You are on page 1of 1

Labour Relations Department ‫إدارة ﻋﻼﻗﺎت اﻟﻌﻤﻞ‬

Changing the employer ‫ﻃﻠﺐ �ﻐ��ﺟهﺔ ﻋﻤﻞ‬


���‫ﻳﺮ���أﺧﺬ�اﻟﻌﻠﻢ�ﺑﺄن�ﺗﺎر�ﺦ�ﺗﻘﺪﻳﻢ�هﺬا�اﻟﻨﻤﻮذج�ﻟﺘﻐﻴ���ﺟهﺔ�اﻟﻌﻤﻞ�ﺳﻴ�ﻮن�ﺗﺎر�ﺦ�ﺑﺪء�ﻓ��ة�اﻹﺧﻄﺎر�ﻣﻊ�ﺻﺎﺣﺐ�اﻟﻌﻤﻞ�ا��ﺎ‬
Please note that the date of submission of this form to change employer will be the start date of your notice period with your current employer.
Worker’s data ‫ﺑﻴﺎﻧﺎت اﻟﻌﺎﻣﻞ‬
QID.�No: 2 9 0 3 5 6 2 0 9 7 3 :�����‫اﻟﺮﻗﻢ�اﻟ‬

Nationality: ‫اﻟﮭﻧدي‬ :‫ ا���ﺴﻴﺔ‬Name: ‫ﻣراد ﻣراد ﻛورﯾﺎﺑﯾﻼ ﻣﻌدﯾن‬ ‫ﻣد ﯾ ﺎ ﯾداﻣو ﺎ‬:‫اﻻﺳﻢ‬
‫ﻣﺎد ﺑدا‬
Mobile No: 70935273 :‫ رﻗﻢ�اﳌﻮ�ﺎﻳﻞ‬Occupation: ‫ﻣدﯾ ﻣﻧدوب ﻣﺑﯾﻌﺎت‬ ‫ ﺎ ب ﻧ ﻣ ﻣ ﻧد‬:‫اﳌهﻨﺔ‬ ‫ﻣﺑ ﻣ‬
The employer’s name: ‫� ا ﯾت ﻧ ﯾ اد ت ﻧ ر اﻟدﯾﺎرﺳﯾروا ﻟﻼﺳﺗﺷﺎرات اﻟﮭﻧدﺳﯾﮫ‬:‫اﺳﻢ�ﺻﺎﺣﺐ�اﻟﻌﻤﻞ‬
‫دﯾﺎر ا ﯾترا و ﻟ ﺗ ﺎر‬
Duration of work with current Employer 2‫ﺳﻧﺔ‬ :‫ﻣﺪة�ا��ﺪﻣﺔ‬
Signature: :‫اﻟﺘﻮﻗﻴﻊ‬

New employer data ‫ﺑﻴﺎﻧﺎت ﺟهﺔ اﻟﻌﻤﻞ ا��ﺪﻳﺪة‬


Employer 's name: ‫راﯾو اﻟﺗﺟوﯾف ﺟروب‬ ‫و‬ ‫� اﻟ رفﺟ ا ﺟ‬:‫اﺳﻢ�ﺻﺎﺣﺐ�اﻟﻌﻤﻞ‬
‫ر ﻟ ﺟ ﻟ ﺗﺟ ر‬
:‫رﻗﻢ�اﻟهﺎﺗﻒ‬ Computer card No:
Tel. No: 30164909 (If company)
1 7 2 1 5 0 0 0 :�‫رﻗﻢ�ﻗﻴﺪاﳌ�ﺸﺄة‬
�QID.�No:� (‫)إذا�ﻣ�ﺸﺄة‬
(if Individual Employer)
:‫اﻟﺮﻗﻢ�اﻟ������إن��ﺎن�ﻓﺮدا‬
E-mail: (Optional) (‫اﻟ��ﻳﺪ�اﻹﻟﻜ��و�ﻲ�)إﺧﺘﻴﺎري‬
Seal: (If company) (‫�)إذا��ﺎﻧﺖ�ﻣ�ﺸﺄة‬:‫ا��ﺘﻢ‬ Signature: :‫اﻟﺘﻮﻗﻴﻊ‬

Required documents and information to finish your application: ‫اﳌﺴ�ﻨﺪات واﳌﻤﺮﻓﻘﺎت اﳌﻄﻠﻮ�ﺔ ﻻﺳﺘﻜﻤﺎل اﻟﻄﻠﺐ‬
1 - Fill, print and attach this form to the submission ‫ �ﻌﺒﺌﺔ هﺬا اﻟﻨﻤﻮذج وﻃﺒﺎﻋﺘﮫ وإرﻓﺎﻗﮫ ﺑﺎﳌﻠﻒ‬- 1
2 - Please only check if this applies: :‫ ﻳﺮ�� وﺿﻊ إﺷﺎرة �� اﳌﺮ�ﻊ إذا �ﺎن ﻳﻨﻄﺒﻖ ﻋﻠﻴﻚ‬- 2
I will not complete my notice period because: :‫ﻟﻦ�أﻛﻤﻞ�ﻓ��ة�اﻹﺧﻄﺎر�ﻟهﺬا�اﻟﺴ�ﺐ‬
�� I agreed with my current employer not to fulfil the notice period.�If checked,�please� ���‫�)���ﺣﺎل�وﺿﻌﺖ�إﺷﺎرة�ﻓ���هﺬا‬.‫���������������اﺗﻔﻘﺖ�ﻣﻊ�ﺻﺎﺣﺐ�اﻟﻌﻤﻞ�ا��ﺎ���ﻋ���ﻋﺪم�ﻣﺮاﻋﺎة�ﻓ��ة�اﻻﺧﺘﺒﺎر‬
attach proof of this mutual agreement .‫���������������اﳌﺮ�ﻊ�ﻳﺮ���إرﻓﺎق�إﺛﺒﺎت�ﻋﻦ�هﺬا�اﻻﺗﻔﺎق�اﳌﺸ��ك‬
���������������My current employer violated my rights under the employment contract and�/or law.� .‫أو�اﻟﻘﺎﻧﻮن‬/‫���������������اﻧ��ﻚ�ﺻﺎﺣﺐ�اﻟﻌﻤﻞ�ا��ﺎ���ﺣﻘﻮ���اﳌﻨﺼﻮص�ﻋﻠ��ﺎ����ﻋﻘﺪ�اﻟﻌﻤﻞ�و‬

If checked Please explain below : :‫ﻳﺠﺐ اﻟﺸﺮح أدﻧﺎﻩ‬

)906(: ‫ﻣﻘدم ﺷﻛوى ﻋﻣﺎﻟﯾﺔ ﺿدى اﻟﻛﻔﯾل اﻟﺳﺎﺑق ﺗﺣت رﻗم‬

You might also like