CANDIDATE DETAILS FORM - GCC

IMPORTANT DOCUMENTS NEEDED & NOTES:

DOCUMENTS NEEDED (MANDATORY) – ALL must be clear, high resolution colour copies, sent as pdf by email:
1. Passport copy with minimum 6 months validity
2. Citizen Book, Jinsiya, Family Book as may be applicable proof of nationality based on GCC local rules and regulations
3. Valid or cancelled work permit and National/ local ID cards copy for prospective country of employment (if/ where applicable)
4. JS and Pension Number
5. Attested education certificates of qualification(s) – if not yet attested, unattested copy is required
6. Police Clearance/ Good Conduct Certificate from the country of current residence (UAE Only)
NOTES on FORM COMPLETION:
1. ALL fields in this form MUST BE COMPLETED in the requested format by the candidate. All fields are mandatory.
1. Please MARK ‘X’ in any check boxes to indicate one of multiple preferences. State n/a if not applicable.
PERSONAL DETAILS:
Please mark ‘X’ to select one option of multiple options as applicable and complete all sections accurately, providing documents as requested in section above.
Title: X Mr. Miss Mrs. Ms. Other e.g. Dr. Eng.
Full Name: SANTHOSHKANNAN MOHAN
(Exactly as on passport/ National ID doc)
CANDIDATE DETAILS FORM - GCC

First Name: SANTHOSHKANNAN

(Exactly as on passport)
Middle name/s:
(Exactly as on passport)
Last Name: MOHAN
(Exactly as on passport)
Date of Birth: 31/05/1986 Place of KANCHEEPURAM Country of INDIA
(DD/MMM/YYYY) Birth: Birth:
Gender: X Male Female
Citizenship Number: NA JS Number: NA
(With Supporting Document Provided) (If applicable)
National ID Number: NA Pension/ GOSI Number: NA
(With Supporting Document Provided) (If applicable)
Mobile Phone No.: 00919884532427 Landline/ Tel Phone No.: 00917618777783
(With International Code) (With International Code)
Personal Email Address: santhoshkannan@yahoo.co.in
CANDIDATE DETAILS FORM - GCC

Current Location with street/ F1, MAY FLOWER, RC ADENA, NETHAJI STREET, KAMALAM NAGAR, THIRUMULLAIVOYAL,
Building/ Area Name/ PO Box: CHENNAI – 600062
(as available)

Point of Origin: INDIA Religion: HINDU

(i.e. your home country) e.g. Muslim etc...
Marital Status: X Married Single Divorced Separated Widowed
Mother’s Full Name: KANCHANA MOHAN Date of Birth: 19-12-1963
(Exactly as on passport/ National ID doc) (DD-MMM-YYYY)
Father’s Full Name: MOHAN SWAMINATHAN Date of Birth: 22-01-1957
(Exactly as on passport/ National ID doc) (DD-MMM-YYYY)
Have you ever been convicted of a X No Yes
criminal offence – a conviction,
spent or otherwise, that may affect
your hire or visa/ work permit
application at a later date?
EMERGENCY CONTACTS:
(To be contacted in the event of an emergency) - Please mark ‘X’ in Gender boxes as applicable
CANDIDATE DETAILS FORM - GCC

Full Name: SINDHUJA SANTHOSHKANNAN Full Name: KANCHANA MOHAN

Relationship to you: WIFE Relationship to you: MOTHER

Contact Phone No.: 00919585559675 Contact Phone No.: 00919789821765

Contact’s Full Address: F1, MAY FLOWER, RC ADENA, Contact’s Full Address: F1, MAY FLOWER, RC
NETHAJI STREET, KAMALAM ADENA, NETHAJI STREET,

IMMIGRATION DATA:

DETAILS OF PREVIOUSLY HELD WORK PERMIT IN PROSPECTIVE COUNTRY OF EMPLOYMENT

Have you previously been issued X No Yes NOTE: If yes, please see the next rows and ensure you provide documents as mentioned in
the top section of this form on page 1.
a Work Permit for the
prospective country of
CANDIDATE DETAILS FORM - GCC

NATIONALITY DECLARATION:
Please mark ‘X’ in Yes/ No boxes as applicable & complete all fields as applicable to single or dual nationality
Do you currently hold Dual X No Yes If you marked NO & only hold single nationality – please complete data ONLY for
Nationality 1.
Nationality? If you marked YES & hold dual nationality – please complete data for both nationalities in
ALL sections below.

Nationality(s) Held: Nationality 1: INDIA Nationality 2:

Passport Details for Each Passport Z4560416 Passport
Nationality: Number: Number:
Place of Issue: CHENNAI Place of Issue:

Country of INDIA Country of

Issue: Issue:
Date of Issue: 17-08-2018 Date of Issue:
DD-MMM-YYYY DD-MMM-YYYY
Date of Expiry: 16-08-2028 Date of Expiry:
DD-MMM-YYYY DD-MMM-YYYY
Valid Visas in Each passport for Nationality 1 Passport’s Visa(s) Details Nationality 2 Passport’s Visa(s) Details
CANDIDATE DETAILS FORM - GCC

Each Nationality: Country Visa NA Country Visa

(if applicable) Issued For: Issued For:
Date of Expiry: NA Date of Expiry:
DD-MMM-YYYY DD-MMM-YYYY
Country Visa NA Country Visa
Issued For: Issued For:
Date of Expiry: NA Date of Expiry:
DD-MMM-YYYY DD-MMM-YYYY
LANGUAGES:
Please mark ‘X’ to indicate multiple preferences as applicable
Languages Known Efficiency Level Extent of Knowledge
1. ENGLISH Basic Read
Good X Spoken/ Verbal
X Fluent XXWritten
Mother Tongue
2. TAMIL Basic Read
Good X Spoken/ Verbal
CANDIDATE DETAILS FORM - GCC

X Fluent XXWritten
Mother Tongue
3. HINDI Basic Read
Good Spoken/ Verbal
X Fluent X Written
Mother Tongue
MEDICAL DECLARATION:
Please mark ‘X’ in Yes/ No boxes as applicable
Are there any serious medical X No Yes NOTE: There may be other health/ pre-employment medical checks you may be requested to
perform and will be advised of additionally as and where applicable in keeping with local/
conditions which we need to compliance regulations.
know about?
IF ‘YES’ indicated for question above, please provide details below:
CANDIDATE DETAILS FORM - GCC

Blood group: B+
(Please specify if A-, A+, B-, B+, AB-, AB+,
O-, O+)

ACADEMIC AND PROFESSIONAL QUALIFICATIONS:

Higher Education Result Discipline College/ Year Attained Country Is Certificate
University Certificate Currently
e.g. BEng, HNC, Name Gained From Attested? Y/ N –
Diploma, BA (Hons), e.g. Pass, Merit, e.g. Electrical e.g. Oxford e.g. 2017 If Y; State which
MA Distinction Engineering University country consulates
have attested
Post Graduation First Class Construction NICMAR 2015 India N
Management

BE First Class Civil Anna University 2007 India Y

Engineering
CANDIDATE DETAILS FORM - GCC

IMPORTANT NOTES ON DOCUMENTATION & DEPENDENT SPONSORING:

1. For recognised dependents under company policy & IF Married – you will be requested to provide for each spouse and all children: Passport, any valid or cancelled visa copy, national/ local ID card
copy if applicable), marriage certificate(s), birth certificates of any children (as applicable) with attestation stamp copies where available for marriage and children’s birth certificates. There may be
regional country differences in required documents.
2. Requirements are determined by local government/ ministerial authorities, are subject to change without prior notice, are MANDATORY and MUST be met in full.
3. Usual authorities that attest documents include the Ministry of foreign Affairs & Embassy in the country where the document was issued; Ministry of Foreign Affairs in the prospective country of
employment. This will vary for each country in the MEA region.
4. Attestation can take anywhere from 4 to 6 weeks and original documents are usually required.
5. Where possible and available, provide attested document copies.

PROFESSIONAL MEMBERSHIP:
CANDIDATE DETAILS FORM - GCC

Institute/ Government Registration Country of Registration/ Level

e.g. Institution of Civil Engineers, Royal Institution of Chartered Surveyors, Qatar MMUP Qualification Issuance e.g. Associate, Fellow, Grade
Registration of Engineers
Royal Institution of Chartered Surveyors India/Quantity Surveying Member

Chartered Institute of Arbitration India/Dispute Resolution Member

EMPLOYMENT INFORMATION
CURRENT
Current Employer Name: Cushman and Wakefield India Pvt. Ltd.,
Job Title: Contracts Manager
Basic Salary Per Month: INR 72,000 Total Salary Per Month: 1,76,000

Benefits/ Other Allowances per Yearly incentive + HRA + Telephone + Transport

month (detail allowance type &
monthly amount):
CANDIDATE DETAILS FORM - GCC

Current Notice Period: 1 month Will you be able to obtain a Yes

(e.g. 1 month) No Objection Certificate
(NOC) if required?
Additional Background Information NA
to support your joining, mobility
and visa/ immigration process with
us (e.g. Immigration/ other issues)

PREVIOUS EMPLOYMENT WITH ATKINS/ FAITHFUL+GOULD/ ACUITY/ SNC-LAVALIN

Have you previously been
employed with Atkins /
Faithful+Gould/ Acuity/ SNC-
Lavalin?
X No Yes IF No marked – please
leave other sections blank
Where were you
employed with us? e.g.
Dubai, Abu Dhabi, Doha-
Qatar…
CANDIDATE DETAILS FORM - GCC

State the name of the company Your Job Title:

you were last employed with:

Previous Dates of Employment: Start Date: End Date:

DD-MMM-YYYY DD-MMM-YYYY
Do you have any relatives X No Yes IF Yes marked – please complete the next section. If No marked, leave blank
working in SNC-Lavalin?

State the name of your relative State the

working in SNC-Lavalin: relationship to
you:
DEPENDENTS DETAILS: NAME/S AND DATE/S OF BIRTH
(Complete this mandatorily for all spouse and children)
Full Name Nationality Date of Birth Gender Relationship
DD-MMM-YYYY

Sindhuja Santhosh Kannan Indian 05-Mar-1994 Female Wife

CANDIDATE DETAILS FORM - GCC

Sharveshwaran Santhosh Kannan Indian 19-07-2018 Male Son

Kanchana Mohan Indian 19-12-1963 Female Mother

Mohan Swaminathan Indian 22-01-1957 Male Father

Are your dependents currently No X Yes

residing in the prospective
country of employment?

PROFESSIONAL REFERENCES:
Please enter details of the person we should be contacting to seek a professional reference about you.
Atleast 2 people per company employed with in the last 3 years of employment MUST be provided. By providing names, you give us consent to contact referees.

Name Job Title Company Tel & Mobile Number Email Address
Venugopal Makina Sr. Project Manager Cushman & Wakefield +919000468878 Venugopal.makina@gma
il.com
CANDIDATE DETAILS FORM - GCC

Niranjana Chary Sr. Services Manager Cushman & Wakefield +919100095015 Niranjanchary@gmail.co
m

PLEASE ADD FURTHER RELEVANT ADDITIONAL INFORMATION ON A SEPARATE PLAIN A4 PAGE AND SUBMIT WITH THIS FORM IF REQUIRED.
PLEASE MARK ‘X’ IN THE BOX TO INDICATE THAT YOU AGREE AND CONFIRM ALL INFORMATION & DOCUMENTS PROVIDED BY YOU ARE ACCURATE, VALID AND TRUTHFUL.
x