APPLICATION FORM FOR CLOUGH OIL AND GAS INDIA PVT. LTD.

EMPLOYMENT
PLEASE COMPLETE FORM USING BLOCK CAPITAL LETTERS
SURNAME FIRST NAME OTHER NAMES
POSITION REFERENCE
APPLIED FOR NUMBER
PASSPORT NO.
CURRENT ADDRESS PASSPORT COUNTRY OF
VALIDITY BIRTH
DATE OF BIRTH NATIONALITY MARITAL
STATUS

NEXT OF KIN DEPENDANTS

TRAINING DATE
SAFETY
SEA SURVIVAL QUALIFICATIONS
HUET INSTITUTION
FIRST AID REFERENCE
NUMBER
FIRE FIGHTING YEAR OF
GRADUATION
COURSES GRADE

YEARS OF YEARS WITH YEARS WITH

EXPERIENCE CONTRACTOR OPERATOR

EXPERIENCE EXPERIENCE YRS PVT.

ONSHORE OFFSHORE SECTOR
OPERATOR OR OPERATOR OR OPERATOR OR
CONSTRACTOR? CONTRACTOR? CONTRACTOR?
YRS IN DESIGN YRS IN YRS IN
CONSTRUCTION PROJECT
MANAGEMENT
REFERENCES NAME
CONTACT
COMPANY
POSITION

NAME
CONTACT
COMPANY
POSITION

NAME
CONTACT
COMPANY
POSITION
PLEASE COMPLETE SKILL SET QUESTIONNAIRE OVERLEAF.
I HEREBY DECLARE THAT ALL INFORMATION PROVIDED IS TO THE BEST OF MY
KNOWLEDGE TRUE AND ACCURATE.

SIGNED…………………………. DATE…………………….
SKILL SET QUESTIONNAIRE

Please mark with an ' X ' all the skill sets you possess. Years

Total years in Oil and Gas Industry

Worked as a Contractor Offshore
Worked as a Contractor Onshore
Worked as a Client Onshore or Offshore
Highest position attained
Experience in small projects (<10m USD)
Experience in medium projects (<50m USD)
Experience in large projects (>50m USD)
Experience using SACS
Experience using PDMS
Experience using Primavera P3e
Experience using HYSIS
Estimating experience
Purchasing experience
Experience with budget responsibilities
Ability to meet deadlines
Ability to manage safety systems
Ability to manage risk assessments
Listening skills
IT software skills (List here)

English skills
Indian languages (List here)

Problem solving skills

Lateral thinking skills
Contract drafting skills
Insurance knowledge
Negotiation skillss
Ability to produce required outputs
Ability to train others
Technical strengths (List here)

Leadership skills
Leadership training
Finance skills
Finance training
Legal skills
Legal training

Ability to run workshops

Ability to manage document control systems
Ability to control subcontractors

SIGNED AS TRUE AND CORRECT …………….. DATE ……………….