Personal Details

No. PSPC/HRD/FRM/006-10-14

Date: June 24, 2015

Rev - 2

Note: Please answer all questions. This application and all detail furnished hereunder will be treated confidential. The acceptance of this application affords no

assurance of eventual employment.

Position Applied for: Region Applied for:

Applicants' Name Date of Birth

Fathers'Name CNIC #

Religion Nationality

Marital Status Gender

House No. St. No. Block

District City Province

Domicile District

Permanent Address

Telephone # Mobile

Email

Qualification(s) Start from the last degree.

From to

Photo

Institution

Address & Contact Details:

Present Address

Grades/ Div.Period

SubjectsDegree Title

APPLICANT DATA FORMPunjab Saaf Pani Company (PSPC)

Total Experience (years)

From To

Yes No

Yes No

Present Salary

(Please attach last

salary slip)

Desired Salary

Have you ever been convicted? Yes No

Medical History

Are you suffering from any diseases?

If yes, please specify

References

Name

Declaration

Date

If yes, please specify:

Have you already been interviewed for any other

position of PSPC?

Have you applied for any other position in PSPC?

Signature

I certify that all information provided in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration

for employment and may result in my dismissal if discovered at a later date. I understand that this application or subsequent employment does not create a contract of

employment nor guarantee employment for any definite period of time. I understand that I have been interviewed at the will of the employer and my employment may hire or

not. I have read, understand and by my signature here given consent to these statements.

Name of illness / disease

Aware of any medical condition and taking medicine for it

Contact Number Profession Address

Write Yes / No:

If yes, please specify:

Employment Detail: Please start from the present job.

Position CompanyPeriod

Job DescriptionSalary

(Rs.)Reason of Leaving