National Highway Authority

(Administration Wing)
Prescribed Performa

1. Name of Post applied for with BS: ________________________________________________________

2. Reference of Advertisement:- i) Newspaper ___________________ii) Date_________________________

3. Name of the Applicant: (in block letters)_____________________________________________________

4. Father’s Name (in block letters) _________________________________________________________

5. Address: (a) Permanent: _________________________________________________________
_________________________________________________________
(b) Present postal address: _________________________________________________________
_________________________________________________________
(c)Telephone/Mobile No.(if any)______________________________________________________

6. Domicile:

7. Gender: Tick (√) the relevant (a) Male (b) Female

8. Date of Birth as per: i) Matric / School Certificate:-____________________________________________

9. Religion:-_____________________________CNIC No. ________________________________________

10. Whether Serving in Govt Deptt (if yes, mention Designation/Department and the nature of appointment i.e
regular or on contract):_________________________________________________________________

11. Rendered continuous service in Govt Deptt for more than 2 years. From _____________To____________

12. Qualification:-
Certificate / Passing Years (date of
Degree issuance of Detail
marks sheet/result card)
(date-month-years)
Division Name of Board / University / Equivalency of Certificate /
Institute Degree (In case of Foreign
Education)

13. Experience:
S.No Mention Designation & Name of Department(Govt/ Duration Total Period of experience
Grade Semi Autonomous Bodies / till closing date of application
Private Firms) From To Years Months Days
a.
b.
c.
Total Period

14. I hereby undertake that the information provided by me is correct and any information found incorrect at later
stage will lead to cancellation of my candidature for the above mentioned post. Also, I am aware that incomplete filling
up of form will result in disqualification of my candidature, with no subsequent claim whatsoever.

Date:- __________________ Signature of the Applicant:________________________