KITACON SDN. BHD.

Application For The Position of SAFETY AND HEALTH OFFICER

………………………………………………………………….
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CONTACT INFORMATION SECTION

Name : YATHAWAN NAIR A/L THAMUTHARAM
Permanent Address : 73, JALAN TIMUR 2/6A, TIMUR@ENSTEK, 71760 BANDAR BARU ENSTEK, NEGERI SEMBILAN

Correspondence Address :
Telephone ( Home ) : Telephone ( Mobile ) : 016 308 9050

Telephone ( Office ) : Email Address : yathawan.nair@icloud.com

PERSONAL DETAIL SECTION
IC No : Nationality : Age : Weight:
880407085551 MALAYSIA 35 120KG
Date of Birth : Place of Birth : Gender : Height:
07/04/1988 IPOH PERAK MALE 178 CM
Marital Status : No. of Chidren :
MARRIED O Criminal Record : NO Yes / No
Possess Own Transport : Type of Driving License : B2, D EPF# : Yes / No __________ SOCSO# :
Yes /No YES Driving License Expired Date: EPF No : 17328120 880407085551
07/04/2025
YES
CIDB Reg # : Yes / No _________________________ Income Tax # : CIMB Acc. No :

OG21075325000 7031380652
CIDB Expired Date : EXPIRED
HEALTH CONDITION
Any serious illness :
Diabetis Heart Disease Asthma Hypertension
(Kencing Manis) (Sakit Jantung) ( Asma ) ( Tekanan Darah Tinggi)
YES NO YES NO YES NO YES NO

Any Others
( Please State )
Present Heath

( I …………………………………………………….. 88040708551
YATHAWAN NAIR A/L THAMUTHARAM I/C No. ………………………………………………… hereby confirmed the above
given information is truth ). Kindly note that the exisiting health declaration must be genuine and honest and the Company
deserves the right to request you for medical checkup if necessary

Signature: ……………………………………………….

OTHER INFORMATION SECTION

Date available : 01/09/2023 Current Salary : RM7000 Wiling to travel : YES

Notice Period : 1 MONTH Expected Salary : RM7500 Willing to relocate : YES

CAREER OBJECTIVE SECTION ( Write about your objective / future ambition )

CONSTANTLY LOOKING NEW KNOWLEDGE FOR CAREER DEVELOPMENT

EDUCATION BACKGROUND SECTION ( from higher )
Date : Qualification Grade / CGPA :
Name of Institution / College / University
(Month / Year)
MAC 17 - APR 17 CERNA MINDA SDN BHD (NIOSH) SAFETY AND HEALTH COURSE PASS

JAN 07 - DEC 09 POLITEKNIK KOTA BHARU DIPLOMA IN MECHANICAL 3.30

ENGINEERING (AUTOMOTIVE)
JAN 04 - DEC 05 SEKOLAH MENENGAH TEKNIK IPOH SPM 3B 3C 4D 1E

LANGUAGE PROFICIENCY SECTION ( fill up with no )

English Malay Mandarin Cantonese Tamil Japanese Hokkien

Speak 2 1 5 5 1 5 5

Write 1 1 5 5 5 5 5

Read 1 1 5 5 5 5 5

1 - Excellent 2 - Good 3 - Fair 4 - Poor 5 - No Knowledge

COMPUTER PROFICIENCY SECTION
Microsoft Autocad
Word Excel Powerpoint
Project
Literate GOOD FAIR GOOD NO FAIR

PERSONAL INTRODUCTION SECTION (write about your skills & strengths)

ALWAYS LOOKING FOR NEW KNOWLEDGE, A PERSON WITH ALTERNATIVE TO SOLVE AND ISSUE, FAST THINKER AND DECISION MAKER

WORKING EXPERIENCE SECTION #1 ( start with your present to last employment )

Company Name : Industry : Duration (month/year) :
LAPASAR SND BHD WAREHOUSING 1 YEAR
Position Title : Reporting To : Salary Indication
QHSE OFFICER COO Starting Last
RM7000 RM7000
Other Benefits : with : …………….. with : ……………

My Responsibilities :
QUALITY AND HSE RELATED WORK

My Achievement :

Reason for Leaving :

COMPANY SCOPE NOT REQUIRED SHO

WORKING EXPERIENCE SECTION #2

Company Name : Industry : Duration (month/year) :
AVE ENGINEERING SDN BHD CONSTRUCTION 2 YEAR 5 MONTH
Position Title : Reporting To : Salary Indication
SAFETY AND HEALTH OFFICER PROJECT DIRECTOR Starting Last
Other Benefits : RM7000
with : …………….. RM7080
with : ……………

My Responsibilities :
HIGH RISE PROJECT SAFETY IMPLEMENTATION

My Achievement :
ZERO FATALITIES, WITH LOW LTI

Reason for Leaving : END CONTRACT

WORKING EXPERIENCE SECTION #3
Company Name : Industry : Duration (month/year) :
SPEC BINA SDN BHD CONTRUCTION 2 YEARS 6 MONTH
Position Title : Reporting To : Salary Indication
SAFETY AND HEALTH OFFICER PROJECT DIRECTOR Starting Last
Other Benefits : RM2600
with : …………….. RM8500
with : ……………

My Responsibilities :
LANDED PROPERTY SAFETY IMPLIMENTATION
My Achievement :
ZERO FATALITIES, WITH LOW LTI

Reason for Leaving : NEED HIGH RISE EXPERIENCE

FAMILY INFORMATION
Name Relation Employer Occupation
THAMUTHARAM Father
MUTHALACHMI Mother
Brother
CHANDRIKA NAIR Sister
YAMANI NAIR

Spouse Name VYONAA DEWI POOPALAN

I/C No 920628045005 Income Tax :

Occupation TEACHER

Company Name GENIUS KIDS

CYBER JAYA
Address

Children Name sex Date Of Birth Age

SPORTS & HOBBIES

WOOD WORKING, FLIMAKING

PERSON - TO BE NOTIFIED IN CASE OF EMERGENCY OR ACCIDENT

Name Relation Tel Contact
VYONAA DEWI POOPALAN WIFE 01116365792
REFERENCE CHECK SECTION
First Referee Second Referee
Name : DANNIS RAJ EDMUND TAN

Position Title : COO DIRECTOR

Company : LAPASAR SDN BHD AVE ENGINEERING SDN BHD

Relationship : BOSS BOSS

( Off ) - ( Off ) -
Contact No :
( H/P ) - 0167494152 ( H/P ) - 0102148098

CONFIDENTIALITY & REFERENCE SECTION

I understand that from my interview with Kitacon Sdn Bhd, I may have access to confidential information belonging to Kitacon Sdn Bhd
or its clients. I will not disclose nor use any information disclosed (confidential or otherwise) during my interview to anyone else. I authorise
Kitacon S/B to take up references provided by me on this form, and to provide its clients with relevant information relating to my previous
employment. I also give KSB permission to obtain verbal references from any of the companies listed herein whenever necessary. I
confirm, to the best of my knowledge that the information provide herein is correct.

Name ( in full ): Signature: Date: 04/08/2023

YATHAWAN NAIR A/L THAMUTHARAM

FOR OFFICE USE ONLY

PERSONAL ATTRIBUTES SECTION

Co-operation Confidence Adaptability Responsiveness Initiative
Level
Apperance Communication Energy Behavior
Level
INTERVIEWER COMMENTS SECTION

Rating From 1 ( Worst ) to 10 ( Execellent )