USER REGISTRATION
*Employee Name
*Gender *Social status
*Nationality *Religion
*Date of Birth
     calendar
ذو الحجة 1446
الأحدالإثنينالثلاثاءالأربعاءالخميسالجمعةالسبت
2728291234
567891011
12131415161718
19202122232425
26272829123
45678910
 *Position Title
Allocation Date
*Saudi ID \ Iqama Number *Issue date
     calendar
ذو الحجة 1446
الأحدالإثنينالثلاثاءالأربعاءالخميسالجمعةالسبت
2728291234
567891011
12131415161718
19202122232425
26272829123
45678910
*Expire date
     calendar
ذو الحجة 1446
الأحدالإثنينالثلاثاءالأربعاءالخميسالجمعةالسبت
2728291234
567891011
12131415161718
19202122232425
26272829123
45678910
 Hafiza Number
Passport Number Expire date
     calendar
ذو الحجة 1446
الأحدالإثنينالثلاثاءالأربعاءالخميسالجمعةالسبت
2728291234
567891011
12131415161718
19202122232425
26272829123
45678910
*Speciality *Type of Contract
Contract Number Duration of the contract
Date of Contract
     calendar
ذو الحجة 1446
الأحدالإثنينالثلاثاءالأربعاءالخميسالجمعةالسبت
2728291234
567891011
12131415161718
19202122232425
26272829123
45678910
 Job alloted
*Employment Date in MOH
     calendar
ذو الحجة 1446
الأحدالإثنينالثلاثاءالأربعاءالخميسالجمعةالسبت
2728291234
567891011
12131415161718
19202122232425
26272829123
45678910
*Empioyee ID *Empioyee File No.
Grade Level
*Orientation Checklest Coordinator
Qualification *Sub Speciality
*Graduation place *Graduation year
*Do you have Saudi Council Release Date Validity period
*Do you have BLS Certificate Release Date( English date )
*Do you have ACLS Certificate Release Date(English date)
*Do you have NRP Certificate Release Date(English date)
Do you have PALS Certificate *Release Date(English date)
*Do you have ATLS Certificate *Release Date(English date)
*Do you have BLSO Certificate *Release Date(English date)
*Blood Group *Do you wear eye glass
*Do you have Diabetes Mellitus If yes with Medicine
*Do you have Hypertension If yes with Medicine
*Any other medical History If yes mention the Disease
*Any Surgical history If yes mention the surgery
*History of any communicable disease If yes mention communicable the disease
*Do you have history of chicken pox *Have you had blood transfusion any time
*Have you had positive Tuberculosis test(TB) *Have you had Rheumatic fever
*Have you have any drug allergy *Have you have latex allergy
*Do you suffer from any serious diseases or conditions would prevent you from wearing or working while you wearing (RPE)
*Will you undertake to remain clean shaven ( not more than 24 houres hair growth ) when wearing RPE
* Contact Number *Email
* Department
*UserID *Password