KINGDOM OF SAUDI ARABIA

Ministry of Higher Education

TAIBAH UNIVERSITY
Madinah Munawwarah

www.Taibahu.edu.sa
APPLICATION FOR EMPLOYMENT
Please Print or Write all information in Capital Letters

1. GENERAL INFORMATION
_________________________

REF. NO.

Position Applied for: College:_____________________Dept:______________________

Field of Specialization: ___________________________________________
Date of availability for TU employment: ___________2012-2013
________________________________
Name of Applicant: First:_ARSALAN_________________ Father SHAHID IKRAM
________________Family: __HASHMI___________
Date and Place of birth: ___13TH JULY 1984 KARACHI
_____________________________________________________
Nationality: __PAKISTANI_______________________
____________________________________
(At present)
Mobile No.

(At birth)

03002634035________________________________________________________
__________
Residence Tel. No. _021-35892032__________________

Fax No.

_______________________________
Business Tel. No.__021-35091114-7(EXT 145)_________________

Fax No.

_______________________________
Email: ___arsalan_hashmi@hotmail.com__________________
Present Address: __________R-36/2 15TH EAST STREET , PHASE 1 DEFENCE
HOUSING AUTHORITY KARACHI
__________________________________________________

____________________________________________________________

____________________________________________________________

Permanent Address: ___AS ABOVE

______________________________________________________

____________________________________________________________

____________________________________________________________
Point of Origin: (Place of Residence according to Passport):
__________________________
Nearest Airport:
_____________________________________________________________
Have you applied for a job at Taibah University before? If yes, when?
NO__________________
Were you interviewed? _________________ If yes, when?
_________________________
Indicate briefly why are you interested in TU employment?
__________________________
Names of relatives employed by Taibah University:
________________________________

P.O.Box. 344, Madinah Munawwarah, Saudi Arabia. Tel: 966 4 8460020 Fax: ++966 4 841172

2. EDUCATION
Last Degree obtained: ______ Is the degree honorary or earned? _____ Year of
Graduation:_____
Name and address of Institution:
________________________________________________
Languages spoken (Other than English):

Month Year

Full/Part Time

Month Year

To

Medium of
Instruction

From

Subject(s)
of Specialization
(Major/Minor)

Name of Institution
with location
(City/Country)

Certificate,
Diploma, Degree
or other earned

Attended

Year Graduated

Type of
Certificate/
Degree

_________________________________________

Bachelor
Master
Doctoral
Vocational/
Military
Training
Title of thesis (theses) with degree (attach abstract):
________________________________________

3. RESEARCH PUBLICATIONS & PROFESSIONAL ACTIVITIES

Note: Provide the following information in figures & attach lists with full details)
Number papers published in refereed journals

Number of papers published in other periodicals

Number of research projects completed

Number of research projects in progress

Number of books published

Number of books in progress

Number of seminars attended

Participation in Uni./Dept./Thesis Committees

Membership in or affiliation with professional societies:

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
___________________________
______________________________________________________________________
_________
______________________________________________________________________
_________

4. PREVIOUS EXPERIENCE
List present or last position first and continue in reverse chronological order.
Name & Address Position or
of Employer
Rank

From

To

Last Annual
Salary

Reason for
Change

Month Year Month Year

Note: You may use a separate sheet to provide additional information, if necessary

* Detail of courses you have taught.

________________________________________________________________
_________
________________________________________________________________
_________

______________________________________________________________________
___

5. HEALTH & PERSONAL INTERESTS

1.

Mention any mental or physical disability or serious illness in the past or

present:________
2.

Your interest in extracurricular activities:

_______________________________________

3.

Have you ever been convicted for involving yourself in any criminal, political or
other activities? If yes, explain:
_________________________________________________________
6. REFERENCES

(List four persons, your present employer, to whom we may contact about you)
1.

__________________________________________________________________

________

______________________________________________________________________
____
2.
______________________________________________________________________
____

______________________________________________________________________
____
3.
______________________________________________________________________
____

______________________________________________________________________
____

INFORMATION FOR VISA APPLICATION AND RESIDENCE

(Please print OR write all information in Capital Letters)
1. APPLICANT
Name of Applicant: __MUHAMMAD ARSALAN HASHMI
______________________________________ Sex: ______MALE________
Religion: ISLAM________(A religious certificate/affidavit is required by the Saudi
Consulate for Visa purpose)
Family Status: Check the appropriate box. Single Engaged Married YES
Separated

2. SPOUSE

Divorced

Name of wife (as in the Passport): __________RIDA

ARSALAN________________________
Religion: _ISLAM_________________________
Place and Date of Birth: KARACHI 29TH OCTOBER
1987______________________ Nationality _PAKISTANI____________________
(At present)
(At birth)
List special skills of spouse: _____________DOCTOR
_______________________________________
Name of spouse's Father: PERVAIZ
IQBAL_____________________________________________________
3. CHILDREN
Name
(First)(Middle)(Last)

Sex

Date of Birth
M

Grade in School

Nationality

Please indicate clearly if any step and/or adopted children are listed above.

4. RESIDENCE NEEDS IN SAUDI ARABIA

Check who will accompany you to Saudi Arabia: Spouse

Yes

Children (First Names only):

____________________________________________________
_____________________________________________
_______
_____________________________________________
_______
I hereby certify that the above information is True and Correct.
Date: ___________________________