EMPLOYMENT APPLICATION FORM

PERSONAL INFORMATION
MOHAMMAD MUDASSAR
Full name (First, middle, last)
Father’s name Khalil Ismail Patel Date of Birth 03-Nov-1979 Blood Group B+
Permanent Address
303, Columbus Towers, Main Clifton Road, Near Teen Talwar, Karachi.
Current Address (for correspondence)
Same As Above
Tel no. (Res.) None Tel no. (off) None Mob. No. +966 59 1682446
Fax no. N/a Email address: mudassarpatel@gmail.com
Marital Status Married Dependents (if any) 02 CNIC No. 42301-0481286-9
Please write about your family members and their occupation.
Father – Retired
Mother – Housewife
Wife – HouseWife
Son - Student

Do you have any political affiliation?

None
POSITION INFORMATION
How did you apply at ICBC?
Through Email.
Referred by: Human Resources
Position Applied for: Manager IT Auditor Department: Internal Audit
Expected Salary: 225,000
Date of Availability for joining (notice period at current employer): 1 month
Do you have any known ailment? Are you currently taking any medications? (if yes, please provide details)
None
Do you have any physical or medical limitations, which may limit your ability to perform a particular job? (If yes, please provide details)

Do you have any relative working in ICBC? No (If yes, please provide details)
Name of Relative: N/a Relation: N/a
Designation in ICBC: N/a ocation N/a

EDUCATIONAL / QUALIFICATION
Starting Passing Division
Certification / Degree Name of Institute / College / School Major Subjects
Year Year / Grade
Matric / O’level 1995 6^% Blessing Public School General
Inter / A’level 1997 62% DHA Degree College for Men Commerce
Bachelor of 1999 59% DHA Degree College for Men Commerce

Human Resource Department

EMPLOYMENT APPLICATION FORM
Master of 2004 3.32 SZABIST IT
Professional Qualification

*WORK HISTORY
Please list your past work experiences beginning with your most recent job held. Also mention if you are self-employed.
*Period *Gross Salary
S.No *Employer’s Name & Address *Position(s) Held Present Reason of Leaving
From To Starting
/ Last

1 Saudi Investment Bank 2021 Present Manager IT Audit Presently Employed

Jan March
2 PKF Saudi Arabia IT Auditor Better opportunity
2021 2021
Dec Sept Assistant Manager IT
3 Bank Alfalah Better opportunity
2019 2020 Auditor

*CURRENT SALARY / BREAK UP & BENEFITS

Current Grade / Level: Manager IT Audit

Current Salary Break Up (As per Salary Slip) Details of Benefits at current employer
Component Amount Benefits Yes / No Amount / Limit
Basic Salary Vehicle / Vehicle Allowance
House Rent Allowance Cell Phone Limit
Conveyance Allowance Fuel
Utility Allowance Provident Fund
Medical Allowance Gratuity Fund
Other Allowances Medical Insurance
Misc Life Insurance
Fixed Bonus
Performance Bonus
Total Gross Others

*PERFORMANCE
When was your last
promotion in current Joined as IT Audit Manager.
organization?
What were your performance Year 2021
ratings for last 3 years? Performance Rating for the last 3 years( please Salary Increment % for the last 3 years ( please mentioned each
mentioned each separately) separately)

Human Resource Department

EMPLOYMENT APPLICATION FORM
Good 50%

*REFERRENCES
Professional references should be your current / ex-supervisors and people with whom you have had professional interaction with
Name Position / Occupation Company Contact Details
Professional
Professional
Personal

1. Have you taken any financial / loan facility from your current employer or any other financial institution? Yes No

If yes, please specify loan type and outstanding amount(e.g. car loan Rs. 500,000/-) ____________________________________________________

2. Have you ever been convicted of a crime in Pakistan or abroad? Yes No

If yes, please give details ___________________________________________________________________________________________________

3. Has any disciplinary action been taken against you ever by your current or previous employer? Yes No

If yes, please give details ___________________________________________________________________________________________________

4. Have you resigned from the services of your present employer & serving notice period? Yes No

If yes, please give reasons __________________________________________________________________________________________________

5. May we contact your present supervisor to take feedback on your performance? Yes No

6. Have you ever been interviewed at ICBC before? Yes No

If yes, please mention position applied for _______________________________________ City ________________________ Date _____________

Undertaking: I confirm that the information provided by me in this form is correct to the best of my knowledge.

__________________ ________________
Applicant Signature Date

Note: Any information provided above, if found incorrect would lead to immediate rejection of the application.

Human Resource Department