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RUWAIS FERTILIZER INDUSTRIES (FERTIL)

{Photograph}
APPUCATlON FOR EMPLOYMENT
FERTIL
POSITION OF
I. PERSONAL DATA :­
Surname j Sex: M/F
Full Name
Nationality Reltglon
Passport No . Place of I sue
Date of issue Date of Expiry
Place of Birth Date ofButh
Present Address Tel. No. Pager/Mobile
Permanent Addres Tel. No.
For Emergency Contact(Next of Kin - Name & Tel.) ~

Marital Status Marriedl J Single l ' ..

Other (State)
Spouse's Name Date of Blrth (DIMfY) HisfHer Employer
(Details O[ Childrenl -.
Name Date of Birth(U/l\1/Y) N me Date of Birlh(D/M/\')
I. 4. I'
i
2.
.
5. I. I
3. 6. J

3. TECH/'tJC-tLI PROFESSIO.\ :4.L TRAI.Vl;\ 'C:­

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4. ft.IEJUBERSHIP OF PROFESSIO,VAL SOCIET1ES:­
-- t. TYftf1ll' DAT&

5. CURRENT EJ.\tfPLOYi~fENT :­
Employer (Name & Address)
Job Title

Title of person you report to

Number of personnel reporting to you

Summary of current responsibilities

Reason for leavmg

~

\, I Last Salary
Other Positions Held with Current Employer

DAH
POSITION
_.w.:.. DETAILS OF MAIN DUTIES eft
M IlESPO I.BlLITIES
., .
) ,~'" .,' 'I ...
•
I

~ -' J

6. PREJ-/OLS
? -
E.JIPLO} . . .
.
J.HE.\TRECORD.­
'-"
. . I
',' ,~- 1

DATE ORGANIZATIO rosm BRIEF DETAILS OF DVTI LE YING

N.a.MW BELD A.--__ REASO
PItOM 10
I .­ I'

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7.. HEA L TH (Sf ale anv pln'Slca
I I Illes an d
ld lsa b'l" I or any major I ness or opera/wn) ,­
f) E

HEIGHT (eM) I WEIGHT (KG)

8. REFERENCES :­
Do we have your pennission to contact your present Employer for a reference?
0
Yes
0 No
D
At any time When you accept lhe Employment Offer
0
State two persons to wbom we may refer and to wbom you are well known but not related
NAME \ ORGA~IZATIO . TEL. 0
I.
2.

9. ADDITIONAL INFORflrlATION :­
Have you ever apphed for a post with FERTIL ? If so , give date of Application

Have you been employed by FERTlL? If50. give some details

I,
Name(s) of any relatlve(s) emp loyed by FERTIL

When you can Join FERTIL')

J
I
~tate the mInimum salary ae eptab\e by you I. r
10. GENERAL INFORJ~fATION
rnterests and Hobbies I
I
Other InFormat ion you like to add I' i
, J

'­ \... I

r
I DECLARE THAT THE INFORMATION GIVEN ABOVE, IS COMPLETE AND CORRECT.

SIG'iATURE DATE

Note:- Pleuse u((ach lite /o/101l' IIlg with the I.lpp{icaflon:­

"' One Passport Ize Photograph • Copy of Pas port

• CopIes of Educational and Experience Certificates • Copy of K.hulasat AI- Qall.l {('or LAE ' allllnal51

PaliW # 3