Petroservices GmbH Company

HR Department

Petroservices GmbH (Egypt Branch) tJob Application Form

Application Serial No.:
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Position applying for: Training General Manager Assistant here

1. PERSONAL DATA

Title (Mr., Mrs., Miss, Dr. etc): Marital Status:

First Name: Telephone (Home):

Family Name: Telephone (Mobile):

Date of Birth: Email:

ID No.: Passport No (if applicable):

Address:

2. EDUCATION

Grade and Graduation

Name of University or College Degree and Subject of Study
Year
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Public/Experimental/language/ Grade and Graduation

Name of High School
IGCSE/American Diploma.. etc Year

3. TRAINING COURSES

Course title Course Provider Year

………………………………………………….. ………………………………………………….. ………………………………………

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 Petroservices GmbH Company

HR Department

4. PROFESSIONAL EXPERIENCE

Please give details of all jobs held including part-time and unpaid work, starting with your present/last employer:

NAME AND ADDRESS OF EMPLOYER FROM TO STARTING LEAVING

MONTH YEAR MONTH YEAR SALARY SALARY

JOB TITLE:

DESCRIBE THE WORK YOU DID:

TELEPHONE: REASON FOR LEAVING:

TYPE OF BUSINESS:

NAME AND ADDRESS OF EMPLOYER FROM TO STARTING LEAVING

MONTH YEAR MONTH YEAR SALARY SALARY

JOB TITLE:

DESCRIBE THE WORK YOU DID:

TELEPHONE: REASON FOR LEAVING:

TYPE OF BUSINESS:

NAME AND ADDRESS OF EMPLOYER FROM TO STARTING LEAVING

MONTH YEAR MONTH YEAR SALARY SALARY

JOB TITLE:

DESCRIBE THE WORK YOU DID:

TELEPHONE: REASON FOR LEAVING:

TYPE OF BUSINESS:

NAME AND ADDRESS OF EMPLOYER FROM TO STARTING LEAVING

MONTH YEAR MONTH YEAR SALARY SALARY

JOB TITLE:

DESCRIBE THE WORK YOU DID:

TELEPHONE: REASON FOR LEAVING:

TYPE OF BUSINESS:
Please continue on a separate sheet of paper if necessary

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 Petroservices GmbH Company

HR Department

5. LANGUAGES

Please give details of the languages you know, indicating your level of ability for each category

INDICATE: LANGUAGE WRITTEN SPOKEN READ

Poor
1
Medium
Good
2
Fluent
Mother Tongue
3

6. EXTRACURRICULAR ACTIVITIES

MEMBERSHIPS

1. ……………………………………………………………………… SINCE: …………………………………

2. ……………………………………………………………………… SINCE: …………………………………

3. ……………………………………………………………………… SINCE: …………………………………

4. ……………………………………………………………………… SINCE: …………………………………

5. ……………………………………………………………………… SINCE: …………………………………

6. ……………………………………………………………………… SINCE: …………………………………

ACTIVITIES (Conferences, Seminars, Workshops, etc.)

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 Petroservices GmbH Company

HR Department

HOBBIES (TWO TO THREE ONLY, WITH A BRIEF NOTE ON EACH)

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MISCELLANEOUS DETAILS

Military Status (Please check appropriate box)

Completed Exempted Postponed If postponed, until when? Female, N/A

Do you have any medical condition which could limit your ability to perform the particular job for which you are applying? If yes please
provide details.

Are you willing to work in any part of the world? YES/NO. If NO, please state region or country and why?

What is your expected salary? On which date would you be available to start work?

7. REFERENCES (DO NOT use relatives, only references with professional ties to you)

Please give the details of two referees who know you professionally and whom we can contact to check for
reference
Name Name

Occupation Occupation

Address Address

Telephone Telephone

I declare that the information I have given is accurate and true and that I have not omitted any facts, which may have a bearing

upon my application. I understand that a false declaration, which results in my appointment to the Company's service, will

render me liable to disciplinary action, including dismissal without notice and in certain circumstances, legal action against me.

Signature: Date:

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 Petroservices GmbH Company

HR Department

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 Petroservices GmbH Company

HR Department

FOR OFFICE USE ONLY

Applicants please do not write on this page.

Interview Report
Full name of applicant:……………………………………………………………………………

Area of interest or position applied for: ……………………………………………………………….

Date:……../………../………

Location of interview:………………………………………………..

Interview Committee

Technical Interviewer ………………………………………… Date: ………………

Operations Interviewer ………………………………………… Date: ………………

AdministrativeInterviewer ………………………………………… Date: ………………

Committee Secretary ………………………………………… Date: ………………

FIRST IMPRESSION
(T ) (O ) (A ) (Avg )
How forceful an early impression does the applicant make?

 (0) Very poor early impression

 (1) Rather poor early impression
 (2-4) Good impression in some ways, poor in others
 (5-7) Good early impression
 (8-10) Very good early impression

Comments:

______________________________________________________________________________

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 Petroservices GmbH Company

HR Department

APPEARANCE
(T ) (O ) (A ) (Avg )
How does the applicant’s appearance impress you?

 (0) Is untidy, unkempt, sloppy or flashy

 (1-3) Overdressed or careless about clothes and appearance
 (4-7) Good appearance; generally tidy
 (8-10) Neat, well-groomed, careful in dress

Comments:

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SELF-EXPRESSION
(T ) (O ) (A ) (Avg )
How effectively does applicant use correct English, exercise precision in explaining views,
and exhibit vocal clarity?

 (0) Very poor - indistinct, confused, gropes for words

 (1) Poor - difficult to understand, slurred, monotonous
 (2-4) Average - talks fairly well but not with great fluency
 (5-8) Good - fluent, well-modulated, clear, interested, easy to understand
 (9-10) Very Good - forceful, precise, logical, colourful, effective

Comments:

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MANNER
(T ) (O ) (A ) (Avg )
What was the applicant’s manner during the interview?

 (0) Timid, overbearing, rude, cocky, immature

 (1) Tense, over-anxious to please, irritating, indifferent, quick-tempered
 (2-4) Interested, well-balanced, poised
 (5-7) Confident, self-assured, tactful, relaxed, composed
 (8-10) Exceptionally at ease, warm, exceptionally self-poised, enthusiastic

Comments:

______________________________________________________________________________

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 Petroservices GmbH Company

HR Department

RESPONSIVENESS
(T ) (O ) (A ) (Avg )
How alert and responsive was the applicant

 (0) Withdrawn, dull, uninvolved in the interview, slow to catch on

 (1) Responds only to direct questions, does not volunteer information, evasive
 (2-4) Good listener, responds well, grasps ideas with average quickness
 (5-7) Alert, attentive, asks intelligent questions, spontaneous, quick to understand
 (8-10) Unusually keen, perceptive, imaginative, alert

Comment:

______________________________________________________________________________

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BACKGROUND AS TO JOB
(T ) (O ) (A ) (Avg )
How well do you think the applicant’s experience, education, and training fit the job?

 (0) No relationship between background and the job, insufficient experience; needs
considerable training
 (1) Little relationship between background and the job; some training but not actual
experience
 (2-4) Part of background and education related to job; sufficient minimum education for the
job
 (5-7) Background well-suited to job; related appropriate experience; very familiar with our
field through education
 (8-10) Background and education fits the job exceptionally well; ideally fitted for the job;
unusually well qualified

Comment:

_______________________________________________________________________________

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STABILITY
(T ) (O ) (A ) (Avg )
 (0) Unsteady, unreliable, irresponsible
 (1) Little evidence of past success; background questionable
 (2-4) Good job stability, sticks with a job until it is completed
 (5-7) Shows good record of accomplishment and potential
 (8-10) Outstanding past record; unusual potential for growth

Comments:

______________________________________________________________________________

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 Petroservices GmbH Company

HR Department

COOPERATION WITH OTHERS

(T ) (O ) (A ) (Avg )
Ability to work with others:

 (0) Shows evidence of friction with supervisors, peers, subordinates; critical;

disapproving
 (1) Has tendency to be a ‘loner’ but can work with others if required
 (2-4) Compatible; give evidence of normal involvement in school, community, art,
athletics and so on
 (5-7) Agreeable; adjusts to environment easily; harmonious with others
 (8-10) Thrives on group involvement; extremely open, accepts criticism freely,
excellent team player

Comments:

______________________________________________________________________________

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PLANS FOR FUTURE

(T ) (O ) (A ) (Avg )
Plans for future – motivation:

 (0) Has poorly defined goals; appears to act without purpose; puts forth little effort
 (1) Wants the job, but is not thinking beyond it
 (2-4) Willing to put forth average effort to get ahead
 (5-7) Ambitious, industrious, and has plans for getting ahead
 (8-10) Puts forth the effort and has unusually well thought-out plans for achieving goals

Comments:

APPLICANT’S MOTIVATION
(T ) (O ) (A ) (Avg )
(0-10) What factors are influencing the applicant to consider a position with our company
at this time (i.e. why is the applicant leaving present position?)

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 Petroservices GmbH Company

HR Department

POSSIBLE RESERVATIONS
(T ) (O ) (A ) (Avg )
(0 to -20) What reservations or concerns, if any, does the applicant have that might affect his/her
decision?
(Consider factors such as location, travel, salary)

______________________________________________________________________________

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WHAT ARE THE APPLICANT’S PRIMARY STRENGTHS AND LIMITATIONS?

Apparent strengths …………………………………………………………………………………

………………………………………………………………………………………………………

Limitations ………………………………………………………………………………………….

……………………………………………………………………………………………………….

Chairman comments: ………………………………………………………………………………

…..…………………………………………………………………………………………………..

OVERALL EVALUATION

 Very favourable Rank Would you like to see the applicant given YES NO
 Good
 Fair Acceptable Status / Final Interview  
 Unfavourable Final Job  

1 to 100

Committee Chairman:…………………………………..

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