Professional Documents
Culture Documents
NLC-IAF-2013
National Logistic Cell
Internship Application Form
2013
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INTERNSHIP DISCIPLINE
ADVERTISEMENT IN
DATED
Instructions:
i.
ii.
iii.
No Column will be left blank (In case of non applicability NA / Nil should be filled).
A. Personal Information:
1. Name: --------------------------------------------------------------------------------------------------------------------------------2. Fathers Name: ------------------------------------------------------------------------------------------------------------------------
3. CN.I.C No.:
4. Religion: ----------------------------------
7. Nationality: ----------------------------------------------
8. Gender
12.Age: -------------------------
Male
Married
Separated
Female
Unmarried
Widowed
Divorced
14. Permanent Address: -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Tehsil: .: ------------------------------- Distt:-------------------------------- Province:-------------------------------------------15. Present Address: --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Province:-------------------
Province:--------------------
d) E-mail Address:----------------------------------------------
2
B. Academic Background:
1. Qualification (Starting from last degree you held)
Degree Held
Field of Study
Institution
From
Division /
Grade
To
Field of Study
Duration
Institution
From
Results
To
C. Awards / Achievements:
No
Little
Good
Excellent
MS Word
MS Excel
MS Power Point
MS Access
OAS
E. Employment History - Starting from present position (If any).
Total working experience: _____________ Years ____________ Months.
Period
Organization
Position
From
F. Family Details:
To
Per month
Pay
Drawn
Reasons of Leaving
3
Next of Kin: ___________________________
Relation: _________________________
Address: _____________________________________________________________________________
Name
Sex
Date of Birth
Age
Relation
Profession
Present Address
Yes
No
Yes
No
Yes
No
Give details.____________________________________________________________________________________
I. Choice of Duty Station:
1. -------------------------------------------------------------
2. ----------------------------------------
Yes
No
Yes
No
J. Availability:
1. Are you willing to Join for internship in 1st Quarter (1st Jan 2014 to 31 Mar 2014).
Yes
No
2. Are you willing to Join for internship in 2nd Quarter (1st Apr 2014 to 30 Jun 2014).
Yes
No
3. Are you willing to Join for internship in 3rd Quarter (1st Jul 2014 to 30 Sep 2014).
Yes
No
4. Are you willing to Join for internship in 4th Quarter (1st Oct 2014 to 31 Dec 2014).
Yes
No
K. References:
1. Provide a details of two Academic / Professional References :
Reference-1
Reference-2
1. Name: ______________________________________
1. Name: ______________________________________
2. Address: ____________________________________
2. Address: ____________________________________
_____________________________________________
_____________________________________________
3. Phone: _____________________________________
3. Phone: _____________________________________
4: Fax _______________________________________
4.Fax:________________________________________
5. E-mail: ____________________________________
5. E-mail: _____________________________________
Yes
No
1.
Name: ___________________________
1.
Name: _____________________________________
2. Designation: _______________________
2.
Designation: ________________________________
3.
Relationship: __________________________
3.
Relationship: ________________________________
4.
Department: __________________________
4.
Department: ________________________________
5. Location: ____________________________
L. Declaration:
5.
Location: __________________________________
By
signing
below
and
submitting
this
Application
Form,
----------------------------------
S/O,
D/O
----------------------------do hereby declare that the information provided above, is accurate to the best of my knowledge
and I fully understand that my false statement or material omission / suppression of any fact shall regret my application
and shall render me liable to disciplinary and/or dismissal from service, at any stage.
Date: __________________________