Information form for Expatriate Workers

 

Application Type New Renewal

Basic Data

Last Name:
A value is required. 		Other Name(s):
A value is required.
 
Gender:
Male Female

Date of birth:
A value is required

 Nationality:
A value is required.
Marital status:
Passport Number:
 Date of Issue:
A value is required.		 Visa Type:
Date of Employment:
 Length of Employment:
Basic Salary (In Birr):
 Monthly Allowance (In Birr):
 

Educational Data:

 

Qualification type

Spefify if other

 Level of qualification

Spefify if other
Year completed
Professional skill

Field of study
 Award

Spefify if other
 

Experience Data (Most recent three, if any):

Type of Occupation:
A value is required. A value is required. 		Occupation Code:
A value is required. A value is required.
Position in the Firm:

Nature of Service:

Spefify if other
Starting Date:
 End Date:

Type of Occupation:
 Occupation Code:
Position in the Firm:

Nature of Service:

Spefify if other
Starting Date:
 End Date:
Type of Occupation:
 Occupation Code:
Position in the Firm:

Nature of Service:

Spefify if other
Starting Date:
 End Date:
 

Employer Data:

 
Employer Name:
Address-Region:
 City/Town:
Sub-city/Zone:
 Woreda:
Kebele:
 Telephone:
Fax:
 P.O.Box:
 E-mail:
Major Activity:
 Activity Code:
Type of Organization:

Spefify if other
industry/Engagement:
Number of Ethiopian Employees:
 Number of Expatriates:
Investment Permit or Business Lisence Number:

Certification:

I hereby certify that this form was accomplished by me personally or under my personal direction, and all the information provided are correct.

 

  


 
 
 
 
Home page  |   About us  |   Bureaus  |   Publications  |   Activities  |   Vacancy  |   Forms  |   Contacts  |   Sitemap
  
 
 
  Copyright © 2007 MOLSA. All Rights Rserved.  
 
 

 

  
Europian Union Flag   This website has been produced with the assistance of the European Union.
The contents of this website is the sole responsibility of MoLSA and can in no
way be taken to reflect the views of the European Union.