Name of Employee:
Gender:
Permanent Address:
Governate:
National Number:
Nationality:
Telephone:
Fax:
Email:
Date of Birth:
Place of Birth:
Age:
Marital Status:
Number of Children: Male: Female:
Passport Number:
Date & Place of Issue:
No of High School Years & Type of Tawjihi:
Professional Classification:
Technical Qualification:

Education and Qualification: [Start with the Current Qualification & include Post Graduate Studies 1 Year or more]:

Specialty
or
 Type of Education

Name of Training or Educational Institution

Place

Duration

From

To

Degree

 

Employment Experience: (Start with the Current Job):

Name of Position

Type of Institution

Name & Address of Institution

Type of Unit Specialty

From

To


Continuing Nursing Learning / Training Courses:

Name of Training Institution / Place

Name of Course


Duration

Date of Graduation
From To

 

Research and Publication:

 

Nursing Licensure (Registration):

Type of License

Registration Number

Country of Origin

Date of Issue

Expiration Date

Language Proficiency:

Language

Writing

Reading