Form No.

________________ Human Resource Development Directorate
Adv/2013/04/001 (Form to be filled in Block Letters and Use space for next word)

ASSISTANT DIRECTOR (E&M) POST APPLIED FOR ________________________________________
Applied as (Which is applicable) a. Through Proper Channel (Yes/No) b. Employee's Son/Daughter (Yes/No) c. Agasint Disable Quota (Yes/No) d. Agasint Women Quota (Yes/No) e. Agasint Minorities Quota (Yes/No) g.NAME
M U H A

(For Government Employees Only) (For CDA's Employees Only)

Paste Photograph (1'x1')

M

M

A

D

F

A

R

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A

N

S

H

A

K

E

E

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h. FATHER / S HUSBAND NAME i. CNIC #
1

A

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F

U

L

L

A

H

K

H

A

N

2
O

1

0

3 L
R 5

L

2

6

0

5
U
T 8

5
L

3

4
A

N R

1

j. POSTAL ADDRESS M
A

H
P

A U

A
D
I

S
S

T
D

I
A

A

T
I

E M

H
A

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P

A A 1

H N 1

R 1 P

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k. DATE OF BIRTH l. DOMICILE m.TELEPHONE # n. Acadmic

1 K

K

0

-

1

9

8

(dd-mm-yyyy)

Age(on closing date)
D
. 0 I . 6

2 K
6

4 N
5

Ys

DISTRICT

H
7

A
7

OFFICE Passing Year Marks Obtaine Division

HOME Grade

9

0

5

2

Qualification
Major Subjects Board/ University

Qualification Primery/Middle/ Matric/ Intermediate/ Graduation/ Master/ M.Phil/P.hd/ o.Registration p.

2004
2007 2012

601 822 CGPA 3.27

1st
1st 1st

A A B

PHYSICS,MATHS, B.I.S.E BANNU (KPK) CHEMISTRY,BIO PHYSICS,MATHS, B.I.S.E DERA ISMAIL CHEMISTRY KHAN (KPK) ELECTRICAL ENGINE Federal Urdu University ERING(ELECTRONICS) (FUUAST) Islamabad

No.

EL

EC T /

3

5

8

9

2

Registered with PMDC/PEC/PCATP/Nursing Council/ (which is applicable)

Other Professional Qualification (Excluding above qualifications)
Degree/Diploma/ Certificate
COMPUTER HW & SW

Passing Year
2004

Marks Obtained/ Total Marks or CGPA
513 / 550

Division
1ST

Grade
A+

Major Subjects
WINDOWS,OFFICE NETWORKING etc

Board/ University
HAMD GROUP OF EDUCATION SYSTEM
D.I.KHAN (KPK)

r. Experience(if Designation

any):
D From M
11

Y
2012 2011

D
28
17

To M
12 9

Y
2012
2011

Total Period
6-WEEKS 6-WEEKS

Organization
LUCKY CEMENT LIMITED PEZU PLANT LAKKI MARWAT (KPK) AL-MOIZ INDUSTRIES SUGAR MILLS DERA ISMAIL KHAN (KPK)

INTERNSHIP
INTERNSHIP

13 4

8

Declaration

The information’s given above is correct to the best of my Knowledge & belief. In case of any concealment of informations / facts and unattended colums / entries required for above mentioned post shall not confrred any right to calling for test/Interview.

DATE OF APPLICATION

(dd-mm-yyyy)

Applicant's Signature