applicatio form csd (1st of oct 2012)
DESCRIPTION
ÂTRANSCRIPT
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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
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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
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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):________________________________________________________
____________________________________________________________ ___________________________
______________________________________________________________________________________
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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)
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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:_______________________