8/16/2019 Application Form Serra (1)

1/1

STATE EARTHQUAKE RECONSTRUCTION &REHABILITATION AGENCY (SERRA)(Application For !or R"cr#it"nt)

Form No. _________________ Through Proper Channel (Yes/No) (NOC Attached) (Yes/No)

APPROVA

Note! The "n#ormat"on "s re$u"red to %e &lled "n cap"tal letters

Na" o!Applicant

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CNIC ' o!

Applicant

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,"ran"ntA++r"

-at" o! Birt$ (dd'mm') A*" (on clos"ng

date)

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Q#ali0cation (tart 1it$ $i*$"t 2#ali0cation)

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a-#ration

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Intit#tion

Note! Also "nd"cate mer"t pos"t"on o%ta"nedR"l"6ant E3p"ri"nc" (i! an8)

,oition Fro 9 ToTotal ,"rio+o! S"r6ic"

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Or*ani;ation

eclarat"on! The "n#ormat"on*s g"+en a%o+e "s correct to the %est o# m ,no-ledge %el"e#. ncase o# an concealment o# "n#ormat"on0 -"ll %e l"a%le to %e d"s$ual"&ed #rom the

 Test/nter+"e-.

-at" o! #5iion o!

application

No< o! +oc#"nt.l"a6" attac$"+=

 Applicant’s Signature

PO1T APP2

FOR!

Photograph