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Document Sample
General Information
Personal Information
Sr# Sr#
1 Name 2 Father Name
3 Designation 4 Reference No.
5 e.g. Group. Service
Occ.Ex-PSS,Ex- 6 Department
PCS,D.M.G,PSS,Contract, Others,
A.P.U.G (D.M.G), PCS, Promotee from
Tehsildar, Secretariat, O.M.G/SG,
7 Seniority Position 8 Appointment Grade
9 Posting District 10 Joining Date
11 D.O.B 12 Medical Category
13 National Tax Number 14 Domicile
15 Phone 16 Religion
17 Email 18 CNIC No.
19 Picture 20 Cell Phone
21 Present Address 22 Marital Status
District 24
Tehsil
Remarks
23 Permanent Address
District
Tehsil
Spouse Information
Sr# Sr#
1 Name 5 Nationality
Service Type (e.g. Federal, Provincial,
2 Family Size 6 Private)
3 Designation 7 Employer
4 Location 8 Remarks
Educational Qualifications
Sr# Sr#
1 Qualification 5 %age/GPA/Grade
2 Institute 6 Year of Completion
3 Type (e.g. Academic, Professional, 7 Remarks
Certification)
4 Discipline
Please mentioned all educational qualifications. Use separate form for each qualification.
Marit Position
Sr# Examination
Year e.g (1960,1999,2000)
1 F.P.S.C. Competeive Examination
Position
Year e.g (1960,1999,2000)
2 F.P.O. Examination
Position
Year e.g (1960,1999,2000)
3 Other Examination
Position
Note: Leave the fields blank if not applicable.
Training Information
Sr# Sr#
1 Training 4 End Date
2 Institute 5 Course Particulars
3 Start Date 6 Country
Please mentioned all trainings. Use separate form for each training.
Countries Visited
Sr# Sr#
1 Country:e.g (Albania,Austria,England 3 To:(Date Mention)
and etc)
2 From:(Date Mention) 4 Purpose:
Languages Info
1 Language:e.g (Urdu, 4 Write:e.g.(Average,Good,Excellent)
English,Punjabi,Pashtu and etc)
2 Read:e.g.(Average,Good,Excellent) 5 Speak:e.g.(Average,Good,Excellent)
3 Remarks:
Leave Application
Sr# Sr#
1 Name: 2 Designation
3 Employee ID: 4 BPS:e.g.(18,19,20)
5 From: 6 To:
Type:e.g( Casual,Medical,Earned,Extra
7 Ordinary ) 8 Phone No:
9 Cell Phone No: 10 Reason:
11 Address:
13 Remarks: Provide the number of all leaves already taken.
Note: Please provide Leave record of current financial year. Moreover, the leave record of each employ at the end of each month may be provided.
Transfer / Posting History
Sr# Sr#
1 Year 2 Designation
3 From: 4 To:
5 BPS 6 Department
7 District 8 Remarks
Entry / Promotion Date
1 Name 2 grade
3 Status (Substantive, Temporary) 3 Date
Punishment
1 Name 2 Offence
3 Date 4 Punishment
Remarks
5
Departmental Selection Committee / Selection Board
1 Name 2 Grade
Remarks
3 Select Consideration 4
Salary Information
1 Basic Salary 2 Allowances (Mention each allowance)
3 Deductions (Mention each deduction) 4 Total Allowances
5 Total Deductions 6 Gross Salary
Income and Expenses
Financial Year:e.g (2005,2006,2007,2008,2009 and etc)
Sr# Sr#
1 Name: 2 Father Name:
3 Employee ID: 4 BPS:e.g.(18,19,20)
5 Occ/Group/Department: 6 Present Address:
Present Position:e.g.(EDO IT, EDO CD
etc.) 7 Permanent Address:
8 Phone: 9 NIC No:
10 National Tax Number: 11 Cell Phone:
12 Income (During The Financial Year)
13 Rental Income: Rs. 14 Salary: Rs.
Other Resources: e.g.(Dividend, Profit,
15 Agri Income: Rs. 16 Prize money, Gift, Loan, etc.) Rs.
17 Total Income( 13 to 16) Rs.
Remarks
Expenses (Approx.) Utilities
18 (Electricity,Gas, Telephone etc.) Rs.
19 Total House Hold Expenses: Rs.
Private Foreign Traveling
Year:e.g (2005,2006,2007, and etc)
Sr#
1 Travelling:(Self, Spouse, Childrens) 2 Country:e.g.(Albania,Austria,England and
etc)
3 From:(Date Mention) To:(Date Mention)
4 Expenses (Approx.) Remarks:
Children's Education (Inland & Abroad)
Year:e.g (2005,2006,2007, and etc)
Sr#
1 Children's Education: Inland or abroad 2 Name of the Children:
3 Educational Institution: 4 Financial Year:e.g.(2005,2006,2007, and
etc)
5 Remarks:
Club Membership
Year:e.g (2005,2006,2007, and etc)
Sr# 2 Name of Club:
1 Club Membership: 3 Membership No:
4 Remarks:
Immoveable Assets
(Cash in hand,Motor Vehicles,Jewellery,Householed Items,Equipment,Business Capital etc.)
Year:e.g (2005,2006,2007, and etc)
Sr#
1 Identification of Asset: 2 Nature of Asset:
3 Mode of Acquisition/year: 4 Cast of Acquisition:
5 Remarks:
Moveable Assets
(Cash in hand,Motor Vehicles,Jewellery,Householed Items,Equipment,Business Capital etc.)
Year:e.g (2005,2006,2007, and etc)
Sr#
1 Identification of Asset: 2 Nature of Asset:
3 Mode of Acquisition/year: 4 Cast of Acquisition:
5 Remarks:
Employee's Assets Held as Attorney
Year:e.g (2005,2006,2007, and etc)
Sr#
1 Identification of Asset: 2 Nature of Asset:
3 Nature of Power of Attorney:
(Recoverable or Irrecoverable)
4 Legal Owner: 5 Remarks:
Name:
Address:
Employee 's Assets Disposed Off During The Year
Year:e.g (2005,2006,2007, and etc)
Sr# Disposed Off Assets Information:
1 Identification of Asset: 2 Nature of Asset:
3 Date of Disposal:(Mention Date) 4 Amount Rcceived as Sale Proceed:
5 Remarks:
Employee Investments
Sr# Year:e.g (2005,2006,2007, and etc)
Invesrment Types: e.g
(Bonds,Shares,Certificates,Deposits/Adv
1 ances,Loan Granted,Other.) Investment Information:
Investment Name:
3 Remarks: 2 Amount:Cast of Acquisition:
Employee Bank Accounts
Sr# Year:e.g (2005,2006,2007, and etc)
1 Account Types: e.g.(Current, Savings, 2 Account Information:
Deposit A/C & F/C A/Cs)
3 Account No: 4 Bank Branch:
5 Remarks: Year of Opening:e.g (2005,2006,2007, and
etc)
Main Source of Deposit:
Balance on Current Year:
Employee Liabilities
Sr# Year:e.g (2005,2006,2007, and etc)
Liabilities Types:
e.g.(Departmental,Bank Loans,Over Liability Status: e.g.(Outstanding
Drafts Mortgages Secured,Private Liabilities or Liabilities Paid Off During the
1 Loans, Other. 2 year)
3 Liability Amount:
Liability Name:
Liability Amount Rs: 4 Remarks:
ACR Assessment
Reporting Officer 2 Countersigning Officer
1
Fitness of Promotion 4 Work Status (Field, Secretariat,
Corporation, Training, Leave)
3
Work Nature (Soft, Hard, Foreign)
5
Career Assessment:
6
