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Job Application Form Oct 2018

This recruitment application form requests personal information such as name, date of birth, contact details, marital status, and family details. It also asks about the applicant's medical history, substance use, references, academic and work experience, expected salary, and gives consent for medical testing and termination if found using intoxicating substances without prescription. The applicant signs to verify the information provided and agrees to the conditions.

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ahmer
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98 views3 pages

Job Application Form Oct 2018

This recruitment application form requests personal information such as name, date of birth, contact details, marital status, and family details. It also asks about the applicant's medical history, substance use, references, academic and work experience, expected salary, and gives consent for medical testing and termination if found using intoxicating substances without prescription. The applicant signs to verify the information provided and agrees to the conditions.

Uploaded by

ahmer
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PHOTOGRAPH

RECRUITMENT APPLICATION FORM

Position Applied For:

Personal Information:

Father's / Husband's
Name
Name

Date of Birth Martial Status Married Single

CNIC Number Nationality

Emaill Address Phone #

Address:

If married please provide dependants details as follows:

Full Name Date of Birth Relation

Incase of emergency please provide contact details of who can be informed:

Full Name Contact Details Relation

Page # 1
Do you have any blood relation in SINA : YES NO
Do you know anyone in the Organization: YES NO

If YES please mention the name and department

Questionaire:
1. Are you suffering from any chornic illness(Diabetic/Hypertension/ Hepatitis B,
C or tuberculosis? If yes please specify:

2. Are you taking medication? If yes please specify:

3. Do you have any history of psychiartric illness? If yes please specify:

4. Do you take / have of the following:

Pan Smoking Beetle (Chalia)

Gutka Naswar IV Drugs

Other intoxicant material

Details for Reference Check: Personal / Professional:


Contact
Name Designation Company Name Email Address
Number

Academic Qualification:
PNC # (Pakistan Nursing Council) PMDC # Pakistan Medical & Dental College

Page # 2
Academic / Extra-curricular Achievement:

Univerisity /
College /
Degree Majors Discipline Institute Year passed Grade
Post
Graduation

Graduation

HSc / A Levels

SSc/ O Levels

Trainings / Certification

Name of Insitute Course Duration

Work Experience
Duration
Name of Organization From To Position Reason for Leaving

Gross salary last drawn: Gross salary expected:


Other benefits current: Other benefits expected:

(Note: Documentary evidence (payslip verified for the stated amount can be asked for)

I hereby verify that the above mentioned information is correct and absolute to my
knowledge. Also I don't have any life threatening disease presently, but upon finding
of any positive results diagnositic test provided falsified information by myself, I hereby
permit HR to immediately discontinue my recruitment process.
I also hereby authorize the HR if incase of employment to discontinue my services,
If I am found invloved in taking any intoxic material, drug or etc without prescription.
(And also take any test to diagnose the clear results)

Signature: Date:

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