091-2614227, 091-26142278
Higher Education Management Information System (HEMIS)
Higher Education, Archives & Libraries Department, Govt of Khyber Pakhtunkhwa
Questionnaire for Government Colleges (College Staff)
(Academic Year 2018-19)
A. Personal Information
1. Name (in Block Letters) _________________________________________________________________
2. Father / Husband Name ________________________________________________________________
dd mm yyyy
3. Gender (1-Male, 2-Female) 4. Date of Birth
5. Marital Status (1-Married, 2-Unmarried) 6. Domicile District:_____________________________
7. CNIC No. - - 8. Religion:_______________
9. Phone (Office):___________________________ 10. Phone (Residence):______________________
11. Mobile No.____________________________ 12. Email Address:_________________________
13. Personal No.____________________________
14. Postal Address::_______________________________________________________________________
15. Permanent Address:____________________________________________________________________
16. Present Posting (College/Office Name):___________________________________________________
B. Service Information:
17. Initial Appointment
i. Employment Status (1-Permanent, 2-Contract (PSC), 3-Contract (06 monthly), 4-Adhoc)
ii. Appointment Date:__dd__/__mm__/__yyyy___. iii. Designation:_____________________
iv. BPS ____________________ v. Subject: ______________________________________
18. Present Posting
i. Employment Status (1-Permanent, 2-Contract (PSC), 3-Contract (06 monthly), 4-Adhoc)
ii. Appointment Date:__dd__/__mm__/__yyyy___. iii. Designation:_____________________
iv. BPS ____________________ v. Subject: ______________________________________
19. Service History (starting from the recent)
S# Designation BPS College / Office Name From To
1 ___/___/___
2 ___/___/___ ___/___/____
3 ___/___/___ ___/___/____
4 ___/___/___ ___/___/____
5 ___/___/___ ___/___/____
6 ___/___/___ ___/___/____
7 ___/___/___ ___/___/____
8 ___/___/___ ___/___/____
C. Qualifications (Starting from Matriculation & onwards)
Marks
Certificate / Percentage
S# Board / University Session Obtained /
Degree / GPA
Total Marks
1
2
3
4
5
6
7
D. Training / Courses (Starting from the recent)
Duration
S# Training /Course Name Institute Name with Address
From To
1 ___/___/____ ___/___/____
2 ___/___/____ ___/___/____
3 ___/___/____ ___/___/____
E. Leave History
Duration
S# Leave Type Remarks
From To
1 ___/___/____ ___/___/____
2 ___/___/____ ___/___/____
3 ___/___/____ ___/___/____
4 ___/___/____ ___/___/____
5 ___/___/____ ___/___/____
6 ___/___/____ ___/___/____
7 ___/___/____ ___/___/____
Employee Signature Principal Signature & Stamp