KA Form

Application No.
Reviewed by
Date
EMPLOYMENT APPLICATION FORM
Position Applied for
ELECTRICAL ENGINEER
PERSONAL INFORMATION
Title:
Mr. JIMMY GEORGE
Family Name
KAPPYARATTEL
First Name
Father's Name
JIMMY
K.J.GEORGE
Maiden Name (if applicable)
Mother's Name
Date of Birth
12/02/1991
Nationality
1.INDIA
2.
Marital Status
SINGLE
Working Status of Spouse
Place of Birth
MUVATTUPUZHA,COCHIN,KERALA
Country of Origin
INDIA
Number of Children
NO
Children's Year of Birth
NO
Permanent Address
Present Address (If different from Permanent Address)
KAPPYARATTEL (H)
PERUMBALLOR P.O
MUVATTUPUZHA
ERNAKULAM
KERALA,INDIA
Tel. No.: 00919745974540

Fax No.:
E-mail: [email protected]
Countries not willing to work in
Tel. No.: 00971555140280

Mobile No.:
Fax No.:
E-mail: [email protected]
Do you have any relatives working at K&A?
(If yes, please give details)
Date Available for Employment
Have you applied to K&A previously?

(If yes, please give details)
Minimum expected salary

4500 AED
EDUCATION/SKILLS
Secondary Education
Name, Country of School
Tharbiyath Trust Higher Secondary
school , Kerala Certificate Of
Secondary Education- X
2006
Dates
Certificates/Diplomas Obtained
FIRST CLASS
Tharbiyath Trust Higher Secondary

school , Kerala Certificate Of
Secondary Education- X
2008
FIRST CLASS
University Education
Name of University/College
Anna University, Chennai
City/Country
Dates
THAMILNADU,INDIA
2012
Degree Level and Title

SECOND CLASS
Outline the content of your final course/research.

ATOCAD
General Information Technology Skills (For applicants to the IT Section, please refer to the IT
Skills Form) Specify the softwares you are familiar with and the level of command:
1. DOS, Windows
5.
2. MS Office,
CAD, MS Movie Maker
6.
7.
4.
8.
Knowledge of Languages
Read
Excellent
Good
Write
Fair
Excellent
Good
Speak
Fair
Excellent
Good
Fair
ARABIC
ENGLISH
FRENCH
OTHERS
Give details of any other skills/qualifications which may be relevant indicating your proficiency. Include any
prizes, awards, scholarships or sponsorship won at school, college or university.
Give details of any membership of Professional Organizations or Institutions.
EMPLOYMENT RECORD
Starting with your present or last employer, state in reverse chronological order the jobs held.
Name of
Address of Employer
Type of Business
Employer
FROM
(Month/Year)
To (Month/Year) Salaries Per Annum Exact Title of Your Post Name of Supervisor
Starting
Final
Reason for leaving
Number of Employees Supervised by You
Description of your duties:

3
Name of
Employer
FROM
(Month/Year)
Address of Employer
Type of Business
Starting
Final
Reason for leaving
Name of
Employer
FROM
(Month/Year)
Address of Employer
Type of Business
Starting
Final
Reason for leaving
REFERENCES
Give the names, addresses and occupation of two references.
1.
2.
Tel. No. :
Occupation :
Tel. No. :
Occupation :
GENERAL
As a Khatib & Alami employee, you may be required to travel to areas of the World where K&A has work
responsibilities. Please state any reasons which might prevent you from accepting such assignments:
Any other particulars that you feel are relevant to this application.
Give details of any serious illness / medical conditions.
In case of emergency contact :

4
Name :
Relationship:
Tel. No. : ..
Have you ever been arrested or convicted? (If yes, give details).
I certify that the statements made by me, in answer to the foregoing questions, are true, complete and correct
to the best of my knowledge and belief, and I authorize investigation of all statements contained therein. I
further understand that any misrepresentation or material omission made on this personal history form
renders me liable to dismissal.
Date : _________________
Signature: _________________
DOCUMENTS TO BE SUBMITTED WITH APPLICATION :

a. Photocopies of degrees obtained (will require certification if accepted).
b. Photocopy of identity card and passport.
c. Documentary evidence which supports the statements under EMPLOYMENT RECORD.
d. Detailed CV (Preferred format).
OFFICE USE ONLY
INTERVIEWER REMARKS
Date : _________________
Name & Signature : ______________________________________
MANAGEMENT DECISION
Appoint as : _____________________________
Starting Salary / Rate : _____________________
as of : ______________________________
Allowances : ____________________________
Date : _________________________________
Signature : _____________________________
All information on this form is confidential and will not be divulged to anyone outside K&A (C.E.C).
INFORMATION TECHNOLOGY SKILLS (Only for IT SECTION applicants)

Computer Platforms Worked On
IBM Compatible
Unix Workstations
Hardware Assembling & Troubleshooting Experience
Yes
Operating System Utilized
Win95/98
Macintosh
No
WinNT
Apple Macintosh
Windows 2000
Unix
List Programming Languages Used for Development
Java
Database Applications
C++
Visual Basic
SQL Server
Fox Pro
Microsoft Access
Oracle
Other Specify
Desktop Applications Familiar With
MS Word
MS Project
Primavera
MS Access
Lotus 123
MS Power Point
Outlook
Others Specify
MS Excel
Networking Experience
Setup a Network
Mapping Network Drives
Network Administration
Sharing files and folders
Network Protocols (TCP/IP,NetBEUI, etc)

Internet Experience
Internet Explorer
Print Sharing
Netscape Navigator
Messaging
Web Development
Yes
No
Internet/Intranet Setup
Yes
No
Mail Setup
Yes
No
Proxy Server Setup

CAD Knowledge and Experience
Yes
No
Microstation
Working with Microstation Project Bank
Triforma Architectural
Microstation Programming
Triforma Mechanical
AutoCAD 2000
Triforma Structural
Architectural Desktop II
Triforma Electrical
Computer Graphics Knowledge and Experience
Adobe Photoshop
Corel Draw 9.0
3D Max
Quark Express

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Application No.

EMPLOYMENT APPLICATION FORM

Position Applied for

Maiden Name (if applicable)

Present Address (If different from Permanent Address)

Tel. No.: 00919745974540

Tel. No.: 00971555140280

Date Available for Employment

Have you applied to K&A previously?

Minimum expected salary

Tharbiyath Trust Higher Secondary

Degree Level and Title

Outline the content of your final course/research.

Give details of any membership of Professional Organizations or Institutions.

Reason for leaving

Number of Employees Supervised by You

Description of your duties:

Reason for leaving

Number of Employees Supervised by You

Description of your duties:

Reason for leaving

Number of Employees Supervised by You

Description of your duties:

Give details of any serious illness / medical conditions.

In case of emergency contact :

DOCUMENTS TO BE SUBMITTED WITH APPLICATION :

Name & Signature : ______________________________________

INFORMATION TECHNOLOGY SKILLS (Only for IT SECTION applicants)

Mapping Network Drives

Sharing files and folders

Network Protocols (TCP/IP,NetBEUI, etc)

Proxy Server Setup

Working with Microstation Project Bank

Corel Draw 9.0

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