EMPLOYMENT APPLICATION FORM

L&T HYDROCARBON ENGINEERING

ALL FIELDS TO BE FILLED IN BY THE APPLICANT CLEARLY AND COMPLETELY

Mechanical QA/QC ADVERTISEMENT REF

POST APPLIED FOR Engineer (if applicable)

Amalan Gunaseelan PHOTO TO BE PASTED

PERSONAL INFORMATION (copy it from MS-Word)
(FIRST NAME) (MIDDLE NAME) (SURNAME)

PRESENT HOME / MAILING ADDRESS / ADDRESS FOR COMMUNICATION

20/36, vedhachalapuram, Thogaimalai (PO), kulithalai (tk),

Karur (Dt), Tamilnadu

CITY Kulithalai PIN CODE 621313 NATIVE STATE Tamilnadu

BIRTH DATE 07-12-1993 AGE (YEARS) 25 GENDER Male

TEL NO. (WITH STD CODE) PAN CARD NO. UAN

AADHAAR CARD NUMBER 4539-6382-3558 MOBILE NO. +91-7358729061

PASSPORT NUMBER Z2943139 EMAIL ID amalan_g@yahoo.co.in

PERMANENT HOME ADDRESS

20/36, Vedhchalapuram, Thogaimalai (Po), Kulithalai (Tk)

Karur (Dt), Tamil Nadu

Pin: 621313

LANGUAGES SPEAK READ WRITE

Tamil Yes Yes Yes

LANGAGUES KNOWN
English Yes Yes Yes

Hindi Yes No No

Malayalam Yes No No
DATE OF BIRTTH
NAME (DD-MM-YYYY) RELATIONSHIP OCCUPATION

Gunaseelan.K Father Rtd Teacher

Kulanthai Theresa.G Mother Housewife

FAMILY DETAILS
Franklin Sathish Gunaseelan Brother Engineer
(INCLUDING PARENTS,
SPOUSE, CHILDREN AND r Sister Professor
ANY OTHER DEPENDENTS)

# Sensitivity: LNT Construction Internal Use

 EDUCATION DETAILS

TYPE OF YEAR OF YEAR OF TOTAL SCHOOL / COLLEGE/ NAME OF GRADE / DEGREE / DIPLOMA CERTIFICATE
EXAMINATION PASSED SPECIALISATION
COURSE STARTING PASSING BACKLOGS INSTITUTION UNIVERSITY PERCENTAGE AWARDED

10th Std. / SSC SSLC 2008 2009 Montfort 74.7

INTERMEDIATE/ 12th Std. / HSC Science 2010 2011 Montfort 72

DIPLOMA

Karunya Institute of
GRADUATION DEGREE Mechnical Engineering 2011 2015 Technology and science Karunya University 62

ADDITIONAL
QUALIFICATION/MASTERS

PROFESSIONAL QUALIFICATION ASNT LEVEL 2 Full Time 2015 2020 BIS

PLEASE EXPLAIN GAPS IN

EDUCATION, IF ANY:

MEMBERSHIP OF PROFESSIONAL INSTITUTE DURATION OF MEMBERSHIP

NAME OF INSTITUTE TYPE OF MEMBERSHIP AND POSITION HELD FROM TO

# Sensitivity: LNT Construction Internal Use

 WORK EXPERIENCE DETAILS (IN UNBROKEN CHRONOLOGICAL ORDER STARTING FROM YOU FIRST EMPLOYMENT TO YOUR PRESENT EMPLOYMENT)
Please account for all periods of time NOT COVERED by education/ training. Candidate to ensure that all relevant documents pertaining to his/her professional experience would be made
available if selected including relieving letter, appointment letters, service certificates, salary slips etc.

PLEASE EXPLAIN GAPS IN EMPLOYMENT,

IF ANY:

No. Employer's Name Duration Position Key Performance Indicators (give brief description) Gross CTC p.a.
FROM During my tenure , worked as a Junior level engineer and QA/Qccoordinator AT JOINING
Carillion Mena handling site activies as well the QC works
06/05/2015 25000 QAR
1 Junior Engineer
TO LAST DRAWN
25/07/2016 30000 QAR
TOTAL DURATION ### Years ### Mths
FROM During the tenure , I worked as Junior level engineer In QA QC Mechanical AT JOINING
department
08/08/2016 42000 QAR
2 ANEL Group Junior Engineer
TO LAST DRAWN
30/11/2017 48000 QAR
TOTAL DURATION ### Years ### Mths
FROM AT JOINING
30/01/2018 84000 QAR
3 PORR-SBG-HBK JV Mechanical engineer
TO LAST DRAWN
31/01/2019 84000 QAR
TOTAL DURATION ### Years ### Mths
FROM AT JOINING

4
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

5
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

6
LAST DRAWN

TOTAL DURATION Years Mths

# Sensitivity: LNT Construction Internal Use

 No. Employer's Name Duration Position Key Performance Indicators (give brief description) Gross CTC p.a.
FROM AT JOINING

7
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

8
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

9
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

10
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

11
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

12
TO LAST DRAWN

TOTAL DURATION Years Mths

FROM AT JOINING

13
TO LAST DRAWN

TOTAL DURATION Years Mths

# Sensitivity: LNT Construction Internal Use

 No. Employer's Name Duration Position Key Performance Indicators (give brief description) Gross CTC p.a.
FROM AT JOINING

14
TO LAST DRAWN

TOTAL DURATION Years Mths

# Sensitivity: LNT Construction Internal Use

 Draw in the brief organization structure of the Company where you are presently employed indicating two levels above you and one
your position. (Please also indicate the total number of persons under you).
During my last tenure, I worked as a Mechanical engineer, in engineering department directly repoting to the Construction Mnager
manager about the constructional activities and with a team of Junior engineer and qulaity supervisors

SIGNIFICANT ACHIEVEMENTS
Describe your most significant achievement in detail - what was the situation, what were the challenges faced, how you overcame th
challenges.

Height (cms) Weight (kgs) Power of Identification

Glasses mark
HEALTH INFORMATION
175 85

CRIMINAL RECORDS Have you been involved in any criminal proceedings/ convicted of any offence?
If yes, please give details:

HAVE YOU EVER BEEN INTERVIEWED BY ANY OF THE L&T GROUP OF COMPANIES?
DATE/YEAR POSITION COMPANY

If yes, please give details:

ARE YOU ENGAGED IN ANY PERSONAL BUSINESS?

DO YOU HAVE ANY CONTRACT IF SELECTED, WHEN

/ BOND WITH YOUR PRESENT NO Within 14 Days
CAN YOU JOIN?
EMPLOYER?

PLEASE PROVIDE DETAILS OF TWO PROFESSIONAL REFERENCES (NOT RELATIVES) WHOM YOU HAVE WORKED WITH.
NAME Kaspuro NAME Bachar El hajjar
ORGANIZATION Naffco ORGANIZATION PSH JV
DESIGNATION Mechanical engineer DESIGNATION Project engineer
EMAIL ID EMAIL ID
MOBILE NUMBER 97430777868 MOBILE NUMBER 97430216621
DECLARATION UNDER SECTION 314 OF COMPANIES ACT, AS AMENDED IN 1974
( Delete whichever is not applicable )
I hereby declare that I am not connected with any of the Directors of the Company
as his partner or his relative as defined under Section 6 of the Companies Act, 1956.
OR
I hereby declare that I am a partner or relative of Mr./ Ms. …………………………………………………,
a Directory of the Company as………………………………………..

I hereby declare that the information given above is true to the best of my knowledge. I am aware that any false or incorrect inform
may result in termination of my services with the Company.
I have no objection to your inquiring from any of my previous employers on any matters pertaining to me, if I join your Com

# Sensitivity: LNT Construction Internal Use

 APPLICANT NAME: Print Full Name Amalan Gunaseelan PLACE:
DATE:
SIGNATURE:

# Sensitivity: LNT Construction Internal Use

e you are presently employed indicating two levels above you and one level below
ns under you).
n engineering department directly repoting to the Construction Mnager and Quaity
ties and with a team of Junior engineer and qulaity supervisors

as the situation, what were the challenges faced, how you overcame those

Physical Disability
if any

no

No

COMPANY

Within 14 Days

S (NOT RELATIVES) WHOM YOU HAVE WORKED WITH.

Bachar El hajjar
PSH JV
Project engineer

97430216621
ON 314 OF COMPANIES ACT, AS AMENDED IN 1974
e whichever is not applicable )
ors of the Company
e as defined under Section 6 of the Companies Act, 1956.
OR
er or relative of Mr./ Ms. …………………………………………………,
e Company as………………………………………..

the best of my knowledge. I am aware that any false or incorrect information by me

ination of my services with the Company.
previous employers on any matters pertaining to me, if I join your Company.

# Sensitivity: LNT Construction Internal Use

 Trichy
4/5/2019

# Sensitivity: LNT Construction Internal Use