On-Line Employment Application Form:


Please fill the form. Thank you.

Instructions
Please answer each question clearly and completely.  Read carefully and follow all directions.
 

 

Personal History

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1. Family Name:
First Name:
Father Name:
Maiden Name (if any):
2.  Date of Birth:
, 		 3.  Place of Birth:
 4. Nationality at Birth: 5. Present Nationality: 6. Sex:
 7.  Do you have residence Permit in West Bank & Gaza 
  Yes  No		  8.  Marital Status:   Single   Married  Separated   widow   Divorced
9. Full Address 



 10.  Tel No.
  Home:

  Work:
 

 11. Fax No.

 

 

  12.  Passport / Identity card / Permit No.

 
 
 13.  Do you have any dependents?     Yes    No      If (Yes), give particulars below:
Name Age Relationship
 14.  What type of employment you are applying for?    Permanent  Part-time  Temporary   Consultant 
15.  What is your preferred field of work? 
16.  KNOWLEDGE OF LANGUAGES
Read
Write
Speak
Understand
Arabic
English
French
17. For clerical grades only - Indicate speed in words per minute:
Typing Arabic English French Other
Shorthand Arabic English French Other
List any office machines or equipment you can use: 
 18.  Other skills: 
 19.  Education: Give full details:
(A)  University or equivalent 
Name and Place 
Years attended
Degree & Academic distention
Main Course of study
From To
(B) School or formal training or education
Name and Place 
Years attended
High class complete
Certificates or diplomas obtained
From To
 20.  EMPLOYMENT RECORD.  Start with present post and list in reserved order every employment you have had.
1. From: Month  Year  To: Month  Year 
Salary per month: $ Exact Title of Post: 
Supervisor’s Title:  Type of Business: 
Name of the employer:  Name of Supervisor: 
Address of the employer: 
Number and kind of employees supervise by you:
Reason for leaving: 
Description of your duties:
2. From: Month  Year  To: Month  Year 
Salary per month: $ Exact Title of Post: 
Supervisor’s Title:  Type of Business: 
Name of the employer:  Name of Supervisor: 
Address of the employer: 
Number and kind of employees supervise by you:
Reason for leaving: 
Description of your duties:
3. From: Month  Year  To: Month  Year 
Salary per month: $ Exact Title of Post: 
Supervisor’s Title:  Type of Business: 
Name of the employer:  Name of Supervisor: 
Address of the employer: 
Number and kind of employees supervise by you:
Reason for leaving: 
Description of your duties:
4. From: Month  Year  To: Month  Year 
Salary per month: $ Exact Title of Post: 
Supervisor’s Title:  Type of Business: 
Name of the employer:  Name of Supervisor: 
Address of the employer: 
Number and kind of employees supervise by you:
Reason for leaving: 
Description of your duties:
 21.  Do you have any objections to the PALTEL making inquiries of your present and/or previous employers?
           Yes        No  if (yes) please explain.
 22.  References.  List three persons, not related to you, who are familiar with your character and qualifications. Do not repeat names of supervisors listed previously. 
Full name 
Business or organization 
Full address and telephone
 23.  State any other relevant facts,  specialized hobbies, service in the armed force including information regarding residence or prolonged travel abroad.
 24.  Have you ever been arrested, indicated, or summoned into court as a defendant in a criminal proceeding, or convicted, final or imprisoned for the violation of any law (excluding minor traffic violation)?

           Yes        No

         If (Yes), give full particulars of each case: 


 25.  I certify that the statement made by me in answer to the foregoing are true, complete and correct in all respect to the best of my knowledge and belief I understand that any misrepresentation or material omission made on this Personal History from renders me to termination.

Date: , 
N.B. You will be requested to supply documentary evidence which support the statements you have made above. Do not however, send any documentary evidence until you have been asked to do so by the PALTEL.