applicatio form csd (1st of oct 2012)

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1 Application Form APPLICATION FOR THE POST OF _____________________________ ADVERTISEMENT IN________________ DATED __________________ Instructions: 1. Personal Information should be in Capital Letters. 2. Properly filled / complete forms will only be considered. 3. No Column will be left blank (In case of non applicability NA / Nil should be filled) Personal Information 1. Name:……………………………………………………………………………….………………………. 2. Father’s Name………………………………..…………………………………………………………... 3. CNIC No: 4. Religion………………………….. 5. Sect:………………….. 6. Caste……………….…… 7. Nationality:……………………….. 8. Gender Male Female 9. Domicile Distt:…………………………….…… 10. Domicile Province:…………………………… 11. Date of Birth (dd/mm/Year):………….. 12. Age……………………………………… 13. Marital Status Married Unmarried Divorced Separated Widowed 14. Permanent Address…………………………………………………………….………………................ .. ………………………………………………………………………………………………………………………. Tehsil: …………………………. Distt:…………………………..Province………………………. 15. Present Address………………………………………………………………………………….................. ……………………………………………………………………………………………………….………………. Tehsil: …………………………. Distt:…………………………..Province…………………… 16. Postal Address………………………………………………………………………………….................. ……………………………………………………………………………………….……………………………. Tehsil: ………………………………. Distt:…………………..…………..Province………………….………. Place Passport Size Photo with Blue Background

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Page 1: Applicatio Form CSD (1st of oct 2012)

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Application Form

APPLICATION FOR THE POST OF _____________________________

ADVERTISEMENT IN________________ DATED __________________

Instructions:

1. Personal Information should be in Capital Letters.

2. Properly filled / complete forms will only be considered.

3. No Column will be left blank (In case of non applicability NA / Nil should be filled)

Personal Information

1. Name:……………………………………………………………………………….……………………….

2. Father’s Name………………………………..…………………………………………………………...

3. CNIC No:

4. Religion………………………….. 5. Sect:………………….. 6. Caste……………….……

7. Nationality:………………………..

8. Gender Male Female

9. Domicile Distt:…………………………….……

10. Domicile Province:……………………………

11. Date of Birth (dd/mm/Year):…………..

12. Age………………………………………

13. Marital Status Married Unmarried

Divorced Separated Widowed

14. Permanent Address…………………………………………………………….………………..................

………………………………………………………………………………………………………………………. Tehsil: …………………………. Distt:…………………………..Province……………………….

15. Present Address………………………………………………………………………………….................. ……………………………………………………………………………………………………….……………….

Tehsil: …………………………. Distt:…………………………..Province……………………

16. Postal Address…………………………………………………………………………………..................

……………………………………………………………………………………….…………………………….

Tehsil: ………………………………. Distt:…………………..…………..Province………………….……….

Place Passport

Size Photo with

Blue

Background

Page 2: Applicatio Form CSD (1st of oct 2012)

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17. Personal Contact:

a) Phone No. (with Area Code…………..

b) Mobile No…………………………….

c) Fax No. (if any)……………………………………..

d) E-mail Address…………………………………….

Academic Background

1. Qualification (Starting from last degree you held

Degree Held

Field of Study

Institution

From

To

Division / Grade

2. Provide details of professional training certification etc

Course/Diploma/ Certification

Field of Study

Institution

Duration

Result From To

3. Awards / Achievement

4. Computer Literacy/List SW / HW into known to you)

HW/SW/Applications No Little Good Excellent

MS Word

MS Excel

MS Power Point

MS Access

OAS

Employment History (Starting from present position Must mention CSD experience, if any

Total working experience…………………. Year………..…………. Months…………..………….. Organization Position Period Per month Pay Drawn Reasons of Leaving

From To

Page 3: Applicatio Form CSD (1st of oct 2012)

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Family Details

Next of Kin:……………………………….. Relation:……………………………………..

Adress………………………………………………………………………………………………………………….

Name Sex Date of Birth Age Relation Profession Present Address

Medical Ailment / History Disability

Do you have any infection disease such as AIDS, HIV, Hepatitis, TB?

Do you have any disability?

Last Medical Fitness Test. Please mention date and results.

Discipline

Have your ever been terminated from any service? Yes No

Have you ever been punished by the Court of Law? Yes No

Have you ever been punished by the Pakistan Armed Forces Act? Yes No

Have you ever deserted from Pakistan Armed Forces? Yes No

Give details____________________________________________________________________________

_________________________________________________________________ ____________________

_____________________________________________________________________________________

Choice of Duty Stations

1………………………………..……………….. 2………………………………………. 3………………………………….………

Reason for Choosing Above Station(s):________________________________________________________

____________________________________________________________ ___________________________

______________________________________________________________________________________

Page 4: Applicatio Form CSD (1st of oct 2012)

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Are you willing for employment anywhere in Pakistan? Yes No

Are you willing to be employment on contract basis (Extendable) Yes No

References

1. Provide a list of two academic / Professional reference:

Reference-1

Reference-2

1. Name;_______________________________________

2. Address:_____________________________________

______________________________________________

3. Phone:______________________________________

4. Fax_________________________________________

5. E-mail_______________________________________

1. Name;_______________________________

2. Address:_____________________________

______________________________________

3. Phone:______________________________

4. Fax_________________________________

5. E-mail________________________________

Do you have blood relative (s) in CSD Yes No

If yes then mention following details:-

1. Name__________________________

2. Designation:_____________________

3. Relationship:_____________________

4. Department:______________________

5. Location:________________________

1. Name_______________________

2. Designation:_________________

3. Relationship:__________________

4. Department:___________________

5. Location:_____________________

Acknowledgement

It is certified that I have attached Scanned copies of following documents:

1. Education Certificates Yes No

2. CV Yes No

3. Transcripts Yes No

4. Degree / Diploma Yes No

5. Experience Certificates Yes No

6. Course Reports Yes No

7. CNIC & Domicile Yes No

8. SVA (8101), Svc Particular Performa, Release / Retirement Order, Yes No

(Armed Forces Personnel Only)

Page 5: Applicatio Form CSD (1st of oct 2012)

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Declaration:

By signing below and submitting this Application Form, I_________________S/O, D/O __________ _______

do hereby declare that the information provided above, is accurate to the best of my knowledge and I fully

understand that my false statement or material omission / suppression of any fact shall regret my application

and shall render me liable to disciplinary and / or dismissal from service, a t my stage.

Applicant Signature:______________________

Date:_______________________