Government Of Pakistan

Government of Pakistan Ministry of Information Technology (Electronic Government Directorate) Reference No. / Job Code Name: Father’s / Husband Name Present Address: Please paste your photograph here (also attach an extra copy with the form)

Permanent Address:

Telephone Residence: Cell:

Office: E mail:

Please describe your core area(s) of professional expertise:

Date of Birth

-

-

(DD)

Age:

(MM)

(YY)

YEAR S

Place of Birth: Nationality: Religion: Domicile: Male:

Female:

Single:

Married:

Dependents (if any):

Academic Qualification S.N o 1.

Qualification

Name / Address of Institute

From

2. 3. 4.

Page 1 of 3

To

Grade / Div

Major Subject(s)

Professional Qualification S.N o 1.

Qualification

Institute

From

To

Area of Study

Any certificate / Award

2. 3. 4. 5. Membership of Professional bodies if any:

Trainings S.N o 1. 2. 3. 4.

Details of Training or Apprenticeship

From

To

Company or Institute

Extra Curricular Activities

Languages S.N o

Language

Spoken Excellen t

Good

Written Fair

Excellen t

Good

Read Fair

Excellen t

1. 2. 3. 4. 5.

Health Mention any disability, serious illness or surgery which you have had in last 5 years. Do you have any defect in: 1. Sight

2. Hearing:

3. Speech:

Page 2 of 3

Good

Fair

Present Employment Name of Organization:

Present Position: Year)

-

(Date of Joining Month & (MM)

Address:

(YYYY)

Previous Employment (Last employment first) Name of Organization

From

To

Position Held

1. 2. 3. 4. 5. Have you ever been convicted in criminal case? YES

NO

Professional Reference 1. Name:

2. Name:

Designation:

Designation:

Organization:

Organization:

Phone No:

Relation:

Phone No:

Relation:

Declaration / Undertaking I declare that information given above is correct to the best of my knowledge and that I have not withheld any information which might adversely affect my fitness for employment. I, hereby, authorize EGD to take any punitive action in case of wrong information including termination from service at any stage.

Date:

Signature of Applicant

Page 3 of 3