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CONFIDENTIAL
In Lieu of PAFY-1975
PERSONAL DATA FORM
SVA-8101
(Revised 1984)

IMPORTANT

1. No column will be left blank.

Photo
2. Particulars of even deceased father/mother,
father/mother-in-law, brothers, sisters and
brothers/sisters-in-law etc will also be completed
in all respects.
3. It will be typed and fwd along with two
attested copies of Passport size photographs.

PERSONAL
1. Full name: Ali Haider Mumtaz
2. If you have changed your name, state previous name (s) give reasons for change

3. Aliases:
4. Rank/Status GC 0731 Service No GC - 0731
Regt/Corps/Branch/Department
5. Date and place of birth: 9th July 1999, Sargodha
6. Height: 1.73 m 7. Weight 62 kg 8. Build: Medium
9. Complexion :Wheatish brown 10. Colour of eyes: Black
11. Visible marks of identification: Mole on nose
12. a. Religion (Islam, Christian, Ahmadi etc): Islam
b. Sect (Sunni, Shia, Deobandi etc): Sunni
13. Caste : Jhakar
14. Nationality (indicate if nationality other than Pakistan is also held): Pakistan
15. National Identity card No, date and place of issue (or registration No) :
45501-1293132-1, 11.10.2017 Date of Issue, DI khan

16. Domicile: DI Khan

17. If naturalized, state:-

a. Previous Nationality Date of Immigration
b. Pakistan Citizenship Certificate No
Date Issued at
18. Passport No Date of Issue

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Type of Passport Official / Gratis Issuing Authority ____________
Countries for which valid All Except Israel
19. Permanent home address:-
Village/Mohallah : Chak#91 House No (if any)
Post Office: PO khass Thana Khass
Tehsil: Sargodha Distt : Sargodha
Phone No: 03474567971
20. Present residential address: H.No#309, 2 C 2 Township Lahore

Phone No:03005043573
21. If displaced person or opted from :Nil
22. Relatives in India/Afghanistan/Bangladesh (to include parents/brothers and sisters
of both husband and wife :-
Name Relationship Occupation Address
Nil
23. Relatives in foreign countries in addition to those mentioned above (to include
parents/ brothers and sisters of both husband and wife) :-
Name Relationship Occupation Address
Nil

24. Education :-
Standard Educational Institutions Names From To Class Roll /
Attained* Regn No

Matric Army Public School, Sialkot 2013 2015 119514

FA/FSc Punjab College Sialkot, Hajipura 2015 2017 135449
Campus
BSc Military College of Engineering, 2017 2021 CMS
Risalpur cantt ID:240839
*New entrants to indicate Roll No of examinations passed.
25. Languages (circle appropriate letters - S : Speak, R : Read, W : Write).
a. Urdu S R W d. S R W
b. English S R W e. S R W
c. Punjabi S R W f. S R W
26. Travel Abroad :-
Country Visited Purpose of Visit From To

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27. a. Name of bankers - in Pakistan (specify branch) :-

(1)Askari Bank, Risalpur Cantt branch
Ali Haider Mumtaz : 0840630008472
(2)
b. Name of bankers in foreign countries (specify branch):-
(1)
(2)
c. Subscriptions to (in Pakistan) :-
(1) Insurance Policy/Policies Rs pm
(2) Religious/Sectional Fund (Specify fund) Rs pm
(3) DSOP/Provident Fund Rs pm
(4) Any other non-service fund Rs pm
d. Subscription to (in foreign countries) :-
(1) Insurance Policy/Policies Rs pm
(2) Religious/Sectional or any other fund Rs pm
(Specify the Fund)
28. Membership of clubs and other social/literary organizations :-
Name of Branch in Which Membership Date of Position
Organization Registered No if Any Joining Held

SERVICE
29. Previous occupation or employment: -

Name of Nature of Place From To Reason for Leaving Svc

Employer Work
30. a. Date of joining present svc :21st November 2021
b. Date of Commission:21st November 2021
c. Date of promotion to present rank :
31. Courses :-
Professional Place From To Result (Grade
Courses / Obtained)
Qualifications
Civil Engineering Risalpur 2017 2021 CGPA: 2.76

32. a. Service background (Last Ten Years):- Nil

b. War Experience: - Nil
33. If tried by military/civil court. Also include other summary disposal. Specify exact
offence in all cases: -
Offence / Charge Act Under Date and Place If Found Guilty
Which Tried Punishment
Awarded

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Nil
34. Games: Cricket and Chess
35. Hobbies: Book reading, sight seeing (Visiting places)

36.
sisters of both husband and wife):-
Rank Name Relationship Regt/Corps/ Present Address
/Status Branch/Dept
Subedar Muhammad Father 414 INT H.No#309,2C2
( Retired) Mumtaz Township Lahore

37. Three persons (not relatives) who have been acquainted with you for the last five
years (give their present address and status):-

Rank Name Address Phone No

GC Behram Hamza MCE, Risalpur 03181484897

GC Osama Shoaib MCE Risalpur

GC Ali Rehman MCE, Risalpur 03109012694

38. Property, shares and securities held in your name or in the names of your wife and
children:-
a. Property Place Value at Held in Names of
(1) Movable (In Pakistan) Nil
(Abroad)
(1) In Pakistan
(2) Abroad

FAMILY
39. a. Wife (or husband in case of female employees)
Full name ___Nil_________________________
Maiden name (in case of wife) __________________________________
Present residential address __________________________________
Date and place of marriage __________________________________
Date and place of birth __________________________________
Nationality_________ Caste ________________

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Religion (before & after marriage) _________ Sect ________
Occupation or profession (before and after marriage with full particulars)
_____
Political affiliation if any
b. Name and residential address of father-in-law ________________________
_____________________________________________________________
Where employed (city and country) ________________________________
Political affiliation if any

c. Name and residential address of mother-in-law ______________________

_____________________________________________________________
If employed, where (occupation/profession-City & country) _______
Political affiliation if any
d. Names and address of wife’s brothers and sisters (or husbands in case of
female employee)
Full Name Address Occupation Political Affiliation if Any

40. Children. Nil

41. Father (own) full name : Muhammad Mumtaz

Date and place of birth: 1st January 1969, Sargodha

Nationality : Pakistan Religion: Islam Sect : Sunni
Caste:Jhakar Living: LIVING Deceased
Occupation or profession (if in service, nature of appointment or employment):-
Vigilance Officer, WAPDA HOUSE, LHR

Present home address : H.No# 309, 2 C2 TOWNSHIP,LHR

Political affiliation if any (indicate if active, any office if held):Nil
Whether dependent on you:No
42. Mother (own) full name:Sughran Mumtaz
Date and place of birth :23rd March 1973
Nationality: Pakistan Religion:Islam Sect:Sunni
Caste: Jhakar Living: Living Deceased
Occupation or profession and place of employment if applicable : House Wife
Political affiliation if any (indicate if active, any office if held):No
Whether dependent on you:No

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43. Own brothers and Sister :-

Whether Dependent on you

Political Affiliation if any

Occupation
Nationality
Full Name

Address
Religion

Caste
Sect

Age
Sex

Bilal Haider M Paki Isla Sun Jhak Student 21 No H.No#309,2C2, No

Mumtaz al stan m ni ar Township Lhr
e

Daniyal M Paki Isla Sun Jhak Student 6 No H.No#309,2C2 No

Haider al stan m ni ar Township,Lhr
Mumtaz e

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AFFIRMATION

44. I swear by Almighty God solemnly affirm in the presence of Almighty God that
information given in this Personal Data Form is true and correct to the best of my knowledge
and belief. I fully understand that my false statement or material omission/suppression of any
fact shall render me liable to disciplinary action and / or dismissal from service.

Place: Risalpur Cantt Signature: _________________________

Dated __6th___ / May / 2022 Name: Ali Haider Mumtaz

ATTESTATION

(By Head of Educational Institutions/Previous Employer/CO)

45. The above particulars are correct to the best of my knowledge and all columns have
been filled in.

Dated ____/ / 2022 Signature ____________________________

Name: MAJ UMER HAFEEZ

Designation: COURSE OFFR

Address: MCE RISALPUR

CONFIDENTIAL