Bi New Bsf-1 April 2011 v4

1. A clear photocopy of the picture page of your Passport, or Government issued Identification

2. If you are applying for full time Saudi Aramco Employment: a copy of your marriage certificate (Contractors are exempt from this requirement)

3. Copies of highest academic qualifications (Clear copy of your University Diplomas and transcripts, front and back).

4. Copies of professional licenses or certificates that pertain to your profession.

5. Clear copy of your resume

6. Saudi Aramco application (if applicable)

7. Background Screening Form (BSF-1) signed and dated within the current six months.

BACKGROUND INVESTIGATION GROUPSAUDI ARAMCO CORPORATE SECURITY SERVICES DIVISION

BACKGROUND SCREENING FORM

Failure to provide all the requested information, documentation and CLEAR copies, will result in delays in your background investigation processing.

Please COMPLETE the provided Background Screening Form (BSF-1) completely and accurately. Attach additional pages (with your name on each page) if necessary.Please note page (5) of the BSF-1, requires (2 adult) witness signatures, orIf you have lived, worked, or been educated in North America or Europe, a Notary

Public Seal is required in addition to your signature.

Required documents in the checklist below are to be included in the return package:

Please complete this form, attach the requested clear copy documents, and provide them to your recruiter or a Saudi Aramco Staffing Services Division representative so they may be forwarded to the Saudi Aramco Background Investigation Group (BIG).

BACKGROUND SCREENING CHECKLIST

SAUDI ARAMCO BACKGROUND SCREENING FORM BSF-1 (Apr.2011.v4) Page 1 of 5

Additional information is being requested to assist in the Background Screening, the results of which must be satisfactory to Saudi Aramco. Requested information marked with an asterisk (*) and will be used for identification purposes only.

* To add ADDITIONAL INFORMATION, please attach page(s) with your name on each page, and identify the specific questions you are answering

1. PERSONAL INFORMATIONFULL NAME: (LAST) (FIRST) (MIDDLE) ARAMCO BADGE NUMBER

(IF APPLICABLE)

OTHER NAMES (MARRIED, FORMER MARRIED, NICKNAME):*PLACE OF BIRTH CITY STATE/PROVINCE COUNTRY

*SOCIAL SECURITY OR NATIONAL ID NUMBER *PASSPORT NUMBER *PASSPORT COUNTRY OF ISSUE EXPIRATION DATE (MM/DD/YYYY)

*DRIVERS LICENSE NUMBER *COUNTRY OF ISSUE *EXPIRATION DATE (MM/YYYY)

HOME PHONE: MOBILE PHONE: OTHER:

EMAIL ADDRESS(ES)

1

2

COUNTRY OF CITIZENSHIP(S)

PRESENT ADDRESS: NUMBER/ STREET CITY STATE/PROVINCE COUNTRY POSTAL CODE

FROM(MM/YYYY): TO(MM/YYYY):

LIST PREVIOUS ADDRESSES FOR LAST 7 YEARS (Attach pages if needed: INDIAN and PAKISTANI candidates must place "permanent" address on last line

FROM (MM/YYYY) TO (MM/YYYY) ADDRESS: NUMBER/STREET CITY STATE COUNTRY POSTAL CODE

Permanent Address line - Indian and Pakistani Candidates Only - MUST be filled out

*FATHER’S FULL NAME CANDIDATE MARITAL STATUS:

MARRIED SINGLE DIVORCED SEPARATED

1. PERSONAL INFORMATION (CONTINUED) Page 2 of 5

DESCRIBE ANY ILLEGAL USE OF THE FOLLOWING:

DESCRIBE YOUR ALCOHOL USE

MARIJUANAHASHISHCOCAINEMETHAMPHETAMINEPRESCRIPTION DRUGSOTHER ILLEGAL DRUGS

NEVER RARELY OCCASIONALLY REGULARLY

HAVE YOU EVER BEEN INVOLVED IN ANY ACT OF WORK PLACE VIOLENCE? YES NO IF YES, PLEASE EXPLAIN:

HAVE YOU EVER BEEN TERMINATED OR RESIGNED IN LIEU OF TERMINATION FROM ANY JOB? YES NO

IF YES, PLEASE EXPLAIN:

2. LEGAL ACTIONSHAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENSE? YES NO IF YES, PROVIDE DATE, LOCATION OF CHARGES, AND ALLEGED OFFENSE WITH EXPLANATION:

DETAILS:

Date:

NATURE OF OFFENSE: IS THE CASE STILL PENDING? YES NO

SENTENCE:DATE OF CONVICTION:

LIST ANY TRAFFIC TICKETS (DATE(S)/OFFENSE/LOCATION) YOU HAVE RECEIVED IN THE LAST THREE (3) YEARS:

HAVE YOU EVER BEEN NAMED AS A PARTY IN ANY CIVIL COURT ACTION? NOYES

HAVE YOU FILED FOR BANKRUPTCY WITHIN THE LAST 7 YEARS? NOYESIF YES, EXPLAIN IN DETAIL, INCLUDING DATE, LOCATION, AND COURT CASE NUMBER(S):

(IF YES, EXPLAIN IN DETAIL BELOW, INCLUDING DATE, LOCATION, AND COURT CASE NUMBER(S))

3. EMPLOYMENT PROVIDE EMPLOYMENT HISTORY FOR AT LEAST THE LAST 7 YEAR PERIOD N/A = NOT APPLICABLE

No N/A *PLEASE INDICATE IF WE MAY CONTACT YOUR CURRENT EMPLOYER FOR A REFERENCE. Yes

IF YOU ANSWERED "NO", ATTACH A PAY SLIP(S) CONTRACT, OR OTHER OFFICAL DOCUMENTATION TO PROVE CURRENT EMPLOYMENT

DO NOT CONTACT MY CURRENT EMPLOYER UNTIL:

1. CURRENT EMPLOYER/NAME STREET CITY STATE/PROVINCE COUNTRY

COMPANY/EMPLOYER PHONE NUMBER YOUR OCCUPATION/JOB TITLE EMPLOYMENT PERIOD (MM/DD/YYYY)FROM: TO:

DEPARTMENT NAME SUPERVISOR’S NAME CONTACT NUMBER FOR SUPERVISOR

YOUR EMPLOYMENT STATUS:TEMPORARY PERMANENT CONTRACT

REASON FOR LEAVINGCOMPANY ID NUMBER

3. EMPLOYMENT (CONTINUED) Page 3 of 52. EMPLOYER/COMPANY NAME STREET CITY STATE/PROVINCE COUNTRY

COMPANY/EMPLOYER PHONE NUMBER YOUR OCCUPATION/JOB TITLE EMPLOYMENT PERIOD (MM/DD/YYYY)FROM: TO:


YOUR EMPLOYMENT STATUS:TEMP PERMANENT CONTRACT


3. EMPLOYER/COMPANY NAME STREET CITY STATE/PROVINCE COUNTRY

COMPANY/EMPLOYER PHONE NUMBER YOUR OCCUPATION/JOB TITLE EMPLOYMENT PERIOD (MM/DD/YYYY) FROM: TO:


YOUR EMPLOYMENT STATUS:

TEMP PERMANENT CONTRACTREASON FOR LEAVINGCOMPANY ID NUMBER
















PROVIDE EXPLANATIONS FOR ALL TIME PERIODS NOT ACCOUNTED FOR OF EMPLOYMENT FOR THE LAST 7 YEARS. PROVIDE NAME, ADDRESS AND PHONE NUMBER(S) OF INDIVIDUALS AND/OR DOCUMENTS TO VERIFY YOUR ACTIVITIES DURING THIS PERIOD.

4. EDUCATION INFORMATION - Add extra page(s) if needed Page 4 of 51.Provide copy of highest degree/diploma/certificate attained and transcripts (mark sheets).2.India candidates must provide diploma registration/hall ticket/degree number.

LIST RELEVANT ACADEMIC DEGREE(S), CERTIFICATE(S), OR DIPLOMA(S) ATTAINED - MUST PROVIDE COPIES

NAME OF INSTITUTION TYPE OF DEGREE, DIPLOMA OR CERTIFICATION RECEIVED

STREET STATE/PROVINCE COUNTRYCITYINSTITUTION ADDRESS:

INSTITUTION PHONE NUMBER DATES ATTENDEDFROM (MM/DD/YYYY):TO (MM/DD/YYYY):

DATE DIPLOMA/CERTIFICATE RECEIVED

(MM/DD/YYYY):STUDENT ID NUMBER REGISTRATION NUMBER FOR CERTIFICATION, DIPLOMA, DEGREE

(IF APPLICABLE), INDIA CANDIDATE REQUIREMENT:

(LIST OTHER RELEVANT DEGREE/DIPLOMA/CERTIFICATE BELOW)

NAME OF INSTITUTION TYPE OF DEGREE, DIPLOMA OR CERTIFICATION RECEIVED

INSTITUTION ADDRESS: STREET CITY STATE/PROVINCE COUNTRY

INSTITUTION PHONE NUMBER DATES ATTENDEDFROM (MM/DD/YYYY):TO (MM/DD/YYYY):

DATE DIPLOMA/CERTIFICATE RECEIVED

(MM/DD/YYYY):

STUDENT ID NUMBER REGISTRATION NUMBER FOR CERTIFICATION, DIPLOMA, DEGREE (IF APPLICABLE) INDIA CANDIDATE REQUIREMENT:

LIST RELEVANT, CURRENT CERTIFICATES, CERTIFICATIONS, AND LICENSES - MUST PROVIDE COPY(S)

PROFESSIONAL CERTIFICATION/LICENSING ORGANIZATION REGISTRATION/LICENSE NUMBERCERTIFICATION/LICENSE NAME



HAVE YOU EVER HAD A PROFESSIONAL LICENSE, CERTIFICATION, OR PROFESSIONAL MEMBERSHIP REVOKED, SUSPENDED, OR TERMINATED?

YES NO IF YES, NAME THE CERTIFICATE, LICENSE, OR PROFESSIONAL MEMBERSHIP AND EXPLAIN BELOW:

HAVE YOU EVER BEEN PLACED ON PROBATION OR DISCIPLINED BY A PROFESSIONAL ORGANIZATION? YES NO

IF YES, NAME THE ORGANIZATION AND EXPLAIN THE CIRCUMSTANCES IN DETAIL:

5. DECLARATION - PLEASE RECHECK ALL INFORMATION ON THIS FORM AND SIGN BELOW

“I hereby certify that all facts provided herein are complete and accurate. I understand that any falsehood, misrepresentation or omission of any fact by me, whether submitted orally or in writing and pertaining to the information herein, will be sufficient cause for cancellation by the Company of my application or for termination of my employment for cause.”

SIGNATURE:

PRINTED NAME: DATE (MM/DD/YYYY):

AUTHORITY TO RELEASE PERSONAL INFORMATION Page 5 of 5

I hereby authorize all persons, schools, companies, corporations, associations, groups, partnerships, professional associations, government agencies, credit bureaus, bureaus of vital statistics, references, (provided or developed),and law enforcement agencies to supply and release any information, including birth certificates to Saudi Aramcoany of their affiliates, subsidiaries, and/or authorized agents to conduct security screening inquiries.

I further authorize the procurement of a consumer credit report or other like documents and understandthe report may contain information on my background, mode of living, character, and personal reputation. I further consent to the review and release of any information from my military records deemed necessary.

I understand the information requested may be obtained now or at any time in the future for the purpose of performing a security clearance check for authorization to gain or to maintain access to the physical and computer facilities of Saudi Aramco. Any information obtained shall be viewed and stored with all reasonable care, and will not be released outside the entities listed above or its subsidiaries unless, it is required to do so in compliance with legal process.

I hereby voluntarily affixed my signature and represent this document to be an original. I further acknowledge, consent and agree that photocopies of this Release form may be made and used as if they were original copies.

*ALL NORTH AMERICAN CANDIDATES MUST HAVE A NOTARY SEAL

ALL OTHER CANDIDATES - SIGNATURE REQUIRED WITH 2 WITNESSES, OR CANDIDATE SIGNATURE AND NOTARY SEAL

CANDIDATE SIGNATURE (below): PRINTED NAME(below): DATE (MM/DD/YYYY) (below):

WITNESS SIGNATURE(below): PRINTED NAME(below): DATE (MM/DD/YYYY) (below):

WITNESS SIGNATURE(below): PRINTED NAME(below): DATE (MM/DD/YYYY) (below):

I acknowledge and consent that the information disclosed in this form will be sent outside my country of residence and specifically to Saudi Arabia. I further acknowledge that the information disclosed in this form will be processed in Saudi Arabia. I understand that this is a condition to Saudi Aramco's review of my application for employment.

Before me, the undersigned authority, (NOTARY - PRINT NAME)

(Notary Stamp/Seal Here)Given Under My Hand and Seal: This day of , 20 .

Notary Signature: Expiration Date:

MM/DD/YYYY

appeared in person, and signed this document in my presence

the person named, (PRINT CANDIDATE NAME HERE)

Documents

Bi New Bsf-1 April 2011 v4