JOB APPLICATION FORM

Please complete this accurately, giving as many details as possible of your skills and experience
relating to this job application. Short listing will be based on the information gathered from the
form, read in conjunction with the person specification.
1.

POSITION APPLICATION DETAIL

Position Applied For:

Years Of Expirience Obtained:
Are You Currently Employed:
Have you applied for a job with our company before? YES/NO:
Current Monthly Salary In USD:
2.

Expected Monthly Salary in USD:

APPLICANTS DETAILS

Full Name:
Sex:

Date of Birth:

Marital Status:

Passport Number:

Nationality:

Home Address:
Current Address:
Telephone nos: please include full STD code

Home:

Mobile:

Work:

Fax:

Email Address:
Do you hold a current driving
licence?

Yes/No

Is there anything concerning your

medical history or state of health that
is relevant to your application?

Yes*/No *If yes, please specify

Are there any restrictions regarding your

employment

Yes*/No

Are you willing to work abroad?

Yes*/No

How much notice do you need to give to your current

employer?
Do you have any expirience in the oil and gas sector?
3.

EMPLOYMENT RECORD

Please start with your most recent employment. Briefly describe the main duties and responsibilities
of your post. If you wish to expand on specific areas of responsibility, please do so in Section 5:
Experience /skills.

1. Current/most recent employer/organisation

Name:
Address:
Job Title:

From:

To:

From:

To:

From:

To:

Brief description of duties:

Reason for leaving/changing:
2. Employer/organisation

Name:
Address:
Job Title:
Brief description of duties:
Reason for leaving/changing:
3. Employer/organisation

Name:
Address:
Job Title:
Brief description of duties:
Reason for leaving/changing:
4.

EDUCATION

Please tell us about your education and any qualifications which you feel are relevant to the post.
Include relevant courses which you are currently undertaking. Please start with the most recent.
Name of school/college/
university/training body

5.

Subject studied

Qualification/
Level

Date
gained

TRAINING

Please list any training you have received or courses which did not lead to a qualification but
which you feel is relevant to the advertised post.
Training Course

6.

INTERVIEW QUESTIONS

This section is for you to give specific information in support of your application.

Date

1. What are your strengths and weaknesses:

___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
2. How can you satisfy the company if you are selected for this post:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
__________________________________________________
3. How can you satisfy the company if you are selected for this post:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
__________________________________________________

7.

REFERENCES

Please give name, address and position/occupation of two referees. One must be your present or
most recent employer. References will only be taken up for the successful candidate. Testimonials
or references from friends and relatives are not acceptable.
1. Name:
Position:
Organisation:
Address:
Tel:
2. Name:
Position:
Organisation:
Address:
Tel:
8.

DECLARATION AND SIGNATURE

I declare that I am qualified to perform all the duties of the position I am seeking. I also declare
that thEinformation I have provided on this application is correct and that any false statements
or omissions will justify my rejection or dismissal. I authorize the company to contact my reference
source to verify the facts and information I have furnished regarding information provided on this
application, on my resume, or during my interview.
________________________________________
_______________________________________
Signed
Date
You are required to submit completed form via email attachment to employment@glotechoil.com
for screening purpose.