Ministry of Higher Education

PRINCE SULTAN UNIVERSITY

Faculty & Personnel Affairs Center

PHOTOGRAPH
APPLICATION FOR EMPLOYMENT
(write your name on the
back of your recent
passport size photo and
1. GENERAL attach it here)

Position Applied for:

Field(s) of Specialization:
Date of Availability for PSU Employment:

Name of Applicant:
Date of Birth: Place of Birth:
(City) (Country)
Citizen of:
(At Present) (At Birth)
Present Address:

Residence Tel. No. Mobile: Email:

Business Tel. No. Fax. No. Email:
Nearest Airport:

Permanent Address:

Residence Tel. No. Mobile: Email:

Nearest Airport:

Point of Origin (Place of Residence according to Passport):

Father's Name:

Have you applied for a job at PSU before? If yes, when?

Were you interviewed? If yes, when?
Have you ever worked for PSU? If yes, when?
Indicate briefly why you are interested in PSU Employment:

Names of Relatives employed by this University:

P.O. Box No. 66833, Riyadh 11586, Saudi Arabia Tel. No. 4548489 / 4548011 Fax No. 4548317
 (Please use additional sheets if necessary)

P.O. Box No. 66833, Riyadh 11586, Saudi Arabia Tel. No. 4548489 / 4548011 Fax No. 4548317
2. EDUCATION
Undergraduate Studies (Bachelor's Degree)
Degree Obtained
Year Through:
Attended
(Pls. tick)
Certificate,

Year Graduated

On-Campus Reg.
Name of Institution & Location Subject(s) of
Diploma,

Distance/Open
(City/Country) Specialization
Degree

Curriculum
From To

Education
University

On-line
Graduate Studies (Master's, Doctorate and Post Graduate Degrees)
Degree Obtained
Year Through:
Attended
(Pls. tick)
Certificate,
Year Graduated

On-Campus Reg.
Name of Institution & Location Field(s) of
Diploma,

Distance/Open
(City/Country) Specialization
Degree

Curriculum
From To

Education
University

On-line

P.O. Box No. 66833, Riyadh 11586, Saudi Arabia Tel. No. 4548489 / 4548011 Fax No. 4548317
Note: Applicants must provide a copy of diplomas/certificates and transcript of records through fax
or email when forwarding this application form.

3. RESEARCH, PUBLICATIONS & PROFESSIONAL ACTIVITIES (optional)

(Provide the following information with FIGURES and attach lists with full details)
Papers published in refereed journals Papers published in other periodicals
Research Projects completed Research Projects in progress
Books published Books in progress
Seminars attended Participation in Univ./Dept./Thesis Committees

Titles of Original Intellectual Contributions

Title Date of Publication

Membership in or Affiliation with Professional Societies:

P.O. Box No. 66833, Riyadh 11586, Saudi Arabia Tel. No. 4548489 / 4548011 Fax No. 4548317
4. PREVIOUS EXPERIENCE
(List present or last position first and continue in reserve chronological order)
From To Last
Name and Address of Employer Position or Rank Annual Reason for Change
Month Year Month Year Salary

Note: You may use a separate page to provide additional information, if necessary.

5. HEALTH & PERSONAL INTERESTS

Height: Weight:

1. Details of any past or present mental or physical disability or serious illness:

2. Your interest in extracurricular activities:

3. Have you ever been convicted for involving yourself in any criminal, political, or other activities?
If yes, explain:

6. REFERENCES
(List at least three persons, your present employer, to whom we may write about you)

1. Full Name:

Complete Mailing Address

(no abbreviations)

2. Full Name:

Complete Mailing Address

(no abbreviations)

3. Full Name:

Complete Mailing Address

(no abbreviations)

P.O. Box No. 66833, Riyadh 11586, Saudi Arabia Tel. No. 4548489 / 4548011 Fax No. 4548317
 INFORMATION FOR VISA APPLICATION AND RESIDENCE
(Please PRINT or WRITE all information in CAPITAL LETTERS)

1. APPLICANT

Name of Applicant: Sex:

Religion: (A religious certificate/affidavit will be required by the Saudi Consulate for Visa purposes)

Family Status: (Check appropriate box)

Single Engaged Married Separated Divorced

2. SPOUSE
Name of Wife (as in Passport):
Religion: Date of Birth:
Citizen of:
(At Present) (At Birth)

List Special Skills of Spouse:

Name of Spouse's Father:

3. CHILDREN
Name Date of Birth
Sex Grade in School Citizen of
(First) (Middle) (Last) MM DD YYYY

(Please indicate clearly if any step and/or adopted children are listed above)

4. RESIDENCE IN SAUDI ARABIA

Check who will accompany you to Saudi Arabia: Spouse Yes No

Children: (First Names only)

This is to certify that ALL information provided in this application is

TRUE and CORRECT.

Signature of Applicant:

P.O. Box No. 66833, Riyadh 11586, Saudi Arabia Tel. No. 4548489 / 4548011 Fax No. 4548317
 Date:

P.O. Box No. 66833, Riyadh 11586, Saudi Arabia Tel. No. 4548489 / 4548011 Fax No. 4548317