Job Experience Certificate in Mobile Company - PDF - PDF by lxn95690

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									       Excellence Award
for Occupational Safety & Health




  Nomination Form
  Individual, Study, Research and
  Supporting Activities
         õ`«ªàdG Iõ`FÉL
á`«æ¡ª`dG á`ë°üdGh á``eÓ°ùdG ‘




Nominee Information:

Name:

Age:                                           Gender:                               Nationality:

Address:                        P.O.Box:                      Postal Code:                          Email:

                                Telephone:                    Mobile:                               Fax:

Current Job:

Specialization:

Educations:                     Certificate:                  Date of Certificate:                  School/University:

                                Certificate:                  Date of Certificate:                  School/University:

                                Certificate:                  Date of Certificate:                  School/University:

Job Experience:                 Job:                          Period:                               Company:

                                Job:                          Period:                               Company:

                                Job:                          Period:                               Company:


Nomination Information:

Field of Nomination:

Achievement:

                                Name of Achievement:                                                Date of Preparation:

Justifications of Nomination:

Has it been published before (Details and Date)




Has it been declared before (Details and date)




Has it been nominated for other award ( Details and date)




Has it been done for attaining Academic Degree (Details and date)
                                                                                                                            õ`«ªàdG Iõ`FÉL
                                                                                                                   á`«æ¡ª`dG á`ë°üdGh á``eÓ°ùdG ‘




Application Information

Applicant Name:

Signature:

Date of Application:

Application is sent via:


Enclosures of Application
1. Two Copies of Achievement

2. A Photocopy of Nominee ID Card

3. Other Documents and Papers the Nominee Wants to Submit ( Please List The titles of enclosures ,and sign them)

4. Abstract of Achievement ( Filled by the Nominee or One of the Nominees, with Signature)


For SSC Use

Receiving the Nomination Application:

Date of Receiving:

Number of the Form in the
Registry of Received Nominations:

Recipient Name:

Recipient Position:

Recipient Signature:

SSC’s Stamp and Signature”

Information and Reviews on (Nominee, Application and Any Other related issues with stating its resource)
           Excellence Award
    for Occupational Safety & Health
    Tel.: 5501880 Ext. 6336 OR 6303 - Fax: 5501909
P.O.Box: 926031 Amman 11110 - Email: osh@ssc.gov.jo
                    www.ssc.gov.jo

								
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