CID

Page 1

‫وثيــــــقة تعــــارف‬ ‫رقم الوثيقــــة‬

‫‪:‬‬

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

‫السـم الكامــل‬

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

‫تاريخ الميـلد‬

‫الجنسية الحاليــة‬

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

‫الجنسية السابقة‬ ‫المذهـــب‬

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

‫تاريخ دخول الدولة‬

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

‫مركز الدخول‬

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

‫الكفيل عند الدخول‬

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

‫اسـم العائلـــة‬ ‫مكــان الميـلد‬ ‫الديانــــــة‬

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

‫اسم الشهـرة‬

‫الكفيل الحالي ‪:‬‬ ‫الكفيل الحـــالي‬

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

‫مكان العمل الحالي ‪...........................................................‬‬

‫المهنــــــــــــــة‬ ‫البنـــــــــــــــك‬

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

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

‫هاتــف العمــــــل‬ ‫الراتــــــــــــب‬

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

‫‪:‬‬

‫بيانات الجواز والقامة‬

‫رقم الجواز‪/‬الوثيقة ‪.............................................................‬‬

‫مكان الصـــــدار‬

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

‫تاريخ الصـــــدار ‪.............................................................‬‬

‫تاريخ النتهاء‬

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

‫رقـــــم القامـــــة ‪.............................................................‬‬ ‫تاريخ الصـــــدار ‪.............................................................‬‬

‫مكان الصـــــدار‬ ‫تاريخ النتهاء‬

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

‫المؤهل الدراسي‬

‫‪:‬‬

‫المؤهــــــــل الدراســــي‬

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

‫المدرسة ‪/‬الجامعة‬

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

‫تاريخ الحصول على الشهادة‬

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

‫الـدولــــــــــــــة‬

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

‫اللغــــــات التي تجيــدها‬

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

‫الحالة الجتماعية‬

‫‪:‬‬

‫اسم الزوجة ‪/‬الزوج‬

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

‫الجنسيـــــة‬

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

‫مكــــان الميـــــلد‬

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

‫تاريخ الميلد‬

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

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

‫المهـنــــــة‬

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

‫مكــــان العمــــــل‬

‫البنـــــاء‬

‫‪:‬‬

‫‪(1‬‬

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

‫‪(2‬‬

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

‫‪(3‬‬

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

‫‪(4‬‬

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

‫‪(5‬‬

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

‫‪(6‬‬

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

‫‪(7‬‬

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

‫‪(8‬‬

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

‫‪(9‬‬

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

‫اســـــم الب‬

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

‫الجنسيـــــة‬

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

‫مكان الميلد‬ ‫مكان العمل‬

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

‫تاريخ الميلد‬ ‫المهـنــــــة‬

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

‫اســــم الم‬

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

‫الجنسيـــــة‬

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

‫مكان الميلد‬

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

‫تاريخ الميلد‬

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

‫مكان العمل‬

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

‫المهـنــــــة‬

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


‫القـــــــارب ‪:‬‬ ‫الســـــــــــــــــــــــم‬

‫الجنسيـــــة‬

‫‪..................................................................... (1‬‬

‫‪............................‬‬

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

‫‪..................................................................... (2‬‬

‫‪............................‬‬

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

‫‪..................................................................... (3‬‬

‫‪............................‬‬

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

‫الصدقاء‬

‫جهة العمل‬

‫‪:‬‬ ‫الســـــــــــــــــــــــم‬

‫جهة العمل‬

‫الجنسيـــــة‬

‫‪..................................................................... (1‬‬

‫‪............................‬‬

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

‫‪..................................................................... (2‬‬

‫‪............................‬‬

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

‫‪..................................................................... (3‬‬

‫‪............................‬‬

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

‫بيانات السكن‬

‫‪:‬‬

‫المنطــــقـــة‬

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

‫الشـــــــــــــــــــارع‬

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

‫اســـــم المالك‬

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

‫رقم المنزل ‪/‬البناية‬

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

‫الطـــــــابق‬

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

‫رقـــــــم الشـــــــــقة‬

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

‫رقــم الهاتف‬

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

‫رقم الهاتف المتحرك‬

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

‫رقم النداء العام‬

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

‫رقـــم صندوق البريد‬

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

‫‪:‬‬

‫العمال التي مارستها داخل الدولة‬ ‫‪(1‬‬

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

‫‪(2‬‬

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

‫‪(3‬‬

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

‫‪(4‬‬

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

‫الدول التي سبق لك زيارتها‬

‫‪:‬‬

‫‪...................................... (1‬‬

‫‪...................................... (2‬‬

‫‪(3‬‬

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

‫‪...................................... (4‬‬

‫‪...................................... (5‬‬

‫‪(6‬‬

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

‫الدول التي سبق لك العمل بها‬

‫‪:‬‬

‫‪...................................... (1‬‬

‫‪(2‬‬

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

‫‪...................................... (3‬‬

‫‪...................................... (4‬‬

‫‪(5‬‬

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

‫‪...................................... (6‬‬

‫بيانات المركبة ‪:‬‬ ‫نــوع المـــركبة‬

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

‫جهة الترخيص‬

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

‫رقــــم اللـــوحــــة‬

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

‫لون المركبة‬

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

‫رقم رخصة القيادة‬

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

‫مكان الصدار‬

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

‫تـــــــــاريخ‬

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

‫تاريخ النتهاء‬

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

‫هل سبق لك العمل في المجال العسكري ؟‬

‫نعم ‪..............‬‬

‫ل ‪..............‬‬

‫أ( اســـــم الدولة‬

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

‫ب( نوع الخدمة‬

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

‫ج( الرتبة‬

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

‫د( مدة الخدمة‬

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

‫أتعهـــد أنـــا الموقــــع أدناه بأن البيـــانــــات الواردة بهـــذه الوثيقــــــة صحيحــــة وكاملة‬ ‫المرفقات المطلوبة‪ 4:‬صور شمسية ‪-‬صورة جواز السفر ‪-‬وصورة التأشيرة وكتاب ترشيح من المنشأة ‪-‬صورة من الشهادات العلمية فقط‬ ‫تاريخ التعيين‬

‫الســـــم‬ ‫التوقيــع‬

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

‫التــاريخ‬

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


Staff Data Form Form No. Full Name Family Name Place of Birth Current Nationality

:................................................................................................................................................. :.......................................... Name :.......................................... :.......................................... Date of Birth :.......................................... Previouse Nationality :.......................................... :..........................................

Religion Entrance Date Sponsor

:..........................................

Religious Section

:..........................................

:.......................................... Place of Entrance :.......................................... :.................................................................................................................................................

Sponsor Current Sponsor Profession Bank

:.......................................... :.......................................... :..........................................

Present Work Office No.

:.......................................... :..........................................

Salary

:..........................................

Passport Information Passport No. Date of Issue Residence Visa No. Date of Issue Education

:.......................................... :.......................................... :.......................................... :..........................................

Education :.......................................... Date of Graduation :.......................................... Languages Spoken :..........................................

Plase of Issue Expiry Date Plase of Issue Expiry Date

:.......................................... :.......................................... :.......................................... :..........................................

School / Unisersity

:..........................................

Country

:..........................................

Nationality Date of Birth Profession

:.......................................... :.......................................... :..........................................

Marital Status Wife/husband Name :.......................................... Place of Birth :.......................................... Present Work :.......................................... Children 1) ................................

2) ................................

3) ................................

4) ................................

5) ................................

6) ................................

7) ................................

8) ................................

9) ................................

Father Name Place of Birth Present Work Mother Name Place of Birth

:.......................................... :.......................................... :.......................................... :.......................................... :..........................................

Nationality Date of Birth Profession Nationality Date of Birth

:.......................................... :.......................................... :.......................................... :.......................................... :..........................................


Present Work

:..........................................

Profession

:..........................................

Relatives Name 1) ...........................................

Nationality

Business Address

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

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

2) ........................................... 3) ...........................................

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

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

Name 1) ...........................................

Nationality

Business Address

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

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

2) ...........................................

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

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

3) ...........................................

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

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

Friends

Accommodation Particulars Distirct Owner Floor Tel. No. Pager

:.......................................... :.......................................... :.......................................... :.......................................... :.......................................... Job Practiced within the State

Street Flat / Bldg. No. Flat No. Mobile Phone P.O. Box

:.......................................... :.......................................... :.......................................... :.......................................... :..........................................

1) .........................................................................

2) ..........................................................................

3) .........................................................................

4) ..........................................................................

Countries Visited 1) ................................

2) ................................

3) ................................

4) ................................

5) ................................

6) ................................

2) ................................

3) ................................

Countries Previously Worked in 1) ................................

4) ................................ 5) ................................ 6) ................................ Vehicle Particulars Type Licenced by :.......................................... :.......................................... :.......................................... Plate No. :.......................................... Plate colour Driving Licence Place of issue :.......................................... :.......................................... Date of Expiry :.......................................... Date of Issue :.......................................... Have you served in the Military Field ? a. Country :.......................................... Type of service :.......................................... Term of service :.......................................... b. Rank :.......................................... I, the undersigned, hereby undertake that the above data are correct and complete. Documents required: 4 passport photo, Passport Copy with the Visa, copy of your qualification and the recommendation letter from the medical institute. Date of appointment : ....../......../..........

Name : Signature : Date

:

:..................................................... :..................................................... :.....................................................


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