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1 CONFIDENTIAL IN LIEU OF PAFY 1975 PERSONAL DATA FORM SVA-8101 (Revised 1984) IMPORTANT 1. 2.
3.
No Column will be left blank. 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. It will be typed and fwd alongwith two attested copies of Passport size photographs.
Photo Passport size 5.08x6.35cm
PERSONAL 1.
Full name
MUHAMMAD SHABBIR KHAN__________________________
2.
If you have changed your name, state previous name (s) giving reasons for change __________________________________________________________________ __________________________________________________________________
3.
Allases ____________________________________________________________
4.
Rank/Status
NCB
Service No:
Regt / Corps / Branch / Department
SIGNALS
5.
Date and place of birth
30-11-1980
6.
Height 5' - 5"
7. Weight
9.
Complexion
11.
Visible marks of identification
12.
a.
Religion (Islam, Christian, Ahmadi etc)
ISLAM
b.
Sect (Sunni, Shia, Deobandi etc)
SUNNI
FAIR
58
10. Color of eyes
8. Build
MEDIUM
BLACK
MOLE ON NECK
13.
Caste
KHATTAK
14.
Nationality (indicate if nationality other than Pakistan is also held) NIL
15.
National identity card No, date and place of issue (or registration No) 37104-1002496-3
16.
Domicile
ATTOCK (PUNJAB)
CONFIDENTIAL
2 CONFIDENTIAL 17.
If naturalised, state:a.
Previous Nationality__________ Date of Immigration
b.
Pakistan Citizenship Certificate No_______________________________ Date_________________ issued at________________________________
18.
Passport No
Date of Issue
Type of Passport
Issuing Authority
Countries for which valid :- _________________________________________ 19.
Permanent home address :Village/Mohalla
Haddo Wali
Post Office Thana
House No (if any) Telegraph Office
Injra
Teh
Jhand
. Injra Distt ATTOCK
20.
Present residential address
______As Above____________________
21.
If displaced person or optee from India/Bangladesh/Afghanistan, previous residential address_______________________________________________________________ _____________________________________________________________________
22.
Relatives in India/Afghanistan/Bangladesh (to include parents/brothers and sisters of both husband and wife) :Name
Relationship
Occupation
Address
a. b. c. d. e. 23.
f. 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 a. b. c. d. e. f.
24.
CONFIDENTIAL
3 CONFIDENTIAL Educational Institutions attended (give full particulars) Govt School Haddo
25.
26.
S
To 1998
G S uG S No of examinations passed. *New entrants to indicate Roll lu Languages (circles appropriate letterG sl – S : Read, W : Write). uh a. Urdu sl R W d. ah b. Pashto sn R W e. ah c. Pujabi ______ f. R na R W aR Travel abroad :nv aR visit Country Visited Purpose of From i a. va b. iv c. . d. e. f. g. h.
27.
From
a.
S
R
W
S
R
W
S
R
W
i
Name of bankers – in Pakistan (specify branch) :(1)
b.
Standard attained* Middle
_____________________________
Name of bankers in foreign countries (specify branch) :(1)____________________________________________________________ (2)____________________________________________________________
CONFIDENTIAL
4 CONFIDENTIAL
c.
d.
Subscriptions to (in Pakistan) :(1)
Insurance Policy/Policies
Rs.
-
pm
(2)
Religious/Sectional Fund (Specify fund)
Rs
-
pm
(3)
DSP/Provident Funds
Rs.
(4)
Any other non-service funds
Rs._________-_____ pm
pm
Subscriptions to (in foreign countries) :(1)
Insurance Policy/Policies
Rs._______________ pm
(2)
Religious/Sectional or any other fund
Rs._______________ pm
(Specify fund) 28.
Membership of clubs and other social/literary organizations:Name of Organisation a.
29.
Branch in which Registered -
Date of Joining -
Position Held -
SERVICE Previous occupation or employment:Name of Employer (s) a.
30.
Membership No if Any -
Nature of Work -
a.
Date of joining present svc
b.
Date of commission
c.
Date of promotion to present rank
Place
From
To
-
-
-
Nov 08
31. Professional Courses/ Qualification a. b. c. d. e. f.
Place
CONFIDENTIAL
From
To
Result (Grade Obtained)
5 CONFIDENTIAL 32.
a.
Service background (last ten years) :-
Fmn/Unit/ Department a. b. c. d. e. f. g. h. j. b.
Station of Designation From Posting i.e of Appointment Location Held
To
Name of CO/ Head of Department
War experience:Fmn/U nit
Appts Held
Loc/Area of Operation
From
To
(1) 65 War
(2) 71 War 33.
If tried by military/civil court. Also include other summery disposal . Specify exact offence in all cases :Offence/ Act Under If Found Guilty Charge Which Tried Date and Place Punishment Awarded a. b. c.
CONFIDENTIAL
6 CONFIDENTIAL GENERAL 34.
Games
Cricket
35.
Hobbies
36.
Near
Watching TV
relatives
in
defence
services
serving/retired
to
include
only
parents/brothers/sisters of both husband and wife. Name
Relationship
a.
Rank/ Status Sub (R)
Muhammad Naseer
Brother
Regt/Corps/ Branch/Dept ASC
b.
Lnk (R)
Muhammad Basir
Brother
ASC
c.
L/Hav
Muhammad Ali
Brother
5 Punjab
Present Address As per para 19 As per para 19 As per para 19
37.
Three persons (not relatives) who have been acquainted with you for the last five years (Give their present address and status) a. b. c.
38.
Sub (R)Haji Gul Haji Sher Khan Capt (R) Rafique Khan
Property, share and securities held in your name or in the names of your wife and children:a.
Property
Place
(1) Movable (In Pakistan) (Abroad) (2) Immovable (In Pakistan) (Abroad)
CONFIDENTIAL
Value at
Held in Names of
7 CONFIDENTIAL
b.
Shares/Securities (At Present Held)
Place
Value at
Held in Names of
(1) In Pakistan (2) Abroad FAMILY 39.
a.
Wife (or Husband in case of female employees) Full Name
Bibi Hawa
Malden name (in case of wife) Present residential address
As per para 19
Date and place of marriage
2000
Date and place of birth
1979
Nationality
Cast
Pakistani____
Religion (before & after marriage)
Khattak
__Islam___ Sect
Sunni
Occupation or profession (before and after marriage with full particulars) _ House Wife Political affiliation if any b.
Nil
Name and residential address of father –in-law _Zeri Gul__(Late) _______ ___________________________________________ Where employed (city and country) Religion
____________ Sect
_____
Cast
___
Political affiliations if any c.
Name and residential address of mother –in –law Religion
Islam
Sect
____Bibi Jan________
__Sunni______ Cast _Khattak_____
If employment, where (occupation/profession – city & country) _ NA Political affiliation if any________________NIL____________________
CONFIDENTIAL
8 CONFIDENTIAL d.
40.
41.
42.
Names and address of wife’s brothers and sisters (or husband’s in case of female employees) :Full Name Address Occupation Political affiliation if any (1) Abdul Qayyum As per para 19 Agriculture Nil (2) Abdul Rahim “ Forest Guard (3) Hav HAssan Khan “ Army (4) Aman Ullah “ “ (5) Abdul Rauf “ “ Children :Name Sex Date of Profession Present Birth Address a. Hira Shabbir F 2002 Student As per para 19 b. M. Ahmad Shabbir M 2004 “ c. Hina Shabbir F 2008 “ d. e. Father (own full name) Amin Gul (Late) Date and place of birth Nationality Pakistani Religion Islam Sect Sunni Caste Khattak Living No Deceased Yes Present home address Political affiliation if any (indicate if active, any office if held) -Whether dependent on you -Mother (Own) full name Momina Bibi Date and place of birth 1938 (Attock) Nationality Pakistani Religion Islam Sect Sunni Caste Khattak Living Yes Deceased No Present home address Political affiliation if any (indicate if active, any office if held) -Whether dependent on you Yes
CONFIDENTIAL
9 CONFIDENTIAL AFFIRMATION 44.
I swear by almighty God/solemnly affirm in the presence of Almighty God that
the 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. Date
_____Nov 2008
Signature:
__________________
Name: MUHAMMAD SHABBIR KHAN (In block capital)
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.
Station: Sialkot Cantt Dated: ____Nov 2008
Signature __________________________ Name (In block capital) Designation COMMANDING OFFICER Address
44 SIG BN SIALKOT
CONFIDENTIAL
9 CONFIDENTIAL 43.
Own brothers and sisters :-
Full name
Sex
Nationality
Religion Islam
Sect
Caste
Occupation
Age
Whether Dependent on you
Address
Political Affiliation if any
Sunni
Khattak
JCO (Retd)
55 Years
No
As per para 19
No
a.
Muhammad Naseer
M
Pakistani
b.
Muhammad Baseer
M
Pakistani
Islam
Sunni
Khattak
Agriculture
52 Years
No
As per para 19
No
c.
Muhammad Ali
M
Pakistani
Islam
Sunni
Khattak
Mil svc
37 Years
No
As per para 19
No
d.
Halima Bibi
F
Pakistani
Islam
Sunni
Khattak
House Wife
45 Years
No
As per para 19
No
e.
Fatima Bibi
F
Pakistani
Islam
Sunni
Khattak
House Wife
42 Years
No
As per para 19
No
f.
Amna Bibi
F
Pakistani
Islam
Sunni
Khattak
House Wife
39 Years
No
As per para 19
No
CONFIDENTIAL
3.
No Column will be left blank. 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. It will be typed and fwd alongwith two attested copies of Passport size photographs.
Photo Passport size 5.08x6.35cm
PERSONAL 1.
Full name
MUHAMMAD SHABBIR KHAN__________________________
2.
If you have changed your name, state previous name (s) giving reasons for change __________________________________________________________________ __________________________________________________________________
3.
Allases ____________________________________________________________
4.
Rank/Status
NCB
Service No:
Regt / Corps / Branch / Department
SIGNALS
5.
Date and place of birth
30-11-1980
6.
Height 5' - 5"
7. Weight
9.
Complexion
11.
Visible marks of identification
12.
a.
Religion (Islam, Christian, Ahmadi etc)
ISLAM
b.
Sect (Sunni, Shia, Deobandi etc)
SUNNI
FAIR
58
10. Color of eyes
8. Build
MEDIUM
BLACK
MOLE ON NECK
13.
Caste
KHATTAK
14.
Nationality (indicate if nationality other than Pakistan is also held) NIL
15.
National identity card No, date and place of issue (or registration No) 37104-1002496-3
16.
Domicile
ATTOCK (PUNJAB)
CONFIDENTIAL
2 CONFIDENTIAL 17.
If naturalised, state:a.
Previous Nationality__________ Date of Immigration
b.
Pakistan Citizenship Certificate No_______________________________ Date_________________ issued at________________________________
18.
Passport No
Date of Issue
Type of Passport
Issuing Authority
Countries for which valid :- _________________________________________ 19.
Permanent home address :Village/Mohalla
Haddo Wali
Post Office Thana
House No (if any) Telegraph Office
Injra
Teh
Jhand
. Injra Distt ATTOCK
20.
Present residential address
______As Above____________________
21.
If displaced person or optee from India/Bangladesh/Afghanistan, previous residential address_______________________________________________________________ _____________________________________________________________________
22.
Relatives in India/Afghanistan/Bangladesh (to include parents/brothers and sisters of both husband and wife) :Name
Relationship
Occupation
Address
a. b. c. d. e. 23.
f. 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 a. b. c. d. e. f.
24.
CONFIDENTIAL
3 CONFIDENTIAL Educational Institutions attended (give full particulars) Govt School Haddo
25.
26.
S
To 1998
G S uG S No of examinations passed. *New entrants to indicate Roll lu Languages (circles appropriate letterG sl – S : Read, W : Write). uh a. Urdu sl R W d. ah b. Pashto sn R W e. ah c. Pujabi ______ f. R na R W aR Travel abroad :nv aR visit Country Visited Purpose of From i a. va b. iv c. . d. e. f. g. h.
27.
From
a.
S
R
W
S
R
W
S
R
W
i
Name of bankers – in Pakistan (specify branch) :(1)
b.
Standard attained* Middle
_____________________________
Name of bankers in foreign countries (specify branch) :(1)____________________________________________________________ (2)____________________________________________________________
CONFIDENTIAL
4 CONFIDENTIAL
c.
d.
Subscriptions to (in Pakistan) :(1)
Insurance Policy/Policies
Rs.
-
pm
(2)
Religious/Sectional Fund (Specify fund)
Rs
-
pm
(3)
DSP/Provident Funds
Rs.
(4)
Any other non-service funds
Rs._________-_____ pm
pm
Subscriptions to (in foreign countries) :(1)
Insurance Policy/Policies
Rs._______________ pm
(2)
Religious/Sectional or any other fund
Rs._______________ pm
(Specify fund) 28.
Membership of clubs and other social/literary organizations:Name of Organisation a.
29.
Branch in which Registered -
Date of Joining -
Position Held -
SERVICE Previous occupation or employment:Name of Employer (s) a.
30.
Membership No if Any -
Nature of Work -
a.
Date of joining present svc
b.
Date of commission
c.
Date of promotion to present rank
Place
From
To
-
-
-
Nov 08
31. Professional Courses/ Qualification a. b. c. d. e. f.
Place
CONFIDENTIAL
From
To
Result (Grade Obtained)
5 CONFIDENTIAL 32.
a.
Service background (last ten years) :-
Fmn/Unit/ Department a. b. c. d. e. f. g. h. j. b.
Station of Designation From Posting i.e of Appointment Location Held
To
Name of CO/ Head of Department
War experience:Fmn/U nit
Appts Held
Loc/Area of Operation
From
To
(1) 65 War
(2) 71 War 33.
If tried by military/civil court. Also include other summery disposal . Specify exact offence in all cases :Offence/ Act Under If Found Guilty Charge Which Tried Date and Place Punishment Awarded a. b. c.
CONFIDENTIAL
6 CONFIDENTIAL GENERAL 34.
Games
Cricket
35.
Hobbies
36.
Near
Watching TV
relatives
in
defence
services
serving/retired
to
include
only
parents/brothers/sisters of both husband and wife. Name
Relationship
a.
Rank/ Status Sub (R)
Muhammad Naseer
Brother
Regt/Corps/ Branch/Dept ASC
b.
Lnk (R)
Muhammad Basir
Brother
ASC
c.
L/Hav
Muhammad Ali
Brother
5 Punjab
Present Address As per para 19 As per para 19 As per para 19
37.
Three persons (not relatives) who have been acquainted with you for the last five years (Give their present address and status) a. b. c.
38.
Sub (R)Haji Gul Haji Sher Khan Capt (R) Rafique Khan
Property, share and securities held in your name or in the names of your wife and children:a.
Property
Place
(1) Movable (In Pakistan) (Abroad) (2) Immovable (In Pakistan) (Abroad)
CONFIDENTIAL
Value at
Held in Names of
7 CONFIDENTIAL
b.
Shares/Securities (At Present Held)
Place
Value at
Held in Names of
(1) In Pakistan (2) Abroad FAMILY 39.
a.
Wife (or Husband in case of female employees) Full Name
Bibi Hawa
Malden name (in case of wife) Present residential address
As per para 19
Date and place of marriage
2000
Date and place of birth
1979
Nationality
Cast
Pakistani____
Religion (before & after marriage)
Khattak
__Islam___ Sect
Sunni
Occupation or profession (before and after marriage with full particulars) _ House Wife Political affiliation if any b.
Nil
Name and residential address of father –in-law _Zeri Gul__(Late) _______ ___________________________________________ Where employed (city and country) Religion
____________ Sect
_____
Cast
___
Political affiliations if any c.
Name and residential address of mother –in –law Religion
Islam
Sect
____Bibi Jan________
__Sunni______ Cast _Khattak_____
If employment, where (occupation/profession – city & country) _ NA Political affiliation if any________________NIL____________________
CONFIDENTIAL
8 CONFIDENTIAL d.
40.
41.
42.
Names and address of wife’s brothers and sisters (or husband’s in case of female employees) :Full Name Address Occupation Political affiliation if any (1) Abdul Qayyum As per para 19 Agriculture Nil (2) Abdul Rahim “ Forest Guard (3) Hav HAssan Khan “ Army (4) Aman Ullah “ “ (5) Abdul Rauf “ “ Children :Name Sex Date of Profession Present Birth Address a. Hira Shabbir F 2002 Student As per para 19 b. M. Ahmad Shabbir M 2004 “ c. Hina Shabbir F 2008 “ d. e. Father (own full name) Amin Gul (Late) Date and place of birth Nationality Pakistani Religion Islam Sect Sunni Caste Khattak Living No Deceased Yes Present home address Political affiliation if any (indicate if active, any office if held) -Whether dependent on you -Mother (Own) full name Momina Bibi Date and place of birth 1938 (Attock) Nationality Pakistani Religion Islam Sect Sunni Caste Khattak Living Yes Deceased No Present home address Political affiliation if any (indicate if active, any office if held) -Whether dependent on you Yes
CONFIDENTIAL
9 CONFIDENTIAL AFFIRMATION 44.
I swear by almighty God/solemnly affirm in the presence of Almighty God that
the 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. Date
_____Nov 2008
Signature:
__________________
Name: MUHAMMAD SHABBIR KHAN (In block capital)
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.
Station: Sialkot Cantt Dated: ____Nov 2008
Signature __________________________ Name (In block capital) Designation COMMANDING OFFICER Address
44 SIG BN SIALKOT
CONFIDENTIAL
9 CONFIDENTIAL 43.
Own brothers and sisters :-
Full name
Sex
Nationality
Religion Islam
Sect
Caste
Occupation
Age
Whether Dependent on you
Address
Political Affiliation if any
Sunni
Khattak
JCO (Retd)
55 Years
No
As per para 19
No
a.
Muhammad Naseer
M
Pakistani
b.
Muhammad Baseer
M
Pakistani
Islam
Sunni
Khattak
Agriculture
52 Years
No
As per para 19
No
c.
Muhammad Ali
M
Pakistani
Islam
Sunni
Khattak
Mil svc
37 Years
No
As per para 19
No
d.
Halima Bibi
F
Pakistani
Islam
Sunni
Khattak
House Wife
45 Years
No
As per para 19
No
e.
Fatima Bibi
F
Pakistani
Islam
Sunni
Khattak
House Wife
42 Years
No
As per para 19
No
f.
Amna Bibi
F
Pakistani
Islam
Sunni
Khattak
House Wife
39 Years
No
As per para 19
No
CONFIDENTIAL
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