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 IRFAN__________________________
2.
If you have changed your name, state previous name (s) giving reasons for change __________________________________________________________________ __________________________________________________________________
3.
Allases ____________________________________________________________
4.
Rank/Status
Service No:
Regt / Corps / Branch / Department 5.
Date and place of birth
6.
Height
9.
Complexion
11.
Visible marks of identification
12.
a.
Religion (Islam, Christian, Ahmadi etc)
b.
Sect (Sunni, Shia, Deobandi etc)
7. Weight
8. Build
10. Color of eyes
13.
Caste
14.
Nationality (indicate if nationality other than Pakistan is also held)
15.
National identity card No, date and place of issue (or registration No)
16.
Domicile
CONFIDENTIAL
2 CONFIDENTIAL 17.
If naturalised, state :a.
Previous Nationality_____________ Date of Immigration
b.
Pakistan Citizenship Certificate No_______________________________ Date_________________Issued at________________________________
18.
Passport No Type of Passport
Date of Issue Issuing Authority
Countries for which valid :- _________________________________________ 19.
Permanent home address :Village/Mohalla
House No (if any)
Post Office
Telegraph Office
Thana
______-_________
Teh
Distt 20.
Present residential address
__________________________
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)
From
To
Standard attained*
S
25.
26.
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. sl R W d. ah b. sn R W e. ah c. ______ 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.
a.
R
W
S
R
W
S
R
W
i
Name of bankers – in Pakistan (specify branch) :(1)
b.
S
_____________________________
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)
DSOP/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
-
-
-
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
Football, Volleyball,
35.
Hobbies
36.
Near
Reading
relatives
in
defence
services
serving/retired
to
include
only
parents/brothers/sisters of both husband and wife. Rank/ Status
Name
Relationship
Regt/Corps/ Branch/Dept
Present Address
a. b. c. d. e. f. 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.
Property, share 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) (Abroad) (2) Immovable (In Pakistan)
(Abro ad)
b.
Shares/Securities (At Present Held)
Place
Value at
CONFIDENTIAL
Held in Names of
7 CONFIDENTIAL (1) In Pakistan (2) Abroad FAMILY 39.
a.
Wife (or Husband in case of female employees) Full Name
-
Malden name (in case of wife) Present residential address Date and place of marriage Date and place of birth Nationality
____
Cast
Religion (before & after marriage)
_____ Sect
Occupation or profession (before and after marriage with full particulars) _ Political affiliation if any b.
Nil
Name and residential address of father –in-law
___________________
___________________________________________ Where employed (city and country) Religion
____________ Sect
_____
Cast
___
Political affiliations if any c.
Name and residential address of mother –in –law Religion
Sect
_________________
________
Cast
______
If employment, where (occupation/profession – city & country) _ NA Political affiliation if any________________ _______________________
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) (2) (3) (4) (5) Children :Name Sex Date of Profession Present Birth Address a. b. c. d. e. Father (own full name) Date and place of birth Nationality Religion Sect Caste Living Deceased Present home address Political affiliation if any (indicate if active, any office if held) Whether dependent on you Mother (Own) full name Date and place of birth Nationality Religion Sect Caste Lving Deceased Occupation or profession and place of employment if applicable Political affiliation if any (indicate if active, any office if held) Whether dependent on you
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
_____Jul 2007
Signature:
__________________
Name (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: Peshawar Cantt Dated: ____Jul 2007 (In block capital)
Signature __________________________ Name Designation COMMANDING OFFICER Address
44 SIG BN PESHAWAR
CONFIDENTIAL
9 CONFIDENTIAL 43.
Own brothers and sisters :-
Full name
Sex
Nationality
Religion
Sect
Caste
a. b. c. d. e. f.
CONFIDENTIAL
Occupation
Age
Whether Dependent on you
Address
Political Affiliation if any