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 -
PAGE 1 OF 4
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
PAGE 2 OF 4
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
PAGE 3 OF 4
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
PAGE 4 OF 4
