Dhafir Development & Contracting L

Dhafir

HR Development & Contracting L.L.C.

Application for Employment Form

(Photograph)

Position Sought ______

General Information Full Name Male Female Nationality Place & Date of Birth Passport No Date of Issue / Expiry Present Address Tel. Email Mobile Permanent Address (if different from above) Tel. Mobile

Marital Status Married Single Other ______No. of Children ______Health State any physical disabilities and/ or any major illness or operation

Additional Information Languages Poor Fair Good V. Good Computer Literacy

Do you have a valid U.A.E. Driving License Yes No

Are you able to get a NOC from your current Employer Yes No If yes, Probability ______%; When ______

When are you available to start work at DDC What is your preferred work location Ability to relocate to Abu Dhabi Al Ain Dubai Sharjah

Education (Begin with Most Recent) Institution Attended Location Degree/ Diploma/ Certificate Year Obtained

1/2 Form # HR01/3, Rev 0, Apr’11 Dhafir

HR Development & Contracting L.L.C. Employment Current Employment Position Held Name & Address of Organization Title of person you report to Number of people reporting to you Duties

Reason for Leaving

Previous Employment Record Date Reason for Position Name of Organization Main Duties Leaving From To (if applicable)

Salary Present Salary (Provide details showing breakdown of salary package, i.e. Monthly Salary, Housing & Car if directly provided by employer, etc.)

Requested Salary

References Do we have your agreement to contact your present employer for a reference Yes No At any time At acceptance of the employer offer Give name of two people, not relatives, who are familiar with your work Name Designation Organization Tel. 1.

Do we have your agreement to contact the people named above for a reference Yes No

I declare that all the information given above is complete and correct. I understand that any omission or misrepresentation with respect to this information may be cause for denial or immediate termination of employment.

…………………………………………………….…………… …………………………………………………………………. Date Signature

2/2 Form # HR01/3, Rev 0, Apr’11