Application Form (UAE)
Application Form (UAE)
Application Form (UAE)
application form
1.
2.
3.
Date of birth:
29/08/1985
Place of birth:
Palestine
Gender:
Female
Male
(dd/mm/yy)
4.
Marital status:
6.
7.
Permanent Address:
Single
Married
Widowed
Present Nationality:
Divorced
JORDANIAN
Separated
Since:
29/08/1985
(dd/mm/yy)
Phone:
8.
043208817
Mobile:
Mailing Address:
0501128747
e-mail: r_m_nazzal@yahoo.com
Dar Al-Handasah employees may travel and/or be transferred to any area of the world in
which Dar Al-Handasah might have responsibilities. Have you any disabilities which might limit your prospective field
of work or your ability to travel?
Yes
No
10.
Yes
No
Lour Abdelrahim
Hanoun
Rose Abdelrahim
Hanoun
11.
Date of Birth
Relationship
Name
Date of Birth
Relationship
21/6/2014 Daughter
21/6/2014 Daughter
Yes
No
12
Relationship
Work Country
Have you previously submitted an application for employment with Dar Al-Handasah?
Position
Yes
Have you ever been arrested, indicted or summoned into court as a defendant in a criminal proceeding, or
convicted, fined or imprisoned for the violation of any law?
Yes
No
Yes
No
No
15A.
Birzeit -University
Palestine.
From
To
2009
2012
Master Degree in
Water &
Environmental
Engineering,
Institute of
Water &
Environmental
Studies
80
GPA
80
Final grade
80
Project grade
Birzeit -University
Palestine.
75
GPA
15B.
To
2003
2008
75
Final grade
Bachelor Degree in
Civil Engineering,
Faculty of
Engineering,
80
Project grade
Professional Memberships/Affiliations
Name of university place and
country
16.
From
Years attended
From
Certificate or
diploma obtained
Type of school
To
Knowledge of Languages
Mother Tongue:
Other
Languages
Speak
Fair
ARABIC
ENGLISH
17.
Good
Read
Excellent
Fair
Good
Write
Excellent
Fair
Good
Excellent
Computer Skills.
Program
Proficiency
Microsoft Word
EXCELLENT
Microsoft Excel
EXCELLENT
Microsoft Access
EXCELLENT
Microsoft PowerPoint
EXCELLENT
Program
Proficiency
Microsoft Project
GOOD
AutoCAD 2000
Primavera
Others:
EXCELLENT
EXCELLENT
ARTS /
18.
Employment Record. Starting with your present post, list in reverse order every employment you have had. If
you need more space, please attach a CV or additional description or print additional copies of this page.
Date (month/year)
From:
09/2012
To:
Present
Starting:
8000 AED
Final:
9000 AED
Civil
Engineer /
Environmental
Engineer
Resume
Attached
New
Challenge
Have you any objection to our making inquiries wth your employer?
No
If yes, clarify:
Notice period required to join, if selected by Dar. 30 Days
Salary Expectation:
12000 AED
Date (month/year)
From:
03/2009
To:
05/2012
Starting:
4000 AED
Final:
Type of business:
Name, title of your direct
supervisor:
Ibrahim Habbash
Civil Engineer /
Environmental
Engineer
Resume Attached
New challenge and
Marriage
Have you any objection to our making inquiries with your employer?
Yes
If yes, clarify:
19.
07/10/2015
YES
No
6000 AED
20.
References: List three persons, not related to you, who are familiar with your character and qualifications. The references
will not be contacted by Dar without notifying to you.
Name
ABDELRAHIM HANOUN
21.
Profession
IT MANAGER / AL HIJAZ GROUP
I certify that the statements made by me in answer to the foregoing questions are true, complete and correct to the
best of my knowledge and belief.
I understand that any misrepresentation or material omission made on this
Application Form or other documents requested by Dar Al-Handasah renders my contract, if I am employed, liable to
termination.
Date:
22.
10/11/2014
Signature:
Documents (if applicable) to be submitted with the Application prior to interview (all submitted material is nonreturnable)