Indus Pencil Industries (Pvt.) Ltd.

APPLICANT'S DATA FORM

Reference: Date of Application : Current Salary : Position Applied For : Expected Joining Date : Photograph

Expected Salary :

PERSONAL INFORMATION :
Name (in Block Letters) : Father / Husband Name : Present Address : Permanent Address : Contact Number : In Emergency Please Contact : C.N.I.C. # Date of Birth : Mark of Identification : Marital Status : Residence : Owner of : Single Married Own Car Name : Address : Nationality : No. of Children Rented MotorCycle Son (s) Residence Mobile Relation : Telephone # : Mobile # : Place of Birth : Religion : Daughter (s) M / Rent Valid Driving Licence : Grade / Division Total Office Father / Husband Profession :

QUALIFICATIONS :
S#

Yes No Yes No (Write in chronological order starting from school) Degree / Certificate / Year of Diploma / Others Name of Institution Location Passing

Yes No

Major Subjects

DETAIL OF OTHER COURSES ATTENDED :

S# Name of Course From To Name of Institution

Document No. IPI-F-159

Page 1 of 3

Issue No.01 Issue Date: 15-03-2012

EMPLOYMENT EXPERIENCE :
S# Organization

(Start from Current Employer) Salary Designation Starting Present

From

To

Reasons for Leaving

BENEFITS & PERKS FROM EX-COMPANY :

LANGUAGE PROFICIENCY :
S# Language Fair

(Rate Yourself) Speak Good Excellent Fair

Read Good

Excellent

Fair

Write Good

Excellent

Fair

Understand Good Excellent

REFERENCES :
S#

(Not Related to You) Name Organization

Designation

Address

Contact No.

Do You Have any Relative Working with this Company ? If Yes, Then Provide the following details : Name Designation S# Department

Yes

No Relation to You

FAMILY DETAILS :
S# Name Relation to You Date of Birth Male / female Married / Unmarried Profession (If Working)

Document No. IPI-F-159

Page 2 of 3

Issue No.01 Issue Date: 15-03-2012

Computer Literacy :

(Rate Yourself by giving a score out of 10)

What are your Extra Curricular Activities ?

Do You hold membership of any professional Club / Organization ?

What are your Strengths and Weakness ?

Give Reasons why should you be considered for this position ?

DECLARATIONS :
I Certify that above information is true, Complete and Correct to the Best of my knowledge and belief. I Shall be held Responsible for any misrepresentation. I also understand that filling of this form does not provide me any guarantee of employment in this organization.

Date: _____________________

Signature of Candidate:______________________

Document No. IPI-F-159

Page 3 of 3

Issue No.01 Issue Date: 15-03-2012