XOOM DELIVERY SERVICES L.L.C

XOOM DELIVERY SERVICES L.L.C

Office No.1504, Al Moosa Tower 1, Sheikh Zayed Road, Dubai - UAE | P.O. Box 191965 - Dubai, UAE | + 971 4 5640 888 | Info@xoom.ae | www.xoom.ae |
Applying for position of*

Motorcycle RiderLight Vehicle DriverHeavy Vehicle Driver
Employee Registration Form
Date of Application:

DayMonthYear
Date
Referred By

First NameLast Name
Personal Information
Full Name as per EID:*

First NameLast Name
Date of Birth:*

MonthDayYear
Date of Birth
Nationality:
Drivers License No.:*
Drivers License Expiry Date:

MonthDayYear
Expiry Date
Passport No.:
Passport Number
Passport Expiry Date:

MonthDayYear
Expiry Date
Visa Issuance Date:

MonthDayYear
Issue Date
Visa Expiry Date:

MonthDayYear
Expiry Date
Contact Information
Personal Mobile No. *
Please enter a valid phone number.
Email Address:
example@example.com
Residence Address (UAE):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Residence Address (Home Country):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Emergency Contact in UAE :

First NameLast Name
Emergency Contact Mobile No.:
Please enter a valid phone number.
Relevant Work Experience
Company Name :
Number of years worked :
Comments:
Employee Signature :*

Clear
Should be Empty:

Employee Registration Form