APPLICATION FORM FOR COMMITTEE MEMBERSHIP

Position:_____________________________ Taluka:_____________________ Distt:________________

PERSONAL INFORMATION (Please complete using block letters)

NAME PRESENT ADDRESS

FATHER/HUSBAND NAME

DATE OF BIRTH

NATIONALITY TEL. HOME

CNIC# MOBILE

MARITAL STATUS PERMANENT ADDRESS

RELIGION

Licance No

DATE OF JOINING Emergency Contact No:

EDUCATIONAL DETAILS
NAME OF SCHOOL,COLLEGE,UNIVERSITY DATE DEGREE/DIPLOMA DIVISION/GRADE
MAJOR SUBJECTS
ATTENDED CERTIFICATE OBTAINED OBTAINED
FROM TO

EMPLOYMENT INFORMATION
DATE LAST GROSS
NAME OF EMPLOYER POSITION HELD REASON FOR LEAVING SALARY(AMOUNT IN
FROM TO RS.)
All the information given by me in this form is true and correct to the best of my knowledge

Date:________________ _____________________
Signature of the Applicant
THUMB

_____________________________ ______________________________
ZONAL ADMINISTRATOR CHIEF EXECUTIVE OFFICER (CEO)