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Appendix 2

Employment Application Form

Guideline: Please note that all the required details below are mandatory. Fill the form in block
letters. You can circle for a YES or a NO.

(*) Required to be filled, all information should be provided or else the form will not be
considered

Candidate Name Okorie Primus Chinonye Date 23-03-2024

Gender Male Female Age 36 Blood Group O+

Date of Birth 12-23-1986 Marital Status Married

Contact No 66417105 Email Address okorieprimus@gamil.com

Nationality Nigeria Current Location Doha

Passport No B50 QID No 2865660585

Present Address Najma Doha

Native Address Imo State Nigeria

Current Position QAQC Engineer Proposed Position QAQC Engineer

* Present Package
Basic 10000 Housing 3000 Transport 3000 Total: 16000
(QR)
* Expected Package
Basic 10000 Housing 3500 Transport 3000 Total: 16500
(QR)

Qualifications B Eng Materials And Metallurgical Engineering

Graduation Year 2011

Total Years of Total GCC Work


10 10
Experience Experience

Visa Status Transferable NOC Letter Available

Qatari Driving
* Notice Period to Join Immediate Yes No
License

* UPDA Certificate * Grade of UPDA


Yes No
(Only Engineers) (Only Engineers)

EGEC-QA-HR-R-08 18-Nov-17 Rev. 00


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Appendix 2
Previous Experience

Salary
Total
Sr. Company Career Position From To Location Package
Period
(QR)
As
attached
1 12000
in the
CV

Major Courses & Training

Name of Company Total Hours of


Sr. Name of Course Location Remarks
or Center Course
As attached in
1 the
CV

Two Professional Reference details

Name of the
Sr. Relation Name of Company Contact Number Email ID
Person

1 Kanan Anthony Manager UCC 50227273

echematatrix1@yah
2 Akuma Eche Manager Mid Mac 70627340
oo.com

EGEC-QA-HR-R-08 18-Nov-17 Rev. 00


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Appendix 2

Undertaking:

I agree that all the above mentioned details & true. I can provide all supporting documents for the same.

_______________________________
Signature

EGEC-QA-HR-R-08 18-Nov-17 Rev. 00


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