FORM B

MEDICAL REQUIREMENTS:
If selected by the Project, you will be required to undergo a KBR medical. The appropriate
medical documentation will be issued at the next stage of the selection process.
Please confirm that you are prepared to undergo a medical.
YES

NO

VISA REQUIREMENTS:
You need to be in possession of a passport that is valid for at least six months and has
minimum four (4) blank visa pages.
Please confirm that you are holder of a valid passport.
YES

OTHER REQUIREMENTS:
Depend on a project location.

CURRENT SALARY (In

USD):

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ADDITIONAL BENEFITS:

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EXPECTED SALARY (In

USD):

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PRINT NAME/SIGNATURE:

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DATE:

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NO