Government of Pakistan

Ministry of Information Technology

(Electronic Government Directorate)

Reference No. / Job

Code

Name:

Father’s / Husband Name

Present Address:
Please paste your
photograph here
(also attach an
Permanent Address: extra copy with
the form)

Telephone Residence: Office:

Cell: E mail:

Please describe your core area(s) of professional expertise:

Date of Birth
- -
(DD) (MM) (YY)

Age: YEAR
S

Place of Birth:

Nationality:

Religion:

Domicile:

Male: Female:
Single: Married:

Dependents (if any):

Academic Qualification
S.N Qualification Name / Address of From To Grade / Major Subject(s)
o Institute Div
1.

2.

3.

4.

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Professional Qualification

S.N Qualification Institute From To Area of Study Any certificate / Award

o
1.
2.
3.
4.
5.

Membership of Professional bodies if any:

Trainings
S.N From To Company or Institute
Details of Training or Apprenticeship
o
1.
2.
3.
4.

Extra Curricular Activities

Languages

S.N Spoken Written Read

Language Excellen Good Fair Excellen Good Fair Excellen Good Fair
o t t t
1.
2.
3.
4.
5.

Health
Mention any disability, serious illness or surgery which you have had in last 5 years.

Do you have any defect in:

1. Sight 2. Hearing: 3. Speech:

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Present Employment
Name of Organization:

Present Position: (Date of Joining Month & -

Year)
(MM) (YYYY)
Address:

Previous Employment (Last employment first)

Name of Organization From To Position Held
1.

2.

3.

4.

5.

Have you ever been convicted in criminal case? YES NO

Professional Reference
1. Name: 2. Name:

Designation: Designation:

Organization: Organization:

Phone No: Relation: Phone No: Relation:

Declaration / Undertaking
I declare that information given above is correct to the best of my knowledge and that I have not withheld
any information which might adversely affect my fitness for employment. I, hereby, authorize EGD to take
any punitive action in case of wrong information including termination from service at any stage.

Date: Signature of Applicant

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