HRMF-JA/00-1111

JOB APPLICATION

Position Applying for: .........................................

PHOTO
Employee No: ................................. To be filled
Code of Application: ....................... By HRD / HRM

Personal Info
1. Name in English: First Name: Name in Arabic: :‫اإلسم األول‬
(As in official documents) ( As in I.D. )
Middle Name: :‫إسم األب‬
Last Name: : ‫إسم العائلة‬

Maiden Name (if any):

2. Date of Birth (dd/mm/yyyy) (as in official documents): 3. Nationality (ies):

4. Place of Birth (as in official documents):

6. Social Title: □ Mr □ Miss □ Mrs □ Other

7. Marital Status: □ Single □ Engaged □ Married □ Divorced □ Separated □ Widowed

Number of children (if any):
8. Permanent Address: Current Address: (Fill only if Available) Telephone Numbers:
Country: Country: Home:
Region: Region: Mobile:
City/District: City/District: Other:
Zone/Street: Zone/Street: E-mail Address (es):
Building/Floor: Building/Floor: 1)
Postal Code/ P.O.Box: Postal Code / P.O.Box: 2)

Job Requirements
9. How did you learn about N.I.S.?

10. Position Desired: Please specify what is the position (s) applying for:
1st Priority: Job Title: 2nd Priority: Job Title:
Years of Experience in that position: Years of Experience in that position:
Company Name: Company Name:
basic expected monthly salary: L.E. basic expected monthly salary: L.E.

11. What is the minimum notice period in days to leave your current job? _____ days
Available to start work on :

12. Do you have any disability that limits your ability to work or engage in road or air travel? □ Yes □ No
If yes, please specify:

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Additional Information
13. Social Insurance:
Are you enrolled in the Egyptian Social Insurance fund NSSF? □ Yes □ No S.I. No: /
Medical Insurance: □ Yes □ No Issue Date (dd/mm/yyyy): Expiry Date (dd/mm/yyyy):
Medical insurance provider :
Have you ever been arrested or convicted of a crime? Have you ever committed, or been involved in the commission of war
crimes or crimes against humanity or human rights? □ Yes □ No
If yes, please explain:
Do you suffer from any illness/condition which may be relevant to your work? □ Yes □ No
If yes, give details:
Current pregnancy state - only for females: □ Yes □ No Month of pregnancy:
Smoker: □ Yes □ No Blood Group:
14. Military Service: Completed? □ Yes □ No Reason:
15. Driving License: □ Yes □ No □ International □ Private □ Public [ class □ 1 □ 2 □ 3 ]
Are you motorized? □ Yes □ No The car is yours? □ Yes □ No
16. Identity Card No: Passport No: Expiry Date (dd/mm/yyyy):
*17. Passport details: Country: Place of Issue: Expiry Date (dd/mm/yyyy):
18. Visa Status in Egypt: □ Residence □ Employment □ Tourist Expiry Date (dd/mm/yyyy):
19. Residence Permit: □ Yes □ No Issue Date (dd/mm/yyyy): Expiry Date (dd/mm/yyyy):
20. Work Permit: □ Yes □ No Issue Date (dd/mm/yyyy): Expiry Date (dd/mm/yyyy):
Your Dependents
21. Family Record:
Spouse: Full Name: Date of Birth:
Major of Education: Nationality (ies):
Job Title: Name & Address of Company:
Does the spouse have any objections or restrictions over your required job or your time schedule? □ Yes □ No
If yes, give details:
Children:
Full Name Year of Birth Occupation Financially dependant
□ Yes □ No
□ Yes □ No
□ Yes □ No
□ Yes □ No
□ Yes □ No

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21. Emergency Info: In case of emergency, persons to be notified:

Name: Relationship: Phone:
Name: Relationship: Phone:
22. Inside Contact: Do you have any contacts [relatives, friends] in our School? □ Yes □ No
Name: Relationship: Occupation:
Name: Relationship: Occupation:
23. References: Please provide the names of at least three persons that can give their feedback about your professionalism.
Chosen persons should NOT be family members or supervisors already mentioned in previous sections.
Name Job Title Company Personal Phone Number

Educational History
24. Education: Please give exact titles in their original language
School: please specify the highest degree that you have reached
Name City, Country From / to Degree Major Completed
□ Yes
/
□ No
University:
Name City, Country From / to Degree Major Completed
□ Yes
/
□ No
□ Yes
/
□ No
□ Yes
/
□ No
Training Center:
Name City, Country From / to Degree Major Completed
□ Yes
/
□ No
□ Yes
/
□ No
Projects: Please list any further project you consider significant to your application:
Project 1:

Project 2:

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Your Interests
25. Hobbies & Activities:
26. Groups, Clubs and Parties’ Memberships:
27. Travels: Places you have visited or lived abroad:
Country Year of Visit Purpose of Visit

Self Evaluation
28. Self Evaluation should be sincere:
Needs
Skills Improvement
Average Good Very Good Excellent
Quality of your work [ error free, no checking required ]
Attitude of work [ fine spirit, enthusiastic ]
Initiative in your work [ independent, self directed ]
Communication with others [ clear and accurate ]
Speed and Efficiency at work [ completion of tasks ]
Organization at work [ plan and schedule ]
Technical knowledge [ know how in your job ]
[ Knowledge in Education Field ]
What are your strongest points at work?
What are your weakest points at work?
What would you like to be doing in 5 years?

Language & Computer Skills

29. Language & Computer Skills:
Languages: Please choose between Poor, Fair, Very good and Excellent. Typing: Indicate average speed in words per minute
Languages Speak Read Write Understand Typing: w/m
English
French
Arabic
German

Computer: Are you a computer literate? □ Yes □ No

If yes, what programs/systems have you worked on? Please choose between None, Beginner, Intermediate and Advanced

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Microsoft Excel Microsoft Outlook Dolphin Database

Microsoft Word Internet Explorer Oracle Database
Microsoft Visio Smart Board ...........
Microsoft PPT ........... ...........

Employment Record
30. Work Experience: Starting with the present post, list in reverse the order of every employment you have had. Use a separate
block for each post.

From dd/mm/yyyy To dd/mm/yyyy Basic salary / month:

Benefits:
Full Name of Company/School: Job title: Number of employees

Activity: supervised by you:

Department:

Address: Full Name of your Supervisor:

Telephone: Job Title: Department:

Description of your duties: Reason for Leaving:

From dd/mm/yyyy To dd/mm/yyyy Basic salary / month:

Benefits:
Full Name of Company/School: Job title: Number of employees

Activity: supervised by you:

Department:

Address: Full Name of your Supervisor:

Telephone: Job Title: Department:

Description of your duties: Reason for Leaving:

From dd/mm/yyyy To dd/mm/yyyy Basic salary / month:

Benefits:
Full Name of Company/School: Job title: Number of employees

Activity: supervised by you:

Department:

Address: Full Name of your Supervisor:

Telephone: Job Title: Department:

Description of your duties: Reason for Leaving:

From dd/mm/yyyy To dd/mm/yyyy Basic salary / month:

Benefits:

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Full Name of Company/School: Job title: Number of employees

Activity: supervised by you:

Department:

Address: Full Name of your Supervisor:

Telephone: Job Title: Department:

Description of your duties: Reason for Leaving:

Statutory Declaration
I, the undersigned ………………………………………………........................................................…. hereby certify that I have taken enough
time to answer all the questions and that all the answers and statements I have given are true, accurate and correct to the
best of my knowledge, consent and belief.

□ I authorize the company to make necessary checks and inquiries of my personal, employment, educational or medical
history and any other related matters, as may be necessary for an employment decision.
□ I have reserves in authorizing the company to do necessary checks for the following reasons:

........................................................................................................................................................................................................
........................................................................................................................................................................................................
........................................................................................................................................................................................................

I clearly understand that any misrepresentation, material omission, false or distorted statements made by me, may render
administrative action with the liability of application rejection.

I also understand that at any time in the future, false or misleading information given, stated or attached by me to this application
will make me liable to immediate dismissal without notice. And if employed, I understand that I must abide by the company’s rules
and regulations and the Country Labour Law, and that mentioned expectations don't submit the company into any commitment or
fulfilment.

I further agree that any appointment in the desired position is subject to a probationary period of three months, after which I will
either be confirmed in my position, or my employment will be terminated.

Date: ......................................................... Signature: .....................................................

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Attachments:

□ CV
□ Recent passport size photo
□ Copy of ID
□ Copy of birth Certificate
□ Copies of Diplomas
□ Recommendation Papers
□ Copy of Passport “ for non-Egyptians”