Employee Registration Form

Registration Date*

Username*

Password*

Enter password again*

Employee First Name*

Employee Last Name*

Employee Date of Birth*

Employee Gender*

MaleFemale

Employee National Identification Number*

National ID Card Picture

Employee Police Clearance

SubmittedPendingNo Police ClearanceOther (Enter Description Below)

Employee Street Address*

Employee City*

Employee Country*

Employee Mobile Number

Employee Additional Phone Number

Employee Email Address

Emergency Contact Name*

Emergency Contact Relationship*

Emergency Contact Phone No.*

Emergency Contact Additional Phone No.