<p>Dhafir </p><p>HR Development & Contracting L.L.C. </p><p>Application for Employment Form</p><p>(Photograph)</p><p>Position Sought ______</p><p>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</p><p>Marital Status Married Single Other ______No. of Children ______Health State any physical disabilities and/ or any major illness or operation</p><p>Additional Information Languages Poor Fair Good V. Good Computer Literacy </p><p>Do you have a valid U.A.E. Driving License Yes No</p><p>Are you able to get a NOC from your current Employer Yes No If yes, Probability ______%; When ______</p><p>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</p><p>Education (Begin with Most Recent) Institution Attended Location Degree/ Diploma/ Certificate Year Obtained</p><p>1/2 Form # HR01/3, Rev 0, Apr’11 Dhafir </p><p>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</p><p>Reason for Leaving</p><p>Previous Employment Record Date Reason for Position Name of Organization Main Duties Leaving From To (if applicable)</p><p>Salary Present Salary (Provide details showing breakdown of salary package, i.e. Monthly Salary, Housing & Car if directly provided by employer, etc.)</p><p>Requested Salary </p><p>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.</p><p>2.</p><p>Do we have your agreement to contact the people named above for a reference Yes No</p><p>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.</p><p>…………………………………………………….…………… …………………………………………………………………. Date Signature</p><p>2/2 Form # HR01/3, Rev 0, Apr’11</p>