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:
-----------------------
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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