Technical Courses/ Qualification
1
.

2
.

Reference Check (Please furnish minimum 2 and maximum 4 Contact names and No’s for background reference check, starting from your current/last
place of employment)

Can we contact your previous company for reference check purpose? Yes No

Name Designation Company Contact Email ID

No.

I, hereby confirm that all data mentioned above by me is true and correct to my knowledge. If selected, any misleading false or
inaccurate information, may be sufficient cause for rejection or termination of the Offer/Job.

Name: Signature: Date:

HR Verification (To be filled by HR)

HR Comments:

Name: Date: