1) Isaac Vimal Raj is applying for a position in utility operation and maintenance with BGR Energy Systems Limited. He has over 35 days notice required if selected. 2) Vimal is 28 years old and currently resides in Dubai, UAE but is originally from Ukkirankottai, Tamil Nadu, India. 3) He has a bachelor's degree in electrical engineering and speaks Tamil, English, and has basic knowledge of Hindi. He is interested in areas related to power plant equipment maintenance and troubleshooting.

1. BGR ENERGY SYSTEMS LIMITED
APPLICATION FOR EMPLOYMENT
If selected, joining time
Type of work desired Reference
required
Utility operation and
35days Siva kumar
maintenance
Name in full (in capitals) ISAAC VIMAL RAJ
Father’s / Husband’s Name ANTONY
Present Address Permanent Address Contact Numbers
47/11 south street Res
ukkirankottai Mobile 00971504809763
NUZAL CAMP JEBAL ALI
Tirunelveli
DUBAI UAE Office
Tamilnadu
India 627202 E-mail Vimal_oct2005@yahoo.com
Have you every sought employment with this Company? If so, when? Give details
no
PERSONAL DETAILS
Age Date of Birth Place of Birth Paste Here
Day Month Year
28 Ukkirankottai
15 05 1983
Height Weight
Citizenship Sex (cms) (Kg)
Indian Male Yes Female 5.6 70
Mother
Passport No. Blood Group
Tongue
Tamil F9945007 O pastive
Are you suffering from any disability or contagious illness?
Recent
If yes, give details.
Passport Size
No Photograph
Marital Status (state Single or Married) Single
Date of Marriage
Is your wife / husband
employed
Her / his monthly salary (Rs)
If Married,
state Details of dependent children
Age
Sons Nos.
(Years)
Age
Daughters Nos.
(Years)
Details of parents and family members :
Name Relationship Age Profession
antony father 59 Farmer
Family Background
Brothers Nos. Age (Years)
BGR ENERGY – Application Form Page 1

2. Sisters Nos. 1 Age (Years) 31
EDUCATIONAL / PROFESSIONAL QUALIFICATION
Class/Division /
Year of Name of the School / Medium of
Qualifying Exam % of Marks Subject of Study
Passing College or Institution Instruction
obtained
Languages known (specify Yes / No)
Language Speak Read Write
Membership of Professional Organisation / Association, if any
S/N Name of Organisation Membership No.
Extra curricular activities
BGR ENERGY – Application Form Page 2

3. WORK EXPERIENCE (START WITH PRESENT EMPLOYMENT)
Period of Service Brief Description of Total Salary
Designation, Name job, functions and
No and Address of the Reason for Leaving
responsibilities (please Last
From To of Organisation attach separate sheet if Start
Drawn
Yrs necessary)
Record below industries, equipment or operation which you are familiar and / or specialised
(please attach separate sheet, if necessary)
Specify area in which you consider yourself most proficient?
(please attach separate sheet, if necessary)
Reference: (Give names of employer and others who you know well)
How long you
S/N Name Address & Phone Number Occupation are known to
him
1
2
Have you ever been a member of any trade union / political party / organisation?
If so, please furnish details.
BGR ENERGY – Application Form Page 3

4. Have you ever been convicted by a Court of Law for an offence? If so, please furnish details.
Specify acquaintances connected with the company and its group companies
S/N Name Relationship, if any
1
2
3
SALARY DETAILS
Recommended
Present
Item Remarks Remarks (For Official Use)
Remuneration *
(for official use)
(A) MONTHLY BENEFITS
Personnel Department
Basic
DA
Ref. by:
HRA
Conveyance
Designation
Gross salary per month:
Monthly Salary
ANNUAL BENEFITS
(B) ANNUAL BENEFITS (Calculated per month)
G.M. / V.P.
Gross Salary per month President / Director
(Cost to the Company)
(A+B)
Expected Gross
Salary per month
* Please enclose latest salary slip P.F. Account No.
I declare that the information / particulars hereinabove furnished by me are true and
correct, to the best of my knowledge and belief and it conceals no material fact. I further
declare that any errors or suppression of facts in respect of matters stated above shall make
me liable for dismissal from service.
Plac
Date Signature
e
BGR ENERGY – Application Form Page 4