EMPLOYEE INFORMATION FORM

Full Name: _____________________________________________________Emp. No_______________

Department: __________________________________ Nationality: _____________________________
Date of
Birth

Sex
Day

Number of Children

Month

Year

Age of children

Current marital status

F

S
UAE Residency?

Yes

No

Other Children (please specify the age):______________________________________________________

PERMANENT RESIDENTIAL ADDRESS

Country:___________________ City:______________________ Street Name: ____________________
Bldg. / Villa No: _____________ Apt. No._____________ P.O Box No._________________________
Home Phone:_____________________________________ ZIP Cod: ___________________________

NEXT OF KIN ADDRESS

1st Contact Name: ________________________________________Relationship:__________________
Home Phone:________________________________ Mobile phone:_____________________________
Country:______________________________________City:___________________________________
2nd Contact Name: ________________________________________Relationship:__________________
Home Phone:______________________________ Mobile phone:_______________________________
Country:_________________________________City:________________________________________

BENEFICIARY INFORMATION
1st Beneficiary Name: _____________________________________Relationship:__________________
Home Phone:_____________________________ Mobile phone:________________________________
Country:_________________________________City:________________________________________
2nd Beneficiary Name: _____________________________________Relationship:__________________
Home Phone:______________________________ Mobile phone:_______________________________
Country:_________________________________City:________________________________________

The original signed form must be returned to Human Resources Department

EMPLOYEE INFORMATION FORM

Important Note:
The following mentioned documents must be attached with this form:

Passport copies of spouse / children if employee is married

Copy of Marriage certificate ( if processing residence visa is required for your spouse)

Employee must provide a letter to HRD as per given format attached with his/her passport copy
which notifies his/her signature along with beneficiary passport copy signed by employee. The
amount of life insurance will be paid to beneficiary accordingly in case of death of employee during
his/her services with company.

Please contact HR department for further assistance.

Employee Signature:

Date:

________________________________________________

________________________________________________

The original signed form must be returned to Human Resources Department