Employment Application Form

For Current Vacancy

Position Desired

Salary (Gross) Expected

When able to Join

Personal Information
Employee Code
Candidate Name

Fathers Name Gender

Cell # Telephone #

Date of Birth Place of Birth

Nationality Religion

Marital Status # of Dependents

Email Address C.N.I.C #

Present Address

Permanent Address

Educational /Professional Qualifications

Qualification Passing Year Institute/Awarding Body Grade Major Subjects

Matriculation / O Levels

Intermediate / A Levels

Bachelor s

Masters

Certification /Diploma

Computer Proficiency Languages (Indicate whether Slight / Fair /Fluent)

Levels Basic Intermediate Advance Languages Read Write Speak

Ms Word

Ms PowerPoint

Ms Excel

Email / Internet

Employment History ( In Chronological Order)

Start End Gross Job Type
Employer Name Designation Reason for leaving
Date Date Salary (Perm/Cont)

Salary Break-Up of Present or Last Employment

Base Salary Conveyance Allowance

Utilities Allowances Other Allowance

Provident Fund Bonus

Leave Fare Assistance Other Benefits

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Employment Application Form

Relatives in Pak-Qatar (Blood Relatives)

Do you have a relative working in Pak Qatar? Yes No

Name Designation

Department Relationship

Health History
Height (feet & inches) Weight (kg.)

Are you currently or have recently been under the care of a No Yes If yes, Please explain:
Physician?

Have you suffered from any major accident during the last No Yes If yes, Please explain:
2 years?

Are you a Smoker? No Yes If yes, Please explain the daily usage:
Have you ever suffered from high blood pressure, heart No Yes If yes, Please explain:
disease, diabetes, shortness of breath, cancer, tumor or
growth, jaundice, fits or convulsions, pain in chest,
paralysis, lung or kidney disorders, nervous or psychiatric
disorders?

How did you come to know about this vacancy?

Friend Website Newspaper Ad

Notice Board Employee Referral Other (please specify)

Personal References
Name Relation Home Address Telephone #/ Cell #

Why do you feel you should be selected for this vacancy at Pak-Qatar?

Are you prepared to work anywhere in Pakistan? Yes No

Are you prepared for extensive travel? Yes No
Do you have a Driving License? Yes No
Do you have your own vehicle? Yes No
Undertaking
I declare that the information given above is true and correct to the best of my knowledge and I understand that any false
statement or forged documents will be considered sufficient cause for dismissal in the event of employment with Pak-Qatar
Takaful Group.

Signature Date

For Human Resources

Interviewer Designation

Comments

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