Medi Club
45 U.Hajibeyov Str., AZ1010,
Phone: (+994 12) 4 970 911
E-mail: office@mediclub.az


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Employment application for Hospital attendants

Position that you are interested
Hospital attendant of surgical ward
Hospital attendant покоев
General Hospital attendant общих помещений
Hospital attendant of catering services
Hospital attendant of procedure room
Hospital attendant of outside perimeter
Hospital Warehouse attendant
Personal infomation
L.F.P.
Date of birth / / (DD/MM/YYYY)
Place of birth
Citizenship
Family status
Children and ages
Girls:
Example: 3 (7,10,17)
Boys:
Example: 1 (5)
What do children do?
Actual place of living
Registered address
E-Mail
Phone Home Mobile
Military Recruitment YES NO
If Yes Номер удостоверения
Military Rank
Military
 ID Number
Have you ever been charged or convicted YES NO
If Yes How many times?:
What was the charges
Education
Name of the institution Location Date of graduation Diploma
Additional training Location Date of completion Certificate
Additional skills
Language skills Azeri Russian English Others
      Reading
      Writing
      Speaking
Experience
Special skills
Hygiene and desinfection procedures in hospital
Patient care
Date Place of employment Position Responsibilities
References
Name Employment place Telephone Position
Your future work with MC
Did you apply to МС in the past? YES NO
If Yes, when?
Do you have close relatives or friends working in MC? YES NO
Name Relation
МС Why did you apply for this job ?
How did you learn about us?
Newspaper adds
From friends
Recruitin agency
Other sourse
Are you currently employed? YES NO
If Yes, what is the reason of your leaving
Expected salary
When can you start?
Please indicate below preferred days and hours of work
Hours
Days 1 2 3 4 5 6 7


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