APPLICATION FOR EMPLOYMENT



Al Ahli Hospital

P O. Box. 6401, Doha –Qatar

Telephone No. 974 44898628/8418

Email: cv@

COVER LETTER

1. Position/Clinical Area applying for: ________________________________________

2. Total Years of Nursing Experience: ________________________________________________

3. Name: _________________________________________________________________________

4. Gender: Male _____ Female _____

5. Date of Birth: ____________________ Age ______ Nationality: ____________________

6. Contact Details: (Please indicate country code)

Mobile Number: ____________________ Home Tel No ____________________

Current Location: ______________________

Email address: ______________________ Skype ID: ______________________________

7. Marital Status: Married _____ Single _____ Other_____

8. Qualification/Degree: Master_____ Bachelor _____ Diploma _____ Other _____

▪ Course Name __________________________________________

▪ Date Commenced ________________ Date Completed __________________

9. Nursing Registration: YES NO [pic]

10. Employment details for the last 5 years:

Hospital/Company Name Job Title Employment Period (from-to)

_________________________ ______________ _________________________________

_________________________ ______________ _________________________________

_________________________ ______________ _________________________________

11. Languages: (Please write if Fair, Good, Excellent)

Spoken Written Reading

English ________ ________ _______

Arabic ________ ________ _______

Other ________ ________ _______

NURSING APPLICATION FOR EMPLOYMENT

Position:

Staff Nurse Midwife Other [pic]

Name as per your Passport:

Passport Details: Pass No.

Date of Issue: Date of Expiration

Marital Status: Married [pic] Single [pic]

Type of Personal ID: Residence / Iqama Visit Visa

ID No: Place of Issue

Issue Date: Date of expiration:

|Dependent(s) |Name |Sex |Date of Birth |

|Spouse: | | | |

|Children: | | | |

|Children: | | | |

|Children: | | | |

|Children: | | | |

| | | | |

When will you be available to commence employment?

Please write if: (Fair, Good, and Excellent)

|Languages |Speak |Read |Write |

|Arabic | | | |

|English | | | |

|French: | | | |

|Others: | | | |

|Others: | | | |

Please state your educational attainment and professional trainings in chronological order.

| | | |

|Name of Educational Institution |Date Obtained |Qualification obtained |

| | | |

| | | |

| | | |

| | | |

| | | |

| | | |

| | | |

| | | |

|Registration Details: |

|Issuing Authority Name : |License NO: |

| | |

|Issue Period : from |to |

|Country Of Origin: | |

Please state your professional experience in chronological order starting from most recent employment.

|From |To |Employer |Phone No. |

|Job Title: | |

|Address | |

|Reasons for leaving: | |

|From |To |Employer |Phone No. |

|Job Title: | |

|Address | |

| | |

|Reasons for leaving: | |

|From |To |Employer |Phone No. |

|Job Title: | |

|Address | |

| | |

| | |

|Reasons for leaving: | |

|Comments: |

|Training Information: |

|Course Description: |Date Completed |

| | |

| | |

| | |

| | |

| | |

List three references who can attest your character and professional skills. Please do not include your friends and relatives.

|Name |Position Title |Address |Telephone No. |

| | | | |

| | | | |

| | | | |

Please state your expected salary in US $ ?

I hereby certify that all information I have made in this application are true and correct, and agree that any misrepresentation or false information will result in cancellation of my application for employment, or immediate dismissal from the organization's service if I have been employed.

Signature: ___________________________________ Date:

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Recent

Photo

Do you have close family member currently employed AL Ahli Hospital?

[ ] Yes [ ] No If yes, Name:

Position Title: Relationship:

EDUCATIONAL HISTORY

EMPLOYMENT HISTORY

REFERENCES

UNDERTAKING

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