application
TRANSCRIPT
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APPLICATION FORM
Position Applied H2S Engineer
Personal Information
Name as in NRIC or Passport
BENNY VARGHESE
NRIC / Passport No. H7020264
Nationality INDIAN
Place of Birth KERALA
Date of Birth & Age(dd/mm/yyyy)
30/10/1987
Marital Status SINGLE
No. of Children & Ages NA
Address: KALLINGAL HOUSE,KAYARADI P.O,PALAKKAD,KERALA,INDIA-678510
Home / Office Tel: 00919496352385 Mobile: 009199618961801
Language Proficiency Spoken & Written ENGLISH , HINDI , MALAYALAM
Spoken Only TAMIL
Academic Qualifications (in chronological order, starting with the most recent)
Date
From ToSchools/Institutions Attended Qualifications Obtained (Masters,
Degree, Diploma, ‘A’/’O’ Levels)Field of Study / Major
2005 2009 Mahatma Gandhi University
B.Tech Electronics & Instrumentation Enginnering
Other Qualifications / Courses / Membership Attained (in chronological order, starting with the most recent)
Date
From ToQualifications Obtained Date
2009 july
2009august • Undergone training on DCS ( Centum CS 3000 R3
Engineering and Maintenance) conducted by Yokogawa India Ltd.
• Undergone training on PLC (Prosafe by Yokogawa) conducted by Yokogawa India Ltd.
• Undergone training on Field bus technology conducted by Yokogawa India Ltd.
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APPLICATION FORM
Employment History (in chronological order, starting with the most recent)
Date
From To
Firm/Institution Position Held Reason(s) for Leaving
Total number of years spent in oil/gas/petrochemical industry: 1.5 years
Details of Current Employment
Present Employer ConSyst Integrated Control Systems, Cochin
Designation Application Engineer
Started Date Notice Period(weeks / months)
1 month
Present Monthly Salary 600 $ Expected Monthly Salary 1300 $
Other Information
Have you been suffering from any physical impairment or disease? No
Have you ever been discharged or dismissed from the services of a previous employer? No
Have you ever been convicted in a Court of Law in any country ? No
If the answer is “yes”, give details. ________________________________________________________________________________
____________________________________________________________________________________________________________
Referees
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APPLICATION FORM
Please give details of two referees whom Rutledge E&P may approach for references.
1. 2.
Jasir Sabri
Chief Executive
Mob. +(91)-9387885015 Email – [email protected] Integrated Control Systems CeeYem Building | Company Padi |Kerala | India |683 106 |
Declaration
I declare that the information given above is, to the best of my belief, true and correct and that I have not suppressed any fact. I understand that any misrepresentation or omission of any fact will be sufficient cause for the cancellation of consideration for employment or dismissal from Rutledge E&P’s or its affiliate’s service if I have been employed.
Signature of applicant: benny varghese Date: 09/02/2011