Job Application Form (Alpha Version: 5.4.0.107)

Employment Application Form

Vacancy Information
Position apply for:	_______________________	Date of application:	____/_____/_________
Position Ref. Code:	_______________________
How you Hear about this Vacancy? ______________

Personal Information
Title	First Name	Middle Name	Family Name
___________	_____________________	___________________	____________________

Gender ___________	Marital Status ___________	If married since when: ____/_____/______
Nationality: _______	Date of Birth: ___/___/____	Place of Birth: _______________________

Current Address	P. O. Box : ______________	P. Code: ____________	P. City: _____________
	Street No: _______________	Block No: ___________	House/Flat No: _______
	Country: ________________

Contact Details	Mobile Number: __________	Alternative No: _______	Home Tel: __________
	Fax: __________
	Email: ______________________________________

Education
Type of Qualification	Major	Institute	Country/City	Year

Training/Certificates
Course Name	Institute	Country/City	From Date	To Date

Employment History
Job Title	Employer	Date	Main Duties		Salary	Reason for Leaving














Please use this section to state why you think you are the right person for the position you are applying for. Continue on a separate sheet if necessary.
Special Skills & Knowledge
Please state all the skills and knowledge that related to the position you apply for.
Skills				Knowledge

Additional Information
Do you hold a valid Driving License? £ Yes £ No
Do you consider that you have a disability or any other condition that the company should be aware of, Pleas specify?
Civil No: ___________________	Date of expiry: _____/______/______
Manpower No (Omani Only):	___________________________

Interest & Hobbies

Please mention those which are particularly relevant in support of your application. Also, give details of positions of the responsibilities held outside the working environment.

Please Give details of any Serious or recurrent illness?

References
Please give the name and the addresses of two persons (not related to you) from which we can obtain a reference. These should relate to your current and previous employers, where applicable.
Name/Title	Address	Telephone	Email

Declaration

The answers and the information given in this application are true and accurate and I understand that to have supplied dales information may result in dismissal.

I agree to undergo a medical examination before appointment or at any time during my employment with Oman Polypropylene.

Signed Date

__________________________ ______/_______/________