Application Form

Pakistan Nuclear Regulatory Authority

Post Applied for with Discipline: _________________ Advertisement No:____________________ Coumputer ID Centre
Attach Latest Photograph with CNIC No. on its back 1.5'' x 2''

(For office use):

(For office use):

Please Note: Partially filled in form will not be entertained. Write N.A. where required. Do not attach any documents(s). Attach additional sheet(s) if required.

1. Name:__________________________________________________________________
(IN CAPITAL LETTER)

2. Father's Name: ___________________________________________________________ 3. Date of Birth: 6. CNIC No: (National Identity Card No. issued by NADRA)

4. Nationality: _____________ -

5. Gender: ____________
(Male/Female)

7. Marital Status: _____________________

(Married / Single)

8. District of Domicile: _________________________

9. Religion: __________________
(Islam, Christian, Hindu, Ahmedi etc)

10. Mailing Address for Test/Interview: ________________________________________________________________________ 11. Phone/Cell No: _____________________________________
(Telephone No. With Area Code)

12. E-Mail: ______________________________________

13. Academic Record: (Starting with the highest qualification) Passing Qualification Subjects Board/University Year

CGPA/ CGA/Grade

Division

% Marks

Institutions

14. Professional Experience/ Employment Record: (Starting with the first appointment/Job) Organization Designation Govt./Private Monthly Salary Starting Date Ending Date Reason(s) of Leaving

I certify that the information provided by me in this Employment Form is true, complete and correct to the best of my knowledge and belief. I understand that any misrepresentation or material omission made on this Form or any other document provided to PNRA will result in cancellation of present and future employment in PNRA.

Date:

(Applicant's Signature)