The American University in Cairo
Work Permit Data Form
1. Name:
First Middle Last
Required Field. Required Field. Required Field.
2. Place and Date of Birth:
Required Field.
3. List all countries of which you are a citizen:
   
Required Field.
4. Passport Information:
Country Issuing Passport: Passport No: Place of Issue:
Required Field. Required Field. Required Field.
Date of Issue: Expiry Date:  
Required Field. Required Field.  
5. Marital Status: Required Field.
6. Religion: Required Field.
7. Spouse Information:
Name: Position:
Required Field. Required Field.
8. Home Address Outside Egypt:
Line 1 Required Field.
Line 2
Line 3
City Required Field.
State Required Field.
Zip Required Field.
Country Required Field.
9. Languages:
Language 1 Language 2 Language 3
Required Field.
10. Education:
Degree Date Subject From
Required Field. Required Field. Required Field. Required Field.
11. Record of Published Research:
Required field
12. Previous Experience:
Year Organization Assignment Monthly Salary
Required Field. Required Field. Required Field. Required Field.
13. Proposed Assignment: Required Field.
14. Proposed Period of Assignment: Required Field.
15. Proposed Start Date: Required Field.
16. Department: Required Field.
17. Status at AUC: Required Field.
18. Date of First Arrival in Egypt: Required Field.
19. If you are in Egypt, please indicate date of last arrival: Required Field.
   
  Date: Required Field.