Job Application Form for Persons with Disabilities (PWD)

Personal Information

Full Name *

Date of Birth *

Gender

Nationality

Residential Address *

Mobile Number *

Email Address *

Type of Disability *

Disability Percentage

Please describe your disability

Do you require workplace accommodations?

Yes No

If Yes, please specify

Position Applying For *

Preferred Location

Highest Qualification

Years of Experience

Skills

Previous Employment

Resume / CV *

Disability Certificate

Passport Photo

I certify that the information provided is true and complete to the best of my knowledge.