Candidate Details Form

Full Name (As per Passport):

Nationality:
Date of Birth:

Age:

Marital Status:

No of Dependents:

Home Of Record (Nearest Airport):

Current Location:

Email

Phone number:

Total years of experience

Relevant Exp:

Current Employer

Nature of the Project:

Present Designation:

Number of Employees Directly

Supervised:

Reporting To Whom? (Supervisors

Designation)

Size/Value of Projects worked

for:

Experience in brief:
Regional locations worked in:

Pakistan and Egypt

Nature of Projects worked for:

Reason for seeking Job:

For much better opportunity and for learning new trends.

Current Leave Cycle/ Rotation(R&R):

6 months

Current Gross Annual salary in USD$

(Including Bonus and other benefits)
Breakdown

5500 USD/ Month, 3600 USD Bonus

ever 6 months, 1700USD per month ExpectedGross Annual salary:
house rent

Have you applied/ been considered for a

role in Petrofac?

No

References from Petrofac:

Cristina Lazo

Notice Period /Availability:

ICT Based, Telecom, Electronics Harware

Designing, Administration and
Management

1 month

7000 USD

Do you have any valid GCC Visa? Dubai

References outside Petrofac:

EDUCATION DETAILS (Kindly furnish education details only if can be supported with education certificates)
Highest Education Qualification

BE Electronics & Telecom

Name of University/School

PAF KIET

Inclusive dates

Other Qualification

13-Aug-08

Validity date:

MEDICAL HISTORY:
Have you ever been diagnosed for any disease, disorder, medical / physiological If "Yes ", Please state the
/ psychological condition that required prolonged treatment for over two
medical condition & date of
weeks?
occurrence

no

Have you ever had any Surgery for any reason?

If "Yes ", Please state for what

the surgery has been done &
date of surgery

no

Are you currently under any type of medication / treatment?

If "Yes ", Please state the

medicine and for what
treatment.

no

DECLARATION - RELATIVE/SIBLING EMPLOYED WITH PETROFAC (Please leave this section blank if its not applicable)
Name

Designation

Discipline

Project

I, the undersigned acknowledge that the information stated on this sheet are accurate and true to the best of my knownledge. I also understand that this
is an application for employment and does not construe any kind of employment contract with the Company.
Name

Date