APPLICATION FORM
REGISTRATION NO.__________
(Pl write your Reg No. genearated at the time of apply)
JOB INFORMATION
Advertisement No. Job Code
Paste Sky Blue
Job Applied For Grade/Scale Background Snap
PERSONAL (Fill in Capital Letters)
Name Father Name
D.O.B Gender . . . CNIC No
Age Nationality . . . Dual Nationality (If Any)
Marital Status Spouse Nationality Spouse Dual Nationality (if Any)
POSTAL ADDRESS
City Tehsil/Distt Province
E-Mail PTCL#(If Any) Mobile #
PERMANENT ADDRESS
City Tehsil/Distt Province
ACADEMIC EDUCATION
Name of Qualification / Status/Result Certificate /
Degree / Certificate Passing Year Board/ University
Course of Study Div Grade CGPA %age Degree Duration
SSC
HSSC Level
Graduation
Post Graduation
Others
Technical (if any)
Professional (if any)
WORK EXPERIENCE (List most recent experience first)
Duration Supervisor
Employer / Post / Position Job Description & Work Nature of Job Reason for
Name/Phone# / Salary
Organization held From To Responsibilities (Regular / Contract) Leaving
Desig.
MEDICAL HISTORY (Have you ever suffered from any disease )
Hepatitis B, C, HIV-AIDS, Diabetes, Hypertension, Deafness, Color Blindness, Drug Addiction, Epilepsy (Mirgi), Head Injury (Any other Disease)
Yes / No Detail: Disability (If Any)
Have you ever been declared Medically Unfit? Yes / No Reason for Unfitness
Name of Organization selected for Authority declared unfit for Job
I _______________________ S/D/O _____________________ hereby certify and solemnly affirm that the above information provided is
correct to the best of my knowledge. I may be disqualified at any stage if any of the above information found incorrect.
APPLICATION FORM
Date Applicant Signature _________________________