Medical Staff Telephonic Interview Form

Telephonic Interview (health care)
Interviewer
Interviewing for (Position)
Interview Date & Time
Full Name
E-mail
Mobile No.
Current location
Specialisation
Highest educational certificate
University
Total years of experience in the same position?
Age
Gender
Nationality
Current / Last Salary in AED
Expected Salary in AED
Is the Salary Negotiable?
YesNoSlightly
License status
HAAD (Health Authority Abu Dhabi)DHA (Dubai Health Authority)MOH (UAE - Ministry Of Health)Other
License Notes
HAAD license No.
Issuance date
Expiry date
DHA license No.
Issuance date
Expiry date
MOH License No.
Issuance date
Expiry date
Visa Status
EmploymentVisit VisaTourist visaFamily sponsorshipSpouse sponsorshipCitizenOther
visit visa expiry date
visit visa extendable for:
1 Month2 MonthesNon
Marital Status
MarriedSingleOther
No. of Children
Languages
Speak Read Write
English
Arabic
Other Languages (If any)
Speak
Write
Read

	Speak	Read	Write
English
Arabic