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Recruitment place--agent:

JOB APPLICATION FORM


Part 1: PERSONAL DATA: Name(in Local Official Language): Name in English: First Name Gender Nationality Middle Name ____________Last Name_____________ Date of Birth Country of Birth

Passport/ID Card No.______ Home Address with Post Code

Other Local ID No. for Employment

Correspondence Address(if not the same as home address)

Home Phone: Email Address: No.: ___________________

Mobile No:_____________________________ Other Contact No.: _____________________

Part 2: EMPLOYMENT HISTORY Please start from the latest employment.


Latest Two Working Companies or Positions Time (MM-YYYY ) From To

Name of Company

Position

Main Responsibilities

The project you have delivered.

Name of direct manager

Basic Information in the Latest Company

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Type of Information Basic: Latest Salary Breakdown House Allow.: Trans. Allow.

Contents Utility Allow. Other Allow. Conditional Allow.

C&B Informati on

Month of Increment and Amount of Increment in Last 2 Years (e.g.MM-YYYY: 50 OMR) How much of Annual Bonus of 2011

Month of Increment 20111: Month of Increment 20102:

Amount1 Amount2

Other Benefits Whats Your Performance Result of 2011(Y/N) Whats Your Performance Result of 2010(Y/N) Whats Your Current Grade? (e.g. 1/2/3/4/5/6/7/8) Whats the Type of Your Contract(Y/N) Whats the Latest Contract Period? Limited ( ) Start Date: Start date Contract Informati on position Unlimited ( ) Full Time ( ) End Date: Main Responsibilities Project name Part Time ( ) Exceed Expectation ( ) Exceed Expectation ( ) meeting Expectation ( ) meeting Expectation ( ) Under Expectation ( ) Under Expectation ( )

Performa nce Informati on

Outstanding ( ) Outstanding ( )

Grade Informati on

Current Job Scope Description.

Projects You Are Working for?(Y/N) Other Informati on How Many Warning Letters do you Have?

General Project ( ) 0

Project ( ) 1

tel Project ( ) 2

Support GCC ( ) 3

Other Project Name: ( more

Part 3: EDUCATION AND TRAINING RECORDS 3.1 Education:

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Please start from the latest record.


Time (MM-YYYY) From To Name of School/College Location of School/College Major Degree awarded/ Certificate Obtained

3.2 Training (Please start from the latest record). Time (MM-YYYY) Training Institution From To Training Place Training Course Certificate

Part 4: FAMILY DATA Marital Status Information of spouse SINGLE MARRIED OTHERS Name (in local official language) Occupation Present residence place

Name(in English) Passport /ID. Card No.

General information of Children Emergency Contact

Part 5: OTHER INFORMATION 1. Have you, since the age of 18, ever been convicted of a misdemeanor or felony? 2. Do you Have relatives who is working in or about to be transferred to ?

3. Are you willing to join ?

4. Are you willing to join sub-contractor managed by directly?

DECLARATION:

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I hereby authorize TECH. INVESTMENT() LLC., to obtain any information concerning my records and I hereby release any person or firm of all liabilities for any damages whatsoever arising from the release of such information. I further declare that the information provided and statements made by me in this application are accurate, true, complete and correct. I hereby unconditionally agree that, any false statement, misrepresentation, omission or concealment of truth, false, incorrect or dishonest answer to any of the above questions will be regarded as a valid and legal ground for TECH. INVESTMENT() LLC., to (without incurring any form of liability towards me or obligation to pay any compensation to me whatsoever) not offer employment to me, reject my application for employment, or immediately discharge me from employment (as the case may be) without any compensation whatsoever and accordingly in the event of the above I hereby waive all rights of recourse to the i courts, or the ministry of manpower.

FULL NAME OF APPLICANT__________________________________

SIGNATURE OF APPLICANT__________________________________

DATE_______________

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