1
NLC-IAF-2013
National Logistic Cell
Internship Application Form
2013
Place Passport Size
Photo with Blue
Background
INTERNSHIP DISCIPLINE
ADVERTISEMENT IN
DATED
Instructions:
i.
Personal Information should be in Capital Letters.
ii.
Properly filled / complete forms will only be considered.
iii.
No Column will be left blank (In case of non applicability NA / Nil should be filled).
A. Personal Information:
1. Name: --------------------------------------------------------------------------------------------------------------------------------2. Fathers Name: ------------------------------------------------------------------------------------------------------------------------
3. CN.I.C No.:
4. Religion: ----------------------------------
5. Sect: ------------------------------- 6. Caste: -------------------------------
7. Nationality: ----------------------------------------------
8. Gender
9. Domicile Distt: -----------------------------------------
10. Domicile Province : ---------------------------------------------
11. Date of Birth (dd/mm/Year): -----------------------
13. Marital Status:
12.Age: -------------------------
Male
Married
Separated
Female
Unmarried
Widowed
Divorced
14. Permanent Address: -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Tehsil: .: ------------------------------- Distt:-------------------------------- Province:-------------------------------------------15. Present Address: --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Tehsil: .: ------------------------------- Distt:--------------------------------
Province:-------------------
16. Postal Address: -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Tehsil: .: ------------------------------- Distt:--------------------------------
Province:--------------------
17. Personal Contacts :
a) Phone No. (With Area Code):-------------------------------c) Fax No.(If any):---------------------------------------------b) Mobile No.:-----------------------------------------------------
d) E-mail Address:----------------------------------------------
2
B. Academic Background:
1. Qualification (Starting from last degree you held)
Degree Held
Field of Study
Institution
From
Division /
Grade
To
2. Provide Details of Professional Training , Certifications etc.
Course/Diploma/Certification
Field of Study
Duration
Institution
From
Results
To
C. Awards / Achievements:
D. Computer Literacy [List SW/HW info known to you]
HW/SW/Applications
No
Little
Good
Excellent
MS Word
MS Excel
MS Power Point
MS Access
OAS
E. Employment History - Starting from present position (If any).
Total working experience: _____________ Years ____________ Months.
Period
Organization
Position
From
F. Family Details:
To
Per month
Pay
Drawn
Reasons of Leaving
3
Next of Kin: ___________________________
Relation: _________________________
Address: _____________________________________________________________________________
Name
Sex
Date of Birth
Age
Relation
Profession
Present Address
G. Medical Ailment / History / Disability:
Do you have any infection disease such as AIDS, HIV, Hepatitis, TB?
_______________________________________________________________________________________________
Do you have any disability?
Last Medical Fitness Test. Please mention date and results.
______________________________________________________________________________________________
H. Discipline:
Have you ever been punished by the Court of Law?
Yes
No
Have you ever been expelled from university / institutions?
Yes
No
Do you have any political affiliation?
Yes
No
Give details.____________________________________________________________________________________
I. Choice of Duty Station:
1. -------------------------------------------------------------
2. ----------------------------------------
3. ------------------------------------------------------------Reason for Choosing Above Station(s): ______________________________________________________________
_______________________________________________________________________________________________
Are you willing for internship anywhere in Pakistan?
Yes
No
Are you willing to stay in Field Area / Project Sites?
Yes
No
J. Availability:
1. Are you willing to Join for internship in 1st Quarter (1st Jan 2014 to 31 Mar 2014).
Yes
No
2. Are you willing to Join for internship in 2nd Quarter (1st Apr 2014 to 30 Jun 2014).
Yes
No
3. Are you willing to Join for internship in 3rd Quarter (1st Jul 2014 to 30 Sep 2014).
Yes
No
4. Are you willing to Join for internship in 4th Quarter (1st Oct 2014 to 31 Dec 2014).
Yes
No
K. References:
1. Provide a details of two Academic / Professional References :
Reference-1
Reference-2
1. Name: ______________________________________
1. Name: ______________________________________
2. Address: ____________________________________
2. Address: ____________________________________
_____________________________________________
_____________________________________________
3. Phone: _____________________________________
3. Phone: _____________________________________
4: Fax _______________________________________
4.Fax:________________________________________
5. E-mail: ____________________________________
5. E-mail: _____________________________________
2. Do you have blood relative(s) serving in NLC:
Yes
No
If yes then mention following details:-
1.
Name: ___________________________
1.
Name: _____________________________________
2. Designation: _______________________
2.
Designation: ________________________________
3.
Relationship: __________________________
3.
Relationship: ________________________________
4.
Department: __________________________
4.
Department: ________________________________
5. Location: ____________________________
L. Declaration:
5.
Location: __________________________________
By
signing
below
and
submitting
this
Application
Form,
----------------------------------
S/O,
D/O
----------------------------do hereby declare that the information provided above, is accurate to the best of my knowledge
and I fully understand that my false statement or material omission / suppression of any fact shall regret my application
and shall render me liable to disciplinary and/or dismissal from service, at any stage.
Signature of Applicant: ___________________________
Date: __________________________
Note:Filled application form should be sent through e-mail at hr@nlc.com.pk
mentioning the Discipline, Quarter, Location and Qualification Status i.e
Graduate or Undergraduate in the subject line for example:Internship Finance 1st Quarter Rwp (Graduate)
OR
Internship Human Resource 1st Quarter Rwp (Under Graduate)
