Charitra Jivan Ki Suraksha Karata Hai

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Ma’aden Phosphate Company (MPC) P.O. Box 11110, Madinat Al-Jubail Al-Sinaiyah 31961 Kingdom of Saudi Arabia Fax +96633475683 E-mail:     To be completed in English in your own handwriting using black or blue ink--do not type If requested information is not applicable, mark “N/A” If more space is required, continue on a separate sheet Attach photocopies of the following as appropriate: Passport or National ID Card, GOSI if you are registered, Card and Civil Family Booklet Desired Position: Family name First and Middle names Nationality PICTURE

Marital status Date of birth

Number of wives City and Country of birth

Number of children Religion

Current address (P.O Box, Telephone, Mobile and Personnal Email are must to include in your address) P.O Box Telephone Mobile Personal Email How long have you lived at this address? Are you physically capable of the following? Yes or No. If no, explain. Heavy manual work? Outdoors work? For each of the following answer Yes or No. If yes, explain: Do you have any temporary or permanent disabilities (including. dizziness, deafness, etc.)? Have you ever broken any bones or had surgery? Have you had any major accidents or illnesses over the past 10 years?

Saudi ID/Iqama or Passport number

Saudi civil number

Date and place of issue Height and weight

If you currently live outside of Jubail, are you willing to relocate to Jubail and commit to live long term in Jubail? If not, please explain.

If you have served in the military, give details of your service, including dates, locations, duties & ranks held.

How often (No. of incidents and no. days) have you been absent from scheduled work in the past 5 years? For what reasons?


Name of School and Location (City/Country)
Secondary/High School

Degree/Certificate Awarded & Major

Start and Completion Dates

Academic Results*

Additional Academic or Extra Curricular Achievements

Technical School/Vocational Education


Further planned education

*Please state current/final cumulative result, i.e., Grade Point Average - (4.0) scale, or other depending on your school’s standard grading system

List all jobs (full-time or temporary) beginning with your present or most recent employer first. Include any volunteer work or active military service (use additional forms if necessary). Explain any periods of unemployment greater than three months. Dates: Hours per (Month Wage or Reason /Yr)



Employer’s Name and Address
Name Address

Job Title/Supervisor/Duties
Job Title Supervisor's Name Your Duties


and date for Leaving

Phone Name Address Job Title Supervisor's Name Your Duties

Phone Name Address Job Title Supervisor's Name Your Duties

Phone Name Address Job Title Supervisor's Name Your Duties


Interests and Activities
State briefly what you do in your free time


Indicate your proficiency by marking A, B or C in the appropriate boxes: A = Native language or bilingual standard B = Fluent knowledge acquired during extensive use C = Slight knowledge D = No knowledge

Language 1. Arabic 2. English 3. 4. 5. 6.


Understanding by ear



References (List 2 references. Do not include relatives.)
Name and Occupation 1. 2. Address Telephone No. Years Known

Additional Information
How did you learn about Ma’aden Phosphate Company? School, friends, advertisement, other, please specify.

Do you have any criminal convictions? Yes or No. If yes, please explain. Also, list any arrests for which you are out on bail or your own recognizance pending trial. Do you have any relatives, including those by marriage, employed by our company? If yes please provide name and positions.

For Saudi Nationals, are you legally responsible for your parents’ support? Yes or No. If yes, and you are offered employment by Ma’aden Phosphate Company, you...
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