SINMEC ENGINEERING SERVICES (INDIA) PRIVATE LIMITED

"11th Floor D South, Tidel Park, No:4, Rajiv Gandhi Salai, Taramani, Chennai- 600 113

JOB APPLICATION FORM

POSITION(S) APPLIED FOR :
PHOTO

PROJECT ENGINEER

1. PERSONAL PARTICULARS (REQUIRED FOR ADMINISTRATION PURPOSE ONLY)

NAME AS PER NRIC/PASSPORT : DINESH M A

underline family name

SALUTATION : DR. ✔ MR MRS MISS

ADDRESS : 25, TYPE IV, VIKAS NAGAR, AVADI, CHENNAI

POSTAL CODE : 600054

OVERSEAS ADDRESS (FOR FOREIGN NATIONAL) :

TEL (HOME) : MOBILE / PAGER NO : 9176751440

EMAIL : madinesh2912@gmail.com

MARITAL STATUS : Single AGE: 27 GENDER : x MALE FEMALE

NATIONALITY : Indian NRIC/PASSPORT NO : R3775209

COUNTRY OF BIRTH : India DATE OF BIRTH : 29-Dec-94

RACE : Asian RELIGION : Hindu

CLASS 1 CLASS 2A CLASS 2B CLASS 2

DRIVING LICENCE
(PUT A CROSS 'X' IN CLASS 3 CLASS 3A CLASS 4 CLASS 4A
THE CORRECT BOX)
CLASS 5 OTHER LICENCES :

2. FAMILY PARTICULARS

If you are single, please provide particulars of parents and siblings only.
If you are married, please provide particulars of spouse and children.

NAME RELATIONSHIP AGE OCCUPATION EMPLOYER (COMPANY NAME)

GOVT.
ALAGARSAMY M FATHER 55 DRDO
EMPLOYEE

MANJULA MOTHER 49 HOME MAKER -

PAVITHRA SISTER 23 STUDENT -

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3.EMERGENCY CONTACTS

Name: ALAGARSAMY Relation FATHER MOBILE NOS : 9962042771

Name: DILEEPANANDAM Relation FRIEND MOBILE NOS : 8939222420

4. EDUCATION (HIGHEST QUALIFICATION ONLY)

4.1 LIST YOUR HIGHEST ACADEMIC QUALIFICATION ONLY (Put a tick in the box provided) :

Primary / PSLE Level Secondary / 'N' / 'O' Level ITE Equivalent / A-Level

Polytechnic ✔ University

NAME OF SCHOOL / INSTITUTION FROM TO HIGHEST

(MM/YYYY) (MM/YYYY) QUALIFICATION

VETRI VIKAS BOYS HR. SEC. SCHOOL 1-Jun-10 1-May-12

IF YOUR HIGHEST QUALIFICATION IS A MASTER DEGREE, PLEASE ALSO INDICATE BELOW YOUR BASIC DEGREE :

ANNAMALAI UNIVERSITY DISTANCE EDUCATION 1-May-20 1-May-22 MBA (PURSUING)

AALIM MUHAMMED SALEGH COLLEGE OF MECHANICAL
1-Jul-12 1-May-16
ENGINEERING ENGINEERING

4.2 LIST PROFESSIONAL OR TECHNICAL QUALIFICATIONS RELEVANT TO THE POST APPLYING FOR :

SN QUALIFICATION YEAR OBTAINED

1 DIPLOMA IN PRODUCT DESIGN FROM CADD CENTRE , ANNA NAGAR 2005

2 PROJECT MANAGEMENT BASIC PRINCIPLES, COURSERA 2020

4.3 LANGUAGE PROFICIENCY EXCLUDING DIALECTS :

GOOD AVERAGE
TYPES OF LANGUAGE AND PROFICIENCY PROFICIENCY LEVEL
(PLEASE TICK) (PLEASE TICK)
SPOKEN : ✔
ENGLISH LANGUAGE
WRITTEN : ✔
SPOKEN : ✔
OTHER LANGUAGE : TAMIL
WRITTEN : ✔
SPOKEN :
OTHER LANGUAGE :
WRITTEN :

4.4 COMPUTER LITERACY :

NAMES OF SOFTWARE PROGRAMMES AND PROFICIENCY GOOD AVERAGE POOR

MS WORD ✔
MS EXCEL ✔
MS POWERPOINT : ✔
OTHERS : AUTO-CAD ✔
OTHERS : SOLIDWORKS ✔

5. NAME TWO REFERENCE (APPLICABLE IF YOU ARE APPLYING FOR MANAGERIAL POST)
NAME DESIGNATION TEL OR MOBILE YEARS KNOWN

6. RELATIVES OR FRIENDS WORKING IN SINMEC ENGINEERING SERVICES (IF ANY)

NAME DESIGNATION DEPARTMENT RELATIONSHIP

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7. EMPLOYMENT HISTORY (LIST RECENT THREE EMPLOYERS)
DESIGNATION
FROM TO & NAME OF NAME & DESIGNATION OF
SALARY PER MONTH
(MM/YY) (MM/YY) NO OF YEARS ORGANISATION IMMEDIATE SUPERIOR
THERE

Basic Pay

Other
EMERSON PROCESS Allowances
PMO TRAINEE
Feb-18 Feb-19 MANAGEMENT CHENNAI BALAMURUGAN JV, PROJECT MANAGEROT Pay
(1)
PRIVATE LIMITED
Variable pay

Pay per hour

CTC 1.7 LPA

REASON FOR LEAVING : ONE YEAR APPRENTICESHIP PROGRAM

Basic Pay
Other
Allowances
PROJECT SICGILSOL INDIA PRIVATE
Mar-18 PRESENT RAMANATHA N, SENIOR MANAGER OT Pay
ENGINEER(3) LIMITED
Variable pay

Pay per hour

CTC 4 LPA

REASON FOR LEAVING : PRESENT WORK

Basic Pay

Other
Allowances
OT Pay

Variable pay

Pay per hour

CTC

REASON FOR LEAVING :

8. OTHERS

8.1 Earliest date that you can commence employment : APRIL/MAY

8.2 Minimum monthly CTC that you are willing to accept : 6 LPA

Give details in the space provided if the answer is 'YES' YES NO

8.3 Have you or are you suffering from any physical impairment, disease or medical conditions? ✔
8.4 Have you ever been convicted in a court of law in any country ? ✔
8.5 Have your ever been dismissed from the service of any employer ? ✔
8.6 Are you presently declared bankcrupt ? If YES, please provide details below. ✔

9. DECLARATION
READ CAREFULLY BEFORE SIGNING :
I certify that all the information on this application is accurate. I understand that misleading or false statements will
constitute sufficient cause for refusal to hire or termination of my employment. I authorize Sinmec Engineering Services
(India) Pvt Ltd to investigate information concerning my education, employment experiences and all aspects of my
background relevant to this application. I herein indemnify Sinmec Engineering Services (India) Pvt Ltd and its employees
from all liability arising from such investigation.

DINESH M A 2/27/2021

SIGNATURE OF APPLICANT DATE

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10. TO BE COMPLETED BY INTERVIEWER

10.1 FIRST INTERVIEWER'S COMMENT :

Shortlist for 2nd

Not Suitable To Hire Recommend to Other BUs/Dept :
Interview

Position Offered : Proposed Monthly CTC :

INTERVIEW CONDUCTED BY : APPROVED BY HEAD OF DEPT (IF CONFIRMED HIRING) :

NAME / SIGNATURE / DATE NAME / SIGNATURE / DATE

10.2 SECOND INTERVIEWER'S

COMMENT :

Shortlist for 2nd

Not Suitable To Hire Recommend to Other BUs/Dept :
Interview

Position Offered : Proposed Monthly CTC :

INTERVIEW CONDUCTED BY : APPROVED BY HEAD OF DEPT (IF CONFIRMED HIRING) :

NAME / SIGNATURE / DATE NAME / SIGNATURE / DATE

11. DECLARATION BY INTERVIEWER / RECRUITMENT AGENT

FEE PAID BY THE WORKER TO SINGAPORE AGENT, RECOMMENDER OR
YES NO
INTERVIEWER

DECLARED BY: INDICATE THE AMOUNT (S$) :

NAME, SIGNATURE & DATE

12. TO BE COMPLETED BY HR DEPARTMENT

PAY COMPANY : PAY COY CPF ACCOUNT :

DEPARTMENT : LOCATION :

DESIGNATION IN PAYROLL SYSTEM :

EMPLOYMENT COMMENCEMENT DATE : APPROVED MONTHLY CTC :

OVERTIME CATEGORY (PLEASE PUT A CROSS 'X' IN THE BOX) :

NA 1.5 and 2.0 S$10/ HOUR S$12/HOUR

APPROVED BY :

NAME / SIGNATURE & DATE

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