BIN MALIK OIL FIELD & IND. CO.

LLC
 (STEEL TRADING COMPANY) 
P.O. Box 3342, SHARJAH, UAE
Tel: 06 543 7669/6986/9112; Fax: 06-543 6033
Email: info@binmalik.ae

APPLICATION FORM
(Application to be filled in Block Letters)

POSITION APPLIED FOR

( )

1. PERSONAL DATA

1. NAME IN FULL : ________________________________________________

2. PRESENT ADDRESS : ________________________________________________

3.PERMANENT ADDRESS : ________________________________________________

4. EMAIL ADDRESS : ________________________________________________

5.MOBILE NO : _______________________________________________
6. DATE OF BIRTH : ________________(D-M-Y) AGE:_________
7. SEX :M( ) F( )
8. MARITAL STATUS : SINGLE( ) MARRIED ( )

2. ACADEMIC QUALIFICATIONS
School/College Degree/Diploma Month & Year of % Marks & Major Subjects /
University Certificate Passing Class/Grade Specialization

3. ASSOCIATION WITH PROFESSIONAL INSTITUTION

Name of Institution Designation Period Contribution

 
1
  
 
4. DETAILS OF EXPERIENCE                                             TOTAL EXPERIENCE: (          ) 
Name & Address of Designation Period of Brief Gross Salary Reason for
Organization Employment Description of (Annual) Leaving
Responsibilities
Present Employment      

Previous      
Employment(s)  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

2
  
May we refer to your present Employer: Yes( ) No ( ) PASSPORT DETAILS
Have you had any health problem in the last five years:
1. Name as per Passport: 
Yes ( ) No ( ) 2. Passport No: 
3. Date of Issue 
If Yes, Nature of Illness:  4. Issuing Authority: 
__________________________  5. Valid Up to: 
  6. Profession: 
  DRIVING LICENCE DETAILS 
  (If holding) 
1. License No: 
2. Issuing Authority 
 
DECLARATION 
I hereby declare that the particulars given above are true and correct to the best of my knowledge 
and belief. 
 
Place: 
Date: 
                                                                                                                          ___________________ 
                                                                                                                     Signature of the Applicant 

FOR USE OF INTERVIEW PANEL ONLY

 
Recommended for: 
2nd Interview:        Yes (     )   No (     ) 
Final Shortlist:       Yes (     )   No (     ) 
Comments: 
Signature: _______________ 
 

FOR OFFICE USE ONLY

APPLICATION RECEIPT DATE: _________________INTERVIEWED ON : __________________

INTERVIEWED BY: _______________________ SHORT LISTED FOR : _________________