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College of Statistical and Actuarial Sciences

University of the Punjab, Q.A. Campus, Lahore


Tel: +92-42-35962612-4 ~ E-mail: info.stat@pu.edu.pk

APPLICATION FORM
INSTRUCTIONS
(1) Each question should be answered clearly and completely.
The application must be filled in and signed by the applicant.
(2) Attested copies of Certificates and three passport size photographs should be submitted Affix
with the application. photograph
(3) The eligible / shortlisted candidates will be called for interview before the Committee.
(4) Canvassing by applicant in any form will lead to his / her disqualification.

1. Application for the post of ………………………………………………………………………..

2. Name of applicant ……………………………………………………………………………….


(In block letter)
3. Date of birth (in figures and words) …………………………………………………………..…..

4. Father's Name …………………………………………………………….……………………..


(In block letters)

5. Present address …………………………………………………………………………………..

………………………………………………………………………………………...…………

Email: …………………………………………………… Mobile: …………………………….

6. Permanent address ....... …………………………………………………………….……………

……………………………………………………………………………………….…………..

……………………………………………………………………………………….………..…

7. Government of Pakistan Identity Card No ………………………………………………….…...

8. Personal Mark of Identification as given in the Identity Card ……………………………….…...

9. Academic Qualifications:
Name of Grade/Division
Year of Institution Subjects
Examination with
Passing attended studied
Passed marks obtained
10. Experience, including past University service, if any:
Name of Institution Capacity in which Dates
served served From : ……. To

11. Have you ever been convicted Yes □ No □


12. Have you ever been faced any criminal trial in any court of Pakistan Yes □ No □

13. Have your ever been dismissed/removed/terminated/compulsory retired


from any Govt. / Semi Govt. / Autonomous Body Yes □ No □
14. Have you ever been punished any minor or major penalty under any law Yes □ No □
15. List of documents attached:
a) CNIC and a latest photograph of the candidate □
b) Curriculum vitae □
c) Attested copies of educational certificates □
d) Attested testimonials/experience certificate □
e) Any other (__________________________) □

I solemnly declare that the information given above is correct. In the event of any part of the
information being wrong, I shall be liable to disciplinary action, including dismissal from service.

Date .................................... ............................................


Signature of the applicant

FOR OFFICE USE ONLY

Administrative Officer Member Member

Principal

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