Professional Documents
Culture Documents
Subject:
Photograph
Name of Candidate
Father's Name:
Qualification
Postal Address
:
:
:
:
:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
__________________________
5 Domicile
_____________________
_____________________________________________________________
_____________________________________________________________
Date of Birth
Marital Status
:
:
:
__________________
__________________________
10 Religion
_____________________
_____________________________________________________________
Fatel Accident case, causing death, due to Electric Shock while on duty.
Non-Fatel Accident causing Disability while performing duty.
Died / Incapacitated due to some other reason during service.
Deceased Retired WAPDA Employee.
Retired WAPDA Employee (alive).
Serving WAPDA Employee.
_____________________________________________________________
:
School / College
Exam Passed
Year
Class / Division
Marks
Subject
15 Particulars of Mother / Uncle / Brother / Sister of the Applicant, if any, already employed against Employee's Children Quota.
i) Name:_______________________________
SIGNATURE
WITH STAMP
OF ISSUING
AUTHORITY
ii) Designation:______________________________
I do hereby declare that all the entries in this Application Form and all the additional particulars (if any) furnished
alongwith it, are true to the best of my knowledge and belief. If any information is subsequently found incorrect / false,
my services, if selected, shall be liable to be terminated.
Signature of Candidate
CERTIFICATE TO BE SIGNED BY CONCERNED SE / OFFICER INCHARGE / ADMINISTRATION
I have examined and personally satisfied that Mr._____________________________________________
father of Mr. / Miss____________________________________________ (the candidate) was / is a bonafide WAPDA
Employee and he has not already availed the Employee's Children Quota by Employment of his / her son / daughter /
brother / wife.
{a}
The Employee had died due to Electric Shock or Injury while performing official duty on ______________________ .
{b}
The Employee had become disabled due to Electric Shock or Injury while performing officail duty on ____________ .
(c}
The Employee had died / incapacitated due to some other reason during service on ________________________ .
(d}
The Employee had been retired on ___________________ and afterwards expired on _____________________ .
{e}
{f}
{g}
The Employee had resigned from WAPDA on ____________________ after rendering 15 years or more service,
vide No.__________________________________________________ (copy attached).
( Tick and fill up the appropriate box which deems fit )
Dated:_________________________