PREEMPLOYMENT APPLICATION FORM

Addax Petroleum is an equal opportunity employer and adheres to principles and practices outlined in the Civil Rights Act of 1964, which prohibits discrimination in employment on the basis of race, sex, religion or national origin and Public Law which prohibits discrimination based on age. This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Each question should be answered in a complete and accurate manner as no action can be taken on application until all questions have been answered. You are required to forward completed forms via email: recluta@addaxpetroleums.com

PERSONAL Todays Date: 10-Nov, 2013 __ Primary Phone (+92) 334-5126566 Email: engr_imran55@hotmail.com

Name _AKHTER___________HAFIZ__________IMRAN____________Alternative Phone (+92)301 5506007

Last First Middle

Current Address _NEAR ALALM MEMORIAL CLINIC, VILL & P/O TAMMAN, DISTT CHAKWAL48040,__No.StreetCityStateZip

Social Security No. : 38303-1020487-1

Are you 18 or older? Yes

No

Drivers License: State_______ Number ____________________________Type___________ Exp. Date _____________________ Are you a U.S. citizen or do you have the legal right to be employed in the United States or Switzerland? Yes No:
Who should be contacted in case of emergency?

_AKMAL KHAN

__FATHER________Relationship _____ (AS ABOVE CURRENT ADDRESS)___No.StreetCityStateZip (+92) 344

5670714

EMPLOYMENT DESIRED Are you seeking FullTime PartTime Temporary or Contract Based? First Choice Position Applied for ____JUNIOR PROCESS ENGINEER___ Salary Desired: $ 850 Second Choice Position Applied for __PROCESS SUPERVISOR_ Salary Desired $ 850 Third Choice Position Applied for ____PROCESS

/ Mo nth

E N G I

NEER__ Salary Desired $ 1000 Date and Notice period of joining a new firm ____IMMEDIATELY ___________________ Have you ever applied before? Yes No:

/Month
/Month

EDUCATION
Name, Address and Location Dates Graduate? Course Studied

High School

College

From: June- 2006

Y e s : Y e s Y e s

Diploma:

No

Degree:

Other

To: Aug- 2010 From:

No

CHEMICAL ENGINEERING
Diploma:

To:

No

If you did not graduate, why did you leave high school or college? ___________Nil_______________________________ ____________________________________________________________________________________________ _____________________________ Are you are planning to further your studies? Yes No If so, when, where and what courses? ___Yes I want to do phd in process engineering if I get opportunity with my job_________ ____________________________________________________________________________________________ _____________________________ List all scholastic honors, offices held and activities involved in during high school and college______________ ____________________________________________________________________________________________ _____________________________ List and describe any other School or Specialized Training _________________________ ____________________________________________________________________________________________ _____________________________ ____________________________________________________________________________________________ _____________________________ MILITARY Have you ever served in the military? Yes No: Service Branch_________________________________________________ Date Entered ______________________________________ Date Separated ________________________________________________ Final Rank _________________________________________ Are you a member of a reserve organization? Yes No HEALTH Will you abide by the safety rules of this company? Yes No

Are you willing to take a postplacement physical and urinary drug screen at company expense? Yes NWORK HISTORY List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If selfemployed, give firm name and supply business references. PLEASE GIVE MONTH AND YEAR.
Name Of Employer
ASG METALS LIMITED KARACHI

Name and Title of Last Supervisor

MR. BADAR ZAMAN / C.E.O

Dates Employed From:Marc hMonth To: MarchMonth

Annual Pay Starting $_4420_ _

Complete Address Including Zip Code

ASG METALS LTD, EIZ/LL/SP-08, EASTERN INDUSTRIAL ZONE, PORT QASIM KARACHI, PAKISTAN

Telephone Including Area Code: +92-308-2223159 ( ) Titl e Du tie s

Nature of Business

Steel Making Industry

Reason for Leaving

Year:2012 __________ _

Year: 2013 __________ _

Ending $__4420 ____ May we contact?

Contract Ended :
Yes: No

Job Responsibilities: Enumerated below is a brief account of the hands-on experience I earned working in the capacity of R.O Plant In-charge.

Supervise technical operations, maintenance, and repair work in a reverse osmosis water treatment and filtration facility, including the distribution Performs operations, maintenance, inspection and oversight, and repair work on a reverse osmosis water treatment system Reviews computerized operation and testing records to monitor membrane condition Troubleshoot quality and safety issues in a timely manner. Investigate operating problems, analyze root causes and define resolutions.

o o
o o

Supervise and ensures the qualitative supply of LPG, Nitrogen & Oxygen for productions and other aided operations

GENERAL
Yes No
(yes) May we contact your current employer for references? (yes) If hired, will you be able to work overtime? (yes) Will you be able to perform the essential job functions for the position you are applying for with accommodation? (Ask to see job description if one is not provided.) (no) Have you ever been convicted of any crime? (Excluding convictions for marijuana related offenses for personal use more than two years old, convictions that have been sealed, expunged or legally eradicated, or misdemeanors for which probation was completed and the case was dismissed by court.) Note: A Yes response does not automatically disqualify your application. If Yes, please attach explanation. (no) Are you currently out on bail or released on your own recognizance pending trial? If yes, please attach explanation.

CERTIFICATION & AUTHORIZATION

The above information is true and correct. I understand that the hiring process will be terminated, or in the event of my employment by the Company, I shall be subject to dismissal, if any information that I have given in this application, the background release form, in any resume or interview or any part of the hiring process is false or misleading, or if I have failed to give any information herein requested, or if I have withheld relevant information, regardless of the time elapsed after discovery. I authorize the Company to inquire into my educational, professional and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to the Company and will hold the Company and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made on the basis of such information. I also understand that criminal background and credit reports may be conducted in the course of the interview process or after, and I will be required to give authorization for such reports. I hereby acknowledge that I have read and agree to the above statements

HAFIZ IMRAN AKHTR

Signature

10-SEP, 2013
Date