Program

applied for:
Tick that is
applicable

Category A

Category

B:

Chief Minister (Punjab) Scheme

1. Personal Information
for
Affix two recent
Name(in block letters)
FAROOQ HAIDER
passport size photograph
Father/Husband s Name
(in
NISAR AHMAD BUTT
Chinese
Language
Scholarships
block letters)
Tickthat is applicable
Application Form
Mailing

MOHALLAH KASHMIRIAN, AHMADABAD, DISTRICT NAROWAL

Address
HAIDERBUTT06@GMAIL.CO
Telephone
Date of
Birth

CNIC No.

03367414341
Mont
Day
Year
h
23

07

Marital
Status

Email

1992
6

Age on closing
date of
Advertisement
- 1

Single

Gende

Married

Days

Month
s

Years

05

05

23

Male

5
Female

2. EDUCATIONAL QUALIFICATION (in chronological order)

Certificate/
Degree

Major
Subjects

Institution

Passin
g year

Marks / CGPA
Obt.

Max.

Per%
/
CGPA

Matric

SCIENCE

GOVT HIGH

2008

696

850

81

FSc/FA

PRE-ENGG

SCHOOL
PUNJAB

2010

728

1100

67

BSc/BA/BS

COMPUTER

COLLEGE
FUUAST

2014

3.44

4.00

77

(Hons)
Other courses

SCIENCE

..................................................................................................................................................

Receipt
Received by: Name______________________________Signature_______________________
DiaryNo.:_____________________________________Date: ________________________________

Page 1 of 4

3. WORK EXPERIENCE (starting from the most recent) if any

Organization
GOVT HIGH
SCHOOL
EMIGRATUS

Position held/major
duties
SSE-CS
ASSISSTANT NETWORK
ENGINEER

Duration
From
D
M
Y
26 05 201
5
01 03 201
3

D
-

To
M
-

30 03

Y
201
4

5. DISTINCTIONS/AWARDS
PARTICIPATION IN VARIOUS NAAT, SEERAT AND QUIZ PROGRAMMES

6.

REFERENCES
1. GOVT HIGH SCHOOL, AHMADABAD
2.

FUUAST ISLAMABAD

7. CHECK LIST

Identify documents attached with this application

1.

Academics Certificates / Degrees

a.

Matriculation

b.

Intermediate

c.

Bachelor/ BS (Hons)

2.

CNIC

3.

Two passport size photographs

4.

Domicile Certificate

5.

Experience / Service Certificate/s

6.

Certificate/s of Distinction/s

7.

Certificate/s of Co-curricular Activities:

8. DECLARATION
I hereby solemnly declare that all the information provided herein is correct to the
best of my knowledge and belief.
Date
:

Candidates
Signature:

Page 2 of 4

CERTIFICATE OF DEPARTMENTAL PERMISSION

TO BE SUBMITTED BY THE CANDIDATE WHO IS IN GOVT./SEMI GOVT./
AUTONOMOUS BODY SERVICE WITH THE APPLICATION FORM DULY
COMPLETED, FAILING WHICH THE APPLICATION SHALL BE REJECTED.
1 The following particulars should be filled in by the candidate:a.
Name

FAROOQ HAIDER

Fathers Name

NISAR AHMAD BUTT

Post held
presently

SSE-CS

Office/Departme
nt

EDUCATION DEPTT.

Category
applied for

2ND CATEGORY, FOR TECHNICAL

b.
c.
d.
e.
f.

Advertisement
dated

Dated:

Signature of the
Candidate

2 (This portion should be filled in by the Department / Office.)

The above candidate has been permitted by this Office/Department to apply for the
said scholarship and that:a. He / She has been employed in this Department / Office as
________________________________________________________since_______
b. He/She holds this post on permanent/temporary/contact basis.
c. If a Departmental candidate/employee is selected, he/she will be relieved by
the parent Department to join theLanguage Coursefor which he/she has
applied for.

Signature
Name and Designation of the
Appointing Authority or authorized
Officer on his behalf
Dated:_______________
Page 3 of 4

Name:
Postal Address:

Name:
Postal Address:

Name:
Postal Address:

Name:
Postal Address:

Page 4 of 4