(E-AB-122) Candidate Details Form (Rev2018)

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Form No.

E-AB-122
Rev. No. 3

CANDIDATES DETAILS FORM


First Name: ____Marwan _____________________________
Full Name:
Middle Name: __Abdulhadi__________________
(as per the passport)
Last Name: _Nazzal________________

Mobile: _____07801925209______________________________
Telephone Numbers:
Home: _____07801925209________________________

Present Address:
Dhi-Qar –Shatra about 50Km south Garaf field

Email Address: marwannazzal77@gmail.com Skype ID:

Nationality:Iraqi Belief: muslim Gender: male

Date of Birth:7 Abril 1977 Place of Birth: Dhi-Qar

Passport Number: non Expiry Date:

Status (Married/Single): Married Kids (age/s): 3 kids (12years old,8 years old and 5years old

Years of Experience:
Overall: ___8 years ___ Oil & Gas: _7___ Onshore: ___ Offshore: ______ PMC Experience:

HSE Sup
Your specialization:

Formal Education: Diploma

IOSH, lifting operation, H2S, confined space entry, log out tag out, ring and sling, safety
management, firefighting, PTW, risk assessment, JSA, first aid, manual handling , stop
Professional Certifications: card, work at height, Banks man, rigging and slinging, energy isolation, MOC, GAZOP
and I willing to learn more.

Current Company: UCD for drilling

Current Position: HSE Supervisor

Notice Period:
Available

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Form No. E-AB-122
Rev. No. 3

CANDIDATES DETAILS FORM


Reason for moving: Last company UCD finished contract

Company Name: __UCD_drilling company _________________________________


Monthly Base Salary: ________1600$_______________________

Detailed Salary from Last **(please specify) Basic: _monthly salary __ Housing: _ _____ Transportation: ____NON

Company Daily Rate [(on-site), if applicable)] : __Monthly salary ____________________________


Daily Rate [(off-site), if applicable)] : ___0___________________________
(must specify)
Benefits: _______non_____________________
_______________________________________________________________
**ExidaSP may request proofs for further evaluation (ie. salary slip, employment certificate, etc.)**

Company Name: GWDC________________________________________


Monthly Base Salary: ___1800$__________________________________
Detailed Salary Prior to
**(please specify) Basic: ___Non___ Housing: ___Non__ Transportation: ___Non__
Last Company Daily Rate [(on-site), if applicable)] : ___128.5$ per-day________________
nd
(2 to the last company) Daily Rate [(off-site), if applicable)] : _____0$________________________
(must specify) Benefits: _______________________________________________________________
_______________________________________________________________
**ExidaSP may request proofs for further evaluation (ie. salary slip, employment certificate, etc.)**

Monthly Base Salary: _1500$______________________________________________


**(please specify) Basic: __________ Housing: __________ Transportation: __________
Expected Salary: Daily Rate [(on-site), if applicable)] : ______________________________
(must specify) Daily Rate [(off-site), if applicable)] : ______________________________
Benefits: _______________________________________________________________
_______________________________________________________________

Willing to relocate? UAE GCC Iraq Africa Asia Europe US/CAN Any _________

Current Rotation Cycle?


14 days of 14 days off
(if applicable from your current employer)

Mother languages: Arabic


Languages (including level): Secondary language: English good

REFERENCES:
(Write minimum 3 References
of your previous Employers’
HR Contacts)

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Form No. E-AB-122
Rev. No. 3

CANDIDATES DETAILS FORM


Marwan A. Nazzal
Signature:

Thank you for taking the time to complete this form. Please return it by e-mail and we will contact you once shortlisted.

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