Balimento Captain Application form Please enable JavaScript in your browser to complete this form.Full name *Email *Phone Number *landline (optional)Nationality *ChooseAlgeria - الجزائرBahrain - البحرينEgypt - مصرJordan - الاردنIraq - العراقKuwait - الكويتLebanon - لبنانLibya - ليبياMauritania - موريتانياMorocco - المغربOman - عمانPalestine - فلسطينQatar - قطرSaudi Arabia - السعوديةSomalia - الصومالSudan - السودانSyria - سورياTunisia - تونسUnited Arab Emirates - الاماراتYemen - اليمنAfghanistanAlbaniaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBolivia Bosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongo (Congo-Brazzaville)Costa RicaCroatiaCubaCyprusCzechia (Czech Republic)Democratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (fmr. "Swaziland")EthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIrelandItalyJamaicaJapanKazakhstanKenyaKiribatiKyrgyzstanLaosLatviaLesothoLiberiaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMozambiqueMyanmar (formerly Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSouth AfricaSouth KoreaSouth SudanSpainSri LankaSurinameSwedenSwitzerlandTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTurkeyTurkmenistanTuvaluUgandaUkraineUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamZambiaZimbabweDate of Birth (Month) *MonthJanFebMarAprMayJunJulAugSepOctNovDecDate of Birth (Year) *Year190019011902190319041905190619071908190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022Sex *ChooseMaleFemaleMarital Status *SingleMarriedDivorcedWidowedID Number *Job *ChooseEmployedNot EmployedEducation *BachelorAverage UneducatedReligionFiles UploadFiles Upload Files format must be jpeg, png or pdfUpload a copy of your ID *Upload a copy of your driver's license *Upload a copy of your vehicle registration *A questionnaireA questionnaire Please answer the followingFor whom you register? *I am captainFor an another personIf you are registering for someone else please mentionWhat is your vehicle type? *CarMotorcyclebicycleOtherIf other, please mention itHave you ever worked as a delivery captain before? *YesNoIf the answer is yes, mention the place and hours of workAre you currently working as a delivery captain? *YesNoIf the answer is yes, mention the place and hours of workWhat is your expected working times with us? *Full timePart timeSelected timesPlease indicate expected working hours *Do you suffer from any diseases? *YesNoIf yes, please mention itHow did you know about us? *FacebookInstagramTwitterGoogleOtherPlease mention the area you cover *If you have any other comments please mention themI declare that all the information that I mentioned is correct and that I have reviewed everything in this application and all the terms and conditions and agree to them (in the event that there is something contrary to these information or conditions, you may be subject to accountability and the company has the right to take any measures against you) *I AgreeSend الرجاء الاطلاع على الشروط والاحكام الشروط والسياسات العامةالشروط والاحكام لمقدمي الخدمة في حالة وجود مشاكل في التسجيل يمكنك التواصل معنا بالاتصال او عن طريق الواتس اب Phone-alt Whatsapp اوقات عمل خدمة العملاء من السبت الى الخميس من الساعة ١٢ ظهراً الى الساعة ٨ مساءاً