KINNAIRD COLLEGE FOR WOMEN

HUMAN CAPITAL MANAGEMENT (HCM) FORM

Faculty Non Faculty

TYPE OF EMPLOYMENT: Regular Adhoc

POSITION:

DEPARTMENT/ OFFICE OF:

PERSONAL INFORMATION

Name (as per CNIC): ________________________________________________________________________________________________

First Middle Last

CNIC Number : _____________________________________Validity till : ____________________________________________________

NTN Number : ______________________________________

Father's/ Husband's Name (as per CNIC): ______________________________________________________________________________

First Middle Last

Date of Birth (D.O.B as per Matric Certificate): _________________________________________________________________________

In case of non matric, D.O.B as per CNIC DD MM YYYY

Gender: Male Female

Marital Status : Single Married Divorced

Separated Widowed

If married, Number of Children :

Religion: __________________________________________________ Blood Group: _________________________________

Residential Address:

Permanent Address
(In case same as above please
mention 'same as above' ) :

City: _______________________ Country: __________________________ Nationality : _______________________

E-mail ID: _______________________________________ Domicile : _______________________

Residential Landline No. : _______________________________________ Mobile No.: ___________________________________

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 ACADEMIC BACKGROUND

Qualification (Starting from most recent degree/ certificate)

Degree/ Certificate Division/ Grade/
Session Institution Years of Education
(also mention Specialization if any) CGPA

 BSC (2009-2011) Govt college for women, Jhelum 1st division 2

 MSc History (2012-2014)Quai-i-Azam University Islamabad 1st division 2

 MPhil History (2015- 2017)Quai-i-Azam University Islamabad Gold medalist 2

EMPLOYMENT HISTORY

Employment History (Starting from most recent experience)

Only mention experience if experience letters are avaliable
Total work duration Last Drawn Salary
Organization Name Designation (in Reason for Leaving
Years & Months) (Rs.)

Govt girls college for 3 Oct 2015-28 Feb Got admission in MPhil,
Lecturer 30,000
women, Jhelum 2016 QAU, ISLAMABAD

Enrolled in Higher Studies: YES NO NA

If yes, please specify degree name, session, specialization and institute (attach evidence):

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Diploma(s): YES NO NA

If yes, please specify: ____________________________________________________________________________________________

Any work experience at Kinnaird College: YES NO NA

if yes please provide the details and documentary evidence in separate sheet(s).

FAMILY DETAILS
Immediate family details (Please note in case if not married please mention name of parents and sibilings and incase of married please mention
details of husband and children other category may mention the information of their immediate family accordingly)
Contact Number CNIC Number (mention
Name Relationship
& Email Address B Form number in case of minor)

Shahnaz Begum Mother 3445730017 3730163226562

shaheera Mushtaq Sister 3488825889 373019895953-4

Blood Relative(s) / Close Relative(s) currently or previously employed at Kinnaird College for Women please specify:
Currently Working
Name Department Designation Relationship (Yes or
No)

No

Heirship Information
Please nominate two Blood Relative (s) / Close Relative(s) to receive Gratuity and/or Funeral Expense if deceased .
CNIC Number
Name Relationship (mention B Form number in case of Contact Number Address
minor)

Chak Jamal Road,

Shahnaz Begum Mother 37301-6322656-2 3445730017
Passport office, Jhelum

Chak Jamal Road,

Shaheera Mushtaq Sister 37301-9895953 3488825889
Passport office, Jhelum

Preference will be given to the first nominee for final settlement .

MEDICAL HISTORY

Are you suffering from any disability and/or infectious, chronic disease: YES NO if YES please specify:

Hepatitis Tuberculosis AIDS HIV

Asthma Cancer Diabetes Arthritis

or Any Other :

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 CONDUCT & DISCIPLINE

Have you ever been terminated from any service? YES NO

Have you ever been punished by the court of Law? YES NO

Have you ever been a Drug Addict? YES NO

if yes please provide the details and documentary evidence.

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REFERENCES
(Please provide details of two references)

I. Reference

Name: Dr. Rabia Umar Ali Designation: Associate Professor

Company Name: Quaid-i-azam UniversiE- mail: rabia66@qau.edu.pk

Office Landline No. : +92-051-9064-3137 Mobile No.: 3.335E+09

Reference Type: Academic

AddresHouse No. 356, Street No. 14, F-10/2, Islamabad

II. Reference

Name: Dr. Ilhan Niaz Designation:

Company Name: Quaid-i-azam university Islamabad E- mail: in1980@qau.edu.pk

Office Landline No. : ### Mobile No.: 9.23E+11

Reference Type: Academic

Address:____________________________ Quaid-i-Azam University Islamabad

I. Person to be contacted in case of emergency

Family Member Name: Shaheera Mushtaq Relationship: Sister

CNIC: 37301-9895953

Residential Landline No. : Mobile No.: 3.489E+09

E-mail: _______________ shaheerashahbukhari95@gmail.com Address:______________Chak Jamal Road, Passport office, Jhelum

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