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APPLICATION FOR EMPLOYMENT Please Print or Write all information in Capital Letters
REF. NO.
REF: ACADEMICJOBS/CCSE/2012-13
Field of Specialization: Computer Science Engineering Date of availability for TU employment: Any Point of Time, at earliest Name of Applicant: First: Mohammed Abdul Basith Ali Khan Father Mohammed Abdul Nayeem Khan Family: Indian Date and Place of birth: Hyderabad, Andhra Pradesh, India (At birth)
Residence Tel. No. 0091-40-65985623 Fax No. _____________________________ Business Tel. No. 00918977602256 Fax No. ______________________________ Email: ma.basithak01@gmail.com Present Address: 12-2-96/3, Murad Nagar, Medhipatnam, Hyderabad, Pin: 500028 Andhra Pradesh, India. Permanent Address: 12-2-96/3, Murad Nagar, Medhipatnam, Hyderabad, Pin: 500028 Andhra Pradesh, India. Point of Origin: (Place of Residence according to Passport): Hyderabad Nearest Airport: Rajiv Gandhi International Airport, Shamshabad
Have you applied for a job at Taibah University before? If yes, when? (No) __________________ Were you interviewed? _________________ If yes, when? (No) _________________________ Indicate briefly why are you interested in TU employment? (No) __________________________ Names of relatives employed by Taibah University: (No) ________________________________
P.O.Box. 344, Madinah Munawwarah, Saudi Arabia. Tel: 966 4 8460020 Fax: ++966 4 841172
2. EDUCATION
Last Degree obtained: M.Tech Is the degree honorary or earned? Earned Year of Graduation: 2011 Name and address of Institution: Shadan College of Engineering & Technology, affiliated to Jawaharlal Nehru Technological University, Hyderabad Languages spoken (Other than English): Urdu, Telugu and Hindi Diploma, Degree or other earned
B.Tech Certificate,
To Month Year
Bachelor
Noor College of Oct Engineering and Technology, Shadnagar/India Shadan College of Oct Engneering and Technology
Full Time
2009 Dec
2011
M.Tech
2011
Master
Full Time
Full/Part Time
Instruction
Training Title of thesis (theses) with degree (attach abstract): Conditional Shortest Path Routing in Delay Tolerant Network
Note: Provide the following information in figures & attach lists with full details) Number papers published in refereed journals Number of research projects completed Number of books published Number of seminars attended Number of papers published in other periodicals Number of research projects in progress Number of books in progress Participation in Uni./Dept./Thesis Committees
Membership in or affiliation with professional societies: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ___________________________ ______________________________________________________________________ _________ ______________________________________________________________________ _________
4. PREVIOUS EXPERIENCE List present or last position first and continue in reverse chronological order. Name & Address Position or of Employer Rank From To Last Annual Salary Reason for Change
Raj Connexion Corporate Technologies Trainer and Pvt Ltd Software Engineer Mphasis an HP Software Company Engineer
Oct
Mar
2011 Jun
Contractual Basis
2007 Feb
Note: You may use a separate sheet to provide additional information, if necessary
Web Technologies Middleware Technologies Database Management System Network Security Wireless Networks
1.
Mention any mental or physical disability or serious illness in the past or present: No
2.
Your interest in extracurricular activities: Actively participate and Conducting Technical Seminars
3.
Have you ever been convicted for involving yourself in any criminal, political or other activities? If yes, explain: No 6. REFERENCES
(List four persons, your present employer, to whom we may contact about you) 1. 2. 3. 4. Mr. Ashraf, ashraf@connexiontechnologies.com, Mobile: 0091-8897930978 Mrs. Huma, huma@connexiontechnologies.com, Mobile: 0091-9652775808 Mrs. Rekha, rekha@connexiontechnologies.com, Mobile: 0091-9030059136 Mr. Rizwan, info@connexiontechnologies.com, Mobile: 0091-9849278819
INFORMATION FOR VISA APPLICATION AND RESIDENCE (Please print OR write all information in Capital Letters) 1. APPLICANT Name of Applicant: Mohammed Abdul Basith Ali Khan Sex: Male Religion: Islam (A religious certificate/affidavit is required by the Saudi Consulate for Visa purpose) Family Status: Check the appropriate box. Single Engaged Married Separated Divorced
2. SPOUSE Name of wife (as in the Passport): ________________________________________________ Religion: __________________________ Place and Date of Birth: ______________________ Nationality _____________________ (At present) List special skills of spouse: ____________________________________________________ Name of spouse's Father: _____________________________________________________ 3. CHILDREN Name (First)(Middle)(Last) Sex M Date of Birth D Y Grade in School Nationality
(At birth)
Please indicate clearly if any step and/or adopted children are listed above.
4. RESIDENCE NEEDS IN SAUDI ARABIA Check who will accompany you to Saudi Arabia: Spouse Yes No
Children (First Names only): ____________________________________________________ _____________________________________________ _______ _____________________________________________ _______ I hereby certify that the above information is True and Correct. Date: 28/04/2012