Personnel Action Form

(PAF)

Employee Type Regular Employee Budget Info. ☐ No Change to get ☐ Annual Increase ☐ Annual Savings

Employee No. Facility

‫اﻟرﻗم اﻟوظﯾﻔﻲ‬ ‫اﻟﻣوﻗﻊ‬
Name of Employee Job Title
‫اﺳم اﻟﻣوظف‬ ‫اﻟﻣﺳﻣﻰ اﻟوظﯾﻔﻲ‬
Year of Birth Age
‫ﺳﻧﺔ اﻟﻣﯾﻼد‬ ‫اﻟﻌﻣر‬
Grade Department
‫اﻟدرﺟﺔ اﻟوظﯾﻔﯾﺔ‬ ‫اﻟﻘﺳم‬
Nationality Joining Date
‫اﻟﺟﻧﺳﯾﺔ‬ ‫ﺗﺎرﯾﺦ اﻻﻟﺗﺣﺎق‬
Gender Company
‫اﻟﺟﻧس‬ ‫اﻟﺷرﻛﺔ‬

Marital Status Ticket Employee Wife Child

‫اﻟﺣﺎﻟﺔ اﻻﺟﺗﻣﺎﻋﯾﺔ‬ ‫ﺗذاﻛر اﻟﺳﻔر‬ ‫اﻟﻣوظف‬ ‫الزوجة‬ ‫اﻷﺑﻧﺎء‬

Start of Contract End of Contract

‫ﺗﺎرﯾﺦ ﺑداﯾﺔ اﻟﻌﻘد‬ ‫ﺗﺎرﯾﺦ ﻧﮭﺎﯾﺔ اﻟﻌﻘد‬
National ID/ Iqama Expiry Date
‫ اﻹﻗﺎﻣﺔ‬/ ‫رﻗم اﻟﮭوﯾﺔ‬ ‫ﺗﺎرﯾﺦ اﻻﻧﺗﮭﺎء‬

A REQUEST FOR: NEW HIRE

‫ ﺗوظﯾف ﺟدﯾد‬:‫ﻧوع اﻟطﻠب‬

Date Job Title
‫اﻟﺗﺎرﯾﺦ‬ ‫اﻟﻣﺳﻣﻰ اﻟوظﯾﻔﻲ‬
Current Department Department
‫المدير المباشر‬ ‫اﻟﻘﺳم‬

CURRENT SALARY INFORMATION (SAR) NEW SALARY INFORMATION (SAR)

‫اﻟراﺗب اﻟﺣﺎﻟﻲ‬ ‫اﻟراﺗب اﻟﺟدﯾد‬
Basic Salary Basic Salary
‫اﻟراﺗب اﻷﺳﺎﺳﻲ‬ ‫اﻟراﺗب اﻷﺳﺎﺳﻲ‬
Housing Allowance Housing Allowance
‫ﺑدل اﻟﺳﻛن‬ ‫ﺑدل اﻟﺳﻛن‬
Transportation Allowance Transportation Allowance
‫ﺑدل اﻟﻣواﺻﻼت‬ ‫ﺑدل اﻟﻣواﺻﻼت‬
Food Allowance Food Allowance
‫ﺑدل طﻌﺎم‬ ‫ﺑدل طﻌﺎم‬
Other Allowance Other Allowance
‫ﺑدﻻت أﺧرى‬ ‫ﺑدﻻت أﺧرى‬
Gross Gross
‫اﻟﻣﺟﻣوع‬ ‫اﻟﻣﺟﻣوع‬
Food Deduction Food Deduction
‫اﺳﺗﻘطﺎع اﻟطﻌﺎم‬ ‫اﺳﺗﻘطﺎع اﻟطﻌﺎم‬
Employee Employee
GOSI Deduction ‫اﻟﻣوظف‬ GOSI Deduction ‫اﻟﻣوظف‬
‫اﺳﺗﻘطﺎع اﻟﺗﺄﻣﯾﻧﺎت اﻻﺟﺗﻣﺎﻋﯾﺔ‬ Company ‫اﺳﺗﻘطﺎع اﻟﺗﺄﻣﯾﻧﺎت اﻻﺟﺗﻣﺎﻋﯾﺔ‬ Company
‫اﻟﺷرﻛﺔ‬ ‫اﻟﺷرﻛﺔ‬
Net Net
‫ﺻﺎﻓﻲ اﻟراﺗب‬ ‫ﺻﺎﻓﻲ اﻟراﺗب‬
justification relevant other any and letter offer attach
‫ اﻟرﺟﺎء إرﻓﺎق ﻛل اﻟﻣﺳﺗﻧدات اﻟﻣﺗﻌﻠﻘﺔ ﺑﻧوع اﻟطﻠب‬Please
Approval Signature Date
‫اﻟﻣواﻓﻘﺔ‬ ‫اﻟﺗوﻗﯾﻊ‬ ‫اﻟﺗﺎرﯾﺦ‬
HR Manager
‫ﻣدﯾر اﻟﻣوارد اﻟﺑﺷرﯾﺔ‬
Finance Department
‫ﻗﺳم اﻟﻣﺎﻟﯾﺔ‬
General Manager
‫اﻟﻣدﯾر اﻟﻌﺎم‬