1Personal information2Request Training3Required Documents4Health profile5Commitment | Declaration IDHiddenDate DD slash MM slash YYYY Personal informationNational ID(Required) Full Name(Required) Email(Required) Phone(Required)✓ Valid number ✕ Invalid numberGender(Required) Male Female Current status(Required) Student Graduate Employed Address(Required) Date of Birth(Required)DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Marital status(Required) Single Married Education Background(Required) Add RemoveEducational level(Required)DiplomaBachelor'sMasterPHD Request TrainingDepartment(Required)NursingDoctorsLaboratoryRadiologyAccountingCSSDNutritionPharmacyMaintenancePatient affairAdministrativeITDuration of Training(Required)1 Month (JOD 50)2 Month (JOD 100)3 Month (JOD 150)Duration of Training Joining Date Required DocumentsPersonal photo(Required) Drop files here or Select files Max. file size: 5 MB, Max. files: 1. Certificate of no criminal(Required) Drop files here or Select files Max. file size: 5 MB, Max. files: 1. CV(Required) Drop files here or Select files Max. file size: 5 MB, Max. files: 1. University official letter(Required) Drop files here or Select files Max. file size: 5 MB, Max. files: 1. Medical clearance(Required) Drop files here or Select files Max. file size: 5 MB, Max. files: 1. Professional practice license(Required) Drop files here or Select files Max. file size: 5 MB, Max. files: 1. Bachelor degree certificate(Required) Drop files here or Select files Max. file size: 5 MB, Max. files: 1. National ID(Required) Drop files here or Select files Max. file size: 5 MB, Max. files: 1. JMA registration(Required) Drop files here or Select files Max. file size: 5 MB, Max. files: 1. Health profileDo you have Insurance?(Required) Yes No Smoking?(Required) Yes No Pregnancy?(Required) Yes No Commitment | Declaration(Required) I agreeI’m committed to all the training & department policies, since any violation for any of them will thread my training statues and I will be responsible for the violation sequences. I confirm that the above information is complete and correct, and I give the hospital the write to verify it, and that any untrue or misleading information will give my employer the right to terminate any training contract offered Al-Kindi hospital dose not provide medical Insurance to trainee & not responsible for any accident incurred during the training period. Trainee's signature(Required)PDF Preview HiddenTraining Center Manager ApprovalHiddenAdd Your Approval – No Results – Please check the box to approve the trainingHiddenApproved by(Required) Please check the box to approve the trainingHiddenManagers ApprovalHiddenAdd Your Approval – No Results – Please check the box to approve the trainingHiddenFirst Approval by(Required) Please check the box to approve the trainingHiddenFirst Approval by(Required) Please check the box to approve the trainingHiddenSecond Approval by(Required) Please check the box to approve the trainingHiddenFirst Approval by(Required) Please check the box to approve the trainingHiddenSecond Approval by(Required) Please check the box to approve the trainingHiddenFirst Approval by(Required) Please check the box to approve the trainingHiddenFirst Approval by(Required) Please check the box to approve the trainingHiddenSecond Approval by(Required) Please check the box to approve the trainingHiddenFirst Approval by(Required) Please check the box to approve the trainingHiddenFirst Approval by(Required) Please check the box to approve the trainingHiddenFirst Approval by(Required) Please check the box to approve the trainingHiddenSecond Approval by(Required) Please check the box to approve the trainingHiddenFirst Approval by(Required) Please check the box to approve the trainingHiddenSecond Approval by(Required) Please check the box to approve the trainingHiddenFirst Approval by(Required) Please check the box to approve the trainingHiddenSecond Approval by(Required) Please check the box to approve the trainingHiddenHR Manager ApprovalHiddenApproved by(Required) Please check the box to approve the trainingHiddenTraining DetailsHiddenStatus(Required) Pending Active trainee Absent Training Completed HiddenDate | From(Required) MM slash DD slash YYYY HiddenDate | To(Required) MM slash DD slash YYYY HiddenDuration of Training(Required)1 Month (JOD 50)2 Month (JOD 100)3 Month (JOD 150)HiddenFinance ManagerHiddenPay training(Required) Paid Unpaid Total
