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 _________________________