Resident Doctors
Application No. : 1
Application Date : 19-06-2024
Job Data
Employee ID :

Job Title Name

Date Of Hiring :

Year Of Residence

Part One :


Board Registration Date :


Personal Data :
The name has four syllables :

Birth Of Date :

Age :

Phone Number :


National No. / Passport No. :

Marital Status

Address :

Email :

Photograph :

Photo ID Or Passport :

Family Book :

No Criminal Record :

A Copy of The Bank Account Number :

Disease Free Certificate And Medical Examinations :

Experience And Personal Biography :

Qualifications Scientific:
Educational Level

Country High School :

Average High School :

Certified High School Transcript :

Country University :

University Name :

Average University :

Certified University Degree :

Certificate Of Excellence :

Permanent Practice Of The Union :

Book Of The Jordanian Medical Council :

Profession Practice Certificate From The Ministry Of Health :

I, whose data is shown above, undertake that the data that was uploaded to the Ibn Al-Haytham Hospital website are correct and ready for approval, and I bear any responsibility in the event that an error is proven.