Interview Questionnaire Form

Information regarding your work history is required by the Workers’ Compensation Division to rate your
level of disability and to determine your eligibility for vocational assistance benefits. PLEASE COMPLETE
THE FORM AS ACCURATELY AND COMPLETELY AS YOU CAN. (May attach a resume if current.)

Full Name

Full Address

Engineering Council Registration Number:

Is your current Residence in Lahore? Yes No

If not please specify where will your residence during job:

______________________________________________

Are you currently employed? Yes No

Which of the following languages are you affluent in?

English
Pashto
Urdu

Father's Occupation :

Questions and Details:

Do you plan to study in the future? If yes then elaborate.

Describe yourself in a few words.

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_____________________________________________________________________________________________________
_____________________________________________________________________________________________________

Are you willing to relocate? Yes No

(Islamabad & Karachi)
What particular in field your interest mainly lies?
Sales & Marketing
Product research
On-Field Engineering

What is the most attractive feature of this job profile?

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_____________________________________________________________________________________

Why do you want to join our organization?

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_____________________________________________________________________________________

Where do you see yourself after a few years in the industry?

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_____________________________________________________________________________________

Are your family members dependent on you? Yes No

(If Yes) Please specify____________________________________________________________________________

Please attach a separate sheet (mobile snapshot of it) with the given text written by hand to
understand your handwriting.

“Professor Max Müller says that "by putting together twenty-three or twenty-four letters in every
possible variety. We might produce every word that has ever been used in any language of the world.
The number of these words, taking twenty-three letters as the basis, would be
25,852,016,738,884,976,640,000, or, if we took twenty-four, would be 620,448,401,733,239,439,
360,000”

What are your salary expectations? ___________________________

Kindly specify any family members or references of yours working in Pakistan Industrial Sector
(particularly in energy, fertilizer, chemical, power, oil and gas or cement).

List any additional information you would like us to consider:

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PREVIOUS WORK HISTORY :(If any)

Previous Employer:___________________ Phone:____________________

Address:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Dates of employment: From________________ To _________________

Total months worked: _________

Reason for leaving: ________________________________________________________________

Job title: _______________________________________________

PLEASE READ CAREFULLY AND SIGN:

I hereby certify the information furnished is true and correct. I also agree to release all records regarding
my Prior employment and education to “Excel Technological Services” in order to verify the information
provided in this form.

Electronically Signed: ______________________ Date:___________________________

Note: Kindly attached a photocopy of the following documents at your interview:

1) Copy of your transcript
2) Printout of this questionnaire (Filled)
3) CV (with a passport size photo either printed on CV or attached separately). Please ignore if already submitted.