Beaver Construction Limited Lot 17B, O'Meara Industrial Estate,
Arima Box 415, Tel: (868) 642-4225/646-4225 Fax: (868) 646-1225
E-mail: [email protected] Website: www.bclgrouptt.com
Bank:
Bank branch: Account Type: Account number
Application for Employment
Personal Data Name: (BLOCK LETTERS, Surname First) Ali Afzal
Position applied for: Engineering Technician
Address: 130 Pascal Road Piparo
Tel: (Home): (Mobile): 681-1568
E-mail address:
Date of Birth 13/11/1985
Place of Birth Trinidad
Nationality Trinidad
Sex Male
Marital Status Single
No. of Children None
N.I.S. #: 031495752 B.I.R. #:100011008-4 Are you the holder of a
valid Driver's Permit? ID Card #: Passport #: Yes No D.P. #: Do you
have any health problem or physical disability which may affect
your ability to perform the job? Yes No X If yes, briefly
describe
Have you ever been convicted of a crime? Yes No X If Yes, give
details
Are you related to any Company Employee? Yes No X
If yes, state Name, Department and Relationship
Person(s) to be contacted in case of emergency: 1) Name: Leel
Ali Relationship: Mother
Address: 130 Pascal Road Piparo Phone #: 359-1749
2) Name: Kamal Ali Relationship: Father
Address: 130 Pascal Road Piparo Phone #: 330-3022
Education and Qualifications Name of Institution Date
From - To
Examinations/Qualifications
Primary Piparo Presbyterian School
Secondary South Community College
Technical Trinzulea Technical Vocational College
University
Other
List any professional societies or organizations of which you
are a member:
Describe briefly any additional skills/knowledge/experience you
have which you believe may be an asset to this Company (include any
machines which you can operate).
Employment History
NAME & ADDRESS OF EMPLOYER
POSITION HELD
FROM - TO
SALARY $
REASON FOR LEAVING
Ministry of Works Lorry Loader 2007- Dec 2014 81, 047 Career
Development
References
NAME
ADDRESS
OCCUPATION
Bhola Rampersad 66 Cedar Ave. Coconut Drive, San Fernando
M.O.W.I Road Superintendent South
Kenneth Funnose 90 Palloo Trace , Gasparillo M.O.W.I Bridge
Superintendent South
I hereby certify that the above information is true and correct
Afzal Ali 13th May 2015
Signature Date
