KRISHAK BHARATI COOPERATIVE LIMITED

A-10, SECTOR-1 NOIDA-201301(UP)

APPLICATION FORM

1 Post Applied For

Manager (Fire & Safety) Recent Colour
Passport Size
2 Name of the Candidate Photograph to be
( in PANCHDEV KUMAR pasted here
Block Letters)
2 Father/Husbands Name NIBARAN PRADHAN

4 Date of Birth(DD-MM-YYYY) 12-12-1981

Present Address
5 for A-502, JEWEL MEADOWS, SARPAVARAM ROAD
Correspondence with NEAR SUBHA NIKETAN SCHOOL
contact Phone No. EAST GODAVARI DISTRICT, KAKINADA
533105, ANDHRAPRADESH
M: 9724284909

6 Permanent Address with AT-DALAIKELA, VIA-GOILKERA

Contact Phone/Mobile PO-TUNIA, PIN-833103
NO. DIST-WEST SINGBHUM
JHARKHAND
7 E-Mail Address &
Mobile No. panchdevkumar@gmail.com
+91-9724284909
8 Category (SC/ST/OBS/PH)
Proof to be attached General

9 Religion Hindu

Nationality Indian
10

Educational /Professional qualification from

11 Matriculation onwards:-

Board/Institut % age
Examination e/ Year of of Main Subjects
Passed University Passing Marks
Bihar Secondary
Education Board, PCM, HINDI, ENSG, CS, SC
a) X(Matriculation) Patna 1997 64.5
 Bihar Intermediate
Education Council, 1999 72.3 PCM, HIN. ENG, CS
b) XII(10+2)Inter Patna

Cochin University
B. Tech (Safety and Fire of Science and Safety and Fire
c) Engineering) Technology, Kochi 2005 75.6 Engineering

Certified Safety Board of Certified

Professional Safety Professional, Safety
d) USA 2017 PASS Engineering

NEBOSH NEBOSH,UK 2015 PASS

International Occupational
Diploma in Health and
Occupational, safety
e) Health and Safety

Details of Experience,if any (in Chronological Order): (Separate Sheet may

12 be enclosed,
if required)

Perio
Name of Position Place of d Scale of Total Brief
 Descriptio
Organization held Posting From To pay Emolum n
& full Address & Basic ents Of duties
Pay Drawn
a)
Heading the
HSE and
Fire
Department
of Gas
Gujarat State Processing
Petroleum 16900- Plant,
Corporation Ltd Manager- 18-04-2016- 39400 18.9 LPA Responsible
(Onshore Gas HSE &Fire Kakinada, Till date for HSEF
Terminal, KG Andhrapradesh Managemen
Basin, Pay Band t System for
Kakinada) 19520, Gas
Gas processing Grade Processing
Plant Pay 6600 Plant.
b)
Reporting
to GM
HSEF and
Reliance Responsible
Industries Sr. Manager- Jamnagar, 04/03/2013 to 34,500 14.8 LPA for HSE
Limited, HSE Gujarat 14/04/2016 Managemen
Jamnagar t System for
Refinery
and Oil
Terminal.
c) Gas Based
Power Plant
Safety
Siemens India Sr. management
Surat, Gujarat 01/08/2011 to 29,000 12 LPA for erection
Ltd Executive 03/03/2013 and
Commissionin
g
HSEF
d) Management
Talbandi Sabo Manager-HSE Bhatinda, Punjab 05/07/2010 to for 2000mw
Power Limited &Fire 30/7/2011 27,000 9.25 LPA Coal Fired
(Vedanta Group) Power Plant
HSE &Fire
Dy. managemen
ESSAR Power Manager- Surat, Gujarat 29/09/2009 25,000 7 LPA t for Gas
Limited, Hazira HSE &Fire to Fired power
e) 30/06/2010 Plant
 HSE
managemen
t for Heavy
Engineering
Asst. 01/09/2008 Industry,
Manager- Raipur, C.G to 17,000 5.25 LPA Machine
HSE& Fire 07/09/2009 Shop and
Jindal Steel & Furnace
f) Power Limited Operation
Dubai, LLC Marine and
16/10/2006 Oil and Gas
to project HSE
Higgs and Hill, Safety 28/08/2008 Managemen
g) LLC Dubai Officer 13 LPA t System
Simplex, Qatar Safety Doha, Qatar Oil and Gas
Engineer 16/08/2005 project HSE
to Managemen
20/08/2006 t System
and
h) 6 LPA implement
13 Details of Computer Knowledge MS Office (MS WORD, EXCELL,
POWER POINT, OUTLOOK)
SAP System (MM Module, HSE
Module)
I declare that the information furnished above by me is true to the best of my knowledge and
brief and that nothing material has been concealed therein. In case, any of the above
information is found false, at any stage, my candidature shall stand summarily rejected.

Signature..

Name :..

Encl:

Place :

Date: