Port of Salalah
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* PERSONAL DATA
Tribal/Family Name:
First Name:
Middle Name(s):
Full Address:
Telephone No.:
Home/Mobile No.:
Age:
Date of Birth:
[None]
Marital Status:
Married
Single
Gender:
Male
Female
No. of Children and Ages:
Nationality:
Citizenship (Country):
United States
Canada
United Kingdom
Australia
Albania
Algeria
American Samoa
Andorra Principality of
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaidjan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia Kingdom of
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo The Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
Former Czechoslovakia
Former USSR
France
France (European Territory)
French Guyana
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain
Greece
Greenland
Grenada
Guadeloupe (French)
Guam (USA)
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast (Cote D'Ivoire)
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyz Republic (Kyrgyzstan)
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique (French)
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldavia
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Neutral Zone
New Caledonia (French)
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Polynesia (French)
Portugal
Puerto Rico
Qatar
Reunion (French)
Romania
Russian Federation
Rwanda
S. Georgia & S. Sandwich Isls.
Saint Helena
Saint Kitts & Nevis Anguilla
Saint Lucia
Saint Pierre and Miquelon
Saint Tome (Sao Tome) and Principe
Saint Vincent & Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Tadjikistan
Taiwan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
USA Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (USA)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Passport No.:
Place of Issue:
Date of Issue:
[None]
Religion:
Muslim
Hindu
Christian
Other
Emergency Contact:
Relationship:
Contact Information:
* POSITION INFORMATION
Describe the position for which you are applying:
Are you available to work in shift system?
Yes
No
Are you available to work overtime?
Yes
No
How were you referred to Port of Salalah?
MOM
Recruitment
Empoyee refer
Other
What is your height?
What is your weight?
Do you wear glasses/contact lenses?
Yes
No
* EDUCATION
School 1
School 2
School 3
Name of School
Dates Attended
Major Subject
Degree of Certificate
Did you Graduate?
What is the highest level of education completed?
Preparatory
2yr College
High School
4yr College
Trade/Vocational School
Graduate Program
Doctorate Degree
Master's Degree
* EMPLOYMENT HISTORY
Begin with the most recent position / employment experience and include complete employment history. Include part-time and full-time work.
Job 1
Name of Company:
Your Manager's Name:
Address/Location/City:
Type of Business:
Start Date:
End Date:
Job Title/Postion:
Salary Starting:
Salary Ending:
Reason for leaving this job:
Job 2
Name of Company:
Your Manager's Name:
Address/Location/City:
Type of Business:
Start Date:
End Date:
Job Title/Postion:
Salary Starting:
Salary Ending:
Reason for leaving this job:
Job 3
Name of Company:
Your Manager's Name:
Address/Location/City:
Type of Business:
Start Date:
End Date:
Job Title/Postion:
Salary Starting:
Salary Ending:
Reason for leaving this job:
* SKILLS / KNOWLEDGE SECTION
Describe any specific training that you have received, what you were trained in, who trained you, when, and whether you hold a certificate in this training.
Computer Training:
Equipment Operation:
Specialized Technical Training:
Other Training:
* LANGUAGE PROFICIENCY
Language
Level
Skill
Arabic:
--
Basic
Elementary
Intermediate
Advanced
--
Written
Spoken
Written & Spoken
English:
--
Basic
Elementary
Intermediate
Advanced
--
Written
Spoken
Written & Spoken
--
Basic
Elementary
Intermediate
Advanced
--
Written
Spoken
Written & Spoken
* HEALTH
Describe any health problem that you may have:
Are you able to perform heavy physical labor?
Do you have any restrictions to the type of work you can do?
Yes
No
If yes, please describe the restrictions:
* OPERATING LICENSES
Driver's License No.:
Country:
Type of Driver's License:
Describe driving record: