Application Form ‫ّٔىرج طٍب حىظٍف‬

PERSONAL DATA ‫اٌّؼٍىِبث اٌشخظٍت‬

Family Name ‫اسن العائلح‬ Grandfather ‫اسن الجد‬ Father Name ‫اسن األب‬ First Name ‫االسن األل‬

‫ضع صورة هنا‬ Place of Birth ‫هكاى الوَالد‬ Date of Birth ‫ذازٍخ الوَالد‬
Attach photo here ………. / …....... / 20………
ID / Iqama / ‫زقن تطاقح األحوا الودًَح‬
Place of Issue ‫هكاى اإلصداز‬ Date of Issue ‫ذازٍخ اإلصداز‬
No. ‫اإلقاهح‬
………………………………………………
‫اإلًاز‬ ‫الركوز‬ ‫ػذد األوالد‬ ‫هرصلج‬ ‫أعصب‬ ‫اٌحبٌت االجخّبػٍت‬
O O
Female Male No. of Children Married Single Marital Status

Postal Code ً‫السهص الثسٍد‬ City ‫الودٌٍح‬ P.O Box ‫ب‬.‫ص‬

E-mail Address ًٌ‫الثسٍد اإللكرسل‬ Mobile ‫الهاذف الجوا‬ Telephone (Home/Office) ‫العول‬/ ‫هاذف الوٌص‬

EDUCATION ٍٍُ‫اٌخؼ‬
‫ػذد اٌسٕىاث‬ ‫حبسٌخ اٌحظىي ػٍى اٌشهبدة‬ ‫ِىبْ اٌذساست‬ ‫ اٌّؼهذ‬/ ‫ اٌّذسست‬/ ‫اسُ اٌجبِؼت‬ ‫اٌخخظض‬ ‫اٌشهبدة اٌحبئز ػٍٍهب‬
No. of years Date of Graduation Location Educational Institute Name Major Certificate Obtained

LANGUAGES ‫اٌٍغبث‬
Speaking ‫اٌخحذد‬ Writing ‫اٌىخببت‬ Reading ‫اٌمشاءة‬
‫ال‬ ‫ال‬ Language ‫اٌٍغت‬
‫ال أعسف‬ ‫ضعَف‬ ‫جَد‬ ‫هوراش‬ ‫ضعَف‬ ‫جَد‬ ‫هوراش‬ ‫ضعَف‬ ‫جَد‬ ‫هوراش‬
‫أعسف‬ ‫أعسف‬
No Poor Fair Excellent No Poor Good Excellent No Poor Good Excellent

O O O O O O O O O O O O Arabic ‫العستَح‬

O O O O O O O O O O O O English ‫اإلًجلَصٍح‬

O O O O O O O O O O O O Other ‫أخسى‬

Computer Skills ًٌَ‫ِهبساث اٌحبسب ا‬

MS Word Poor □ ‫ضعَف‬ Fair □ ‫هروسط‬ Good □ ‫جَد‬ Excellent □ ‫هوراش‬ ‫هاٍكسلسوفد للزد‬

MS Excel Poor □ ‫ضعَف‬ Fair □ ‫هروسط‬ Good □ ‫جَد‬ Excellent □ ‫هوراش‬ ‫هاٍكسلسوفد إكسل‬

Others Poor □ ‫ضعَف‬ Fair □ ‫هروسط‬ Good □ ‫جَد‬ Excellent □ ‫هوراش‬ ‫أخسى‬

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TRAINING ‫اٌخذسٌب‬
‫اسُ ِؼهذ اٌخذسٌب‬ ‫إلي‬ ‫هي‬ ‫ِذة اٌخذسٌب‬ ‫ٔىع اٌخذسٌب‬ ‫اٌشهبدة‬
Training Institute Name From To Period Type of Training Certificate

EXPERIENCE ‫اٌخبشاث اٌؼٍٍّت‬

ًّ‫سبب حشن اٌؼ‬ ‫اٌشاحب‬ ‫حبسٌخ االٔمطبع‬ ‫حبسٌخ االٌخحبق‬ ‫ إٌّظّت‬/ ًّ‫طبحب اٌؼ‬ ‫اٌىظٍفت‬
Reason of leaving work Salary Leave Date Joining Date Employer / Organization Position

Describe the last Job you performed

‫أعط وصفا ً مختصراً آلخر وظيفة عملت بها‬
………………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………………………

GENERAL INFORMATION ‫ِؼٍىِبث ػبِت‬

:‫سجل زقن الرأهٌَاخ‬ ‫ًعن‬ ‫ال‬ ‫هل ذن ذسجَلك لدى الرأهٌَاخ االجرواعَح هي قثل؟‬
O O
___________________________ : Write GOSI No. Yes No Have you been registered with GOSI before?

: ‫ذفاصَل اإلعاقح‬ ‫ًعن‬ ‫ال‬ ‫هل ذعاًٌ هي أٍح إعاقح؟‬

___________________________
O O
: Describe Yes No Do you have any physical disability?

Expires on ٌ‫ذٌرهٌ ف‬ Type ‫ًوعها‬ No. ‫زقوها‬ ‫ًعن‬ ‫ال‬ ‫هل لدٍك زخصح قَادج سعودٍح؟‬
O O
Yes No Do you have a Saudi Driving License?

‫ فوا الوكاى الرً ذسغة تالعول فَه؟‬،‫إذا كاى ال‬ ‫ًعن‬ ‫ال‬ ‫هل لدٍك االسرعداد للعول فٌ أً هكاى فٌ الوولكح؟‬
_____________
O O
: If No, Where do you wish to work? Yes No Are you ready to work anywhere in the Kingdom?

What is the position you are applying for? ‫ِب هً اٌىظٍفت اٌّطٍىبت؟‬
…………………………………………………………………………………………………………………………………………………………………………
What is the expected salary? ‫وُ اٌشاحب اٌّخىلغ؟‬
………………………………………………………………………………………………………………......................................

What are your career objectives? ‫ِبهً أهذافه اٌشخظٍت فً هزٖ اٌىظٍفت؟‬
……………………………………………………………………………………………………………………………………......

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Do you mind If we contact your previous employer? ‫هً حّبٔغ فً االحظبي بّذٌشن اٌسببك؟‬
No □‫ال‬ Yes □ ‫ًعن‬

References: ُ‫أشخبص ٌّىٓ اٌشجىع إٌٍه‬

Name ‫االسن‬ Name ‫االسن‬

Relationship ‫صلح القساتح‬ Relationship ‫صلح القساتح‬

Tel. No. ‫زقن هاذفه‬ Tel. No. ‫زقن هاذفه‬

Address ‫عٌواًه‬ Address ‫عٌواًه‬

Please read the following before signing ‫الشأ ِب ًٌٍ لبً اٌخىلٍغ‬
I acknowledge that I am obliged to meet all the necessary
requirements before any employment commitment will be made. If I َ‫ألش بأًٔ ٍِزَ بأْ اسخىفً جٍّغ اٌششوط اٌخً حضؼهب اٌششوت لبً االٌخزا‬
am selected and have accepted a position with the company, I ًٍٍٕ‫بخىظٍفً وبإًٔٔ إرا ولغ ػٍ ًَّ االخخٍبس وػشضج ػٍ ًَّ وظٍفت ولبٍخهب فإْ حؼ‬
understand that I am then being employed on a 90 day-
probationary basis and I must demonstrate that I can satisfactorily
ًّ‫ وأْ ػًٍ أْ أثبج لذسحً ػٍى حأدٌت اٌؼ‬،ً‫ ٌىِب‬09 ‫سٍىىْ ححج االخخببس ٌّذة‬
perform the work assigned. I certify that all the information in this ‫ وأشهذ بأْ جٍّغ اٌّؼٍىِبث اٌىاسدة فً هزا اٌطٍب‬.‫ع‬ ٍ ‫اٌزي ٌسٕذ إٌ ًَّ بشىً ِش‬
application is true. If not, the company has the right to terminate ‫ وإرا ثبج غٍش رٌه فأْ ٌٍششوت اٌحك فً إٔهبء خذِبحً دوْ سببك‬، ‫طحٍحت‬
my services without prior written warning. .‫إٔزاس‬
Date: ‫الرازٍخ‬ Applicant’s Signature ‫ذوقَع هقدم الطلة‬

* Note: Attach Copies of your qualifications certificates and ID. ، ‫ اإلقاهح‬/ ‫ أزفق هع هرا الطلة صوز الشهاداخ لالوؤهالخ لصوزج هي تطاقح الهوٍح‬: ‫* مالحظه‬
Applicants should not get papers back. .‫لال ٍحق للورقدم الوطالثح تها‬

For Company Use Only ‫السخؼّبي اٌششوت فمظ‬

HR Specialist Remarks: ‫ِالحظبث ِسئىي اٌخىظٍف‬
…………………………………………………………………………………………………………………………
Signature: :‫الروقَع‬
Concerned Dept. GM Recommendations: :‫حىطٍبث ِذٌش اإلداسة اٌّؼٍٕت‬
…………………………………………………………………………………………………………………………
Signature: :‫الروقَع‬