Reg . No.

______________
APPLICATION FORM
National Institute of Electronics Picture 1
Ministry of Science & Technology Paste your recent
Islamabad passport size color
photograph with
Screening Test to be conducted by NIE gum

01. Name of Post Applied For (Mandatory): ___________________________________

To apply for more than one posts, please use separate form. One form will be considered valid only for one post.

02. Desired Test City:

01. ISs Islamabad 02. Lahore 03. Peshawar 04. Karachi 05.ISsd Quetta

03. Province of Domicile

01. ISs Punjab/Federal 02. KPK 03. Balochistan 04. Sindh(Urban)

05. ISs Sindh(Rural) 06. AJ&K 07. Gilgit Baltistan 08. FATA

Personal Information: Use CAPITAL letters and leave spaces between words.

4. Name in Full:

5. Father’s Name:

6. Candidate CNIC: - -
Date of Birth:
7. Gender: Male Female 08. - -
(dd-mm-yy)
09. Postal Address:
All correspondence will be made on the address through courier service or ordinary postal service
____________________________________________________________________________________________
_________________________________________________ City: _____________ District: _______________
10. Email: ______________________________ Phone: _____________ Mobile:____________________
(Mandatory)

11. Are you a Government Servant and applying through proper channel? YES NO
In case of yes, please attach NOC along with hard copy

Are you a Disabled Person? YES NO

12. In case of yes, please attach disability certificate
MUSLIM NON- MUSLIM If Non Muslim, Please
13. Religion:
Specify your Religion: _____________________
 14. Academic Information
1. Admit Card will not be issued to those who have not filled their academic record properly.
2. Candidate should convert their grades into marks (O Level /A Level or any other degree having grades).
3. Write exact degree name and major subjects mentioned in certificate/transcript.
4. Result awaiting candidates are not eligible.

Certificate/ Degree Title Specialization/ Passing Obtained Total Board/Institute/

Degree Name Major Subjects Year Marks/ CGPA Marks/ CGPA University
Matric
(10 years)
Intermediate
(12 years)
Bachelor
(14 years)
Bachelor(Hons)/
Master (16 years)
MS/M.Phil.
(18 years)
PhD

Relevant Diploma/
Certificate

15. Employment Record: (This portion be filled in reverse order i.e. latest employment filled on top. only experience in relevant Job/Field will be accepted)

Job Duration
Sr.No. Organization / Employee Name Job Title Write only Month & Year
From To
01
02
03
04
05
Days Months Years
16. Total Job Experience as on closing date of application

17. Age Relaxation Claim: Only 1 will be admissible as mentioned in advertisement.

Note. The information provided for the age relaxation claim will be verified and certificate shall be required at the time of interview.

A. Do you belong to scheduled Castes, Buddhists Community, Recognized Tribes of Tribal Areas,
Azad Kashmir and Northern areas?(For all posts under the federal government ). (03 years) Yes No
B. Are you Released OR retired Officer / Personnel of Armed Forces of Pakistan?
Yes No
(15 years Or the Number of years actually served. whichever is less)
B1. Actual No. Of years in armed forces of Pakistan? _______________Years
C. Are you government Employee and have completed 2 years continuous
service on the closing date for receipt of applications? Yes No
(10 years up to the age of 55 years)
 Undertaking by the Applicant:

I ________________________ d/s/w of______________________ do hereby solemnly

declare and affirm that I have read and understood the instructions and conditions for
Picture 2
appearing in the screening test and I have filled-up the application form as per instructions
given below. In case of any information contained herein is found at any stage to be missing, Paste your recent
passport size color
untrue, false or forged, my candidature can be cancelled at any stage (even after photograph with
employment, if so revealed later), and I shall be liable to legal action. gum

Date: ______________ Candidate’s Signature: _______________

General Instructions/Information:

 Please fill the Application Form properly with complete and correct information/answers
 Please DO NOT leave any field blank otherwise your application may not be considered
 Incorrect, false or forged information may result in cancellation of your candidature at any stage, even after
employment and you may be liable to a legal action
 Attach your Two recent Passport Size Photographs Attested copy of CNIC
 By hand submission of application form is not allowed
 Use separate envelope and separate application form for each post you are applying for
 Application should reach in National Institute of Electronics (NIE) within 15 days of publication of the advertisement.
 Organization will not be responsible for late receiving of application through courier /Pakistan Post etc.