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                                                                                                                         NLCAF-2012

                                                     National Logistic Cell
                                                      Application Form

                                                                                                               Place Passport Size
APPLICATION FOR THE POSITION OF                                                                                 Photo with Blue
                                                                                                                  Background
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. Father’s Name: ------------------------------------------------------------------------------------------------------------------------


                                                       -                                          -

3. CN.I.C No.:

4. Religion: ----------------------------------     5. Sect: ------------------------------- 6. Caste: -------------------------------


7. Nationality: ----------------------------------------------          8. Gender                     Male                Female

9. Domicile Distt: -----------------------------------------            10. Domicile Province : ---------------------------------------------


11. Date of Birth (dd/mm/Year): -----------------------                 13. Marital Status:      Married          Unmarried         Divorced
                                                                                                 Separated        Widowed
12.Age: -------------------------


14. Permanent Address: ----------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------
Tehsil: .: ------------------------------- Distt:-------------------------------- Province:--------------------------------------------

15. Present Address:       -------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------
Tehsil: .: ------------------------------- Distt:--------------------------------                      Province:-------------------

16. Postal Address:       ---------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------
Tehsil: .: ------------------------------- Distt:--------------------------------                      Province:--------------------
2

17. Personal Contacts :
a) Phone No. (With Area Code):--------------------------------
                                                                      c) Fax No.(If any):----------------------------------------------
b) Mobile No.:-----------------------------------------------------
                                                                      d) E-mail Address:----------------------------------------------
B. Academic Background:

1. Qualification (Starting from last degree you held)
                                                                                                                          Division /
    Degree Held            Field of Study                    Institution                    From             To
                                                                                                                           Grade




2. Provide Details of Professional Training , Certifications etc.

                                                                                                          Duration
Course/Diploma/Certification             Field of Study                    Institution                                         Results
                                                                                                      From          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
3


E. Employment History (Starting from present position. Must mention NLC experience if any):


Total working experience: _____________ Years ____________ Months.

                                                  Period            Per month
    Organization              Position                                 Pay              Reasons of Leaving
                                              From         To        Drawn




F. Family Details:


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.

______________________________________________________________________________________________
4

H. Discipline:



Have you ever been terminated from any service?                                               Yes          No


Have you ever been punished by the Court of Law?                                              Yes         No


Have you ever been punished by the Pakistan Armed Forces Act?                                 Yes         No


Have you ever deserted from Pakistan Armed Forces?                                            Yes         No

Give details.____________________________________________________________________________________




J. Choice of Duty Station:


1. -------------------------------------------------------------       2. ----------------------------------------
3. -------------------------------------------------------------

  Reason for Choosing Above Station(s): ______________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
  Are you willing for employment anywhere in Pakistan?                                              Yes         No
  Are you willing to be employed on contract basis (Extendable)                                     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
5

If yes then mention following details:-


1.    Name: ___________________________                       1.   Name: _____________________________________

 2. Designation: _______________________                      2.   Designation: ________________________________

 3.   Relationship: __________________________                3.   Relationship: ________________________________

 4.   Department: __________________________                  4.   Department: ________________________________

 5.   Location: ____________________________                  5.   Location: __________________________________

 L. Expected Remuneration:


Applicants’ Expected Per Month Salary. Rs……………..
Expected Perks / Privileges should be indicated (Pick and Drop Facility / Dedicated Transport, Mobile Ceiling, Medical
Coverage, Leave etc. However, perks are provided as per NLC Rules)……………….



  M. Acknowledgement:



It is certified that I have attached Scanned copies of following documents:-
1. Educational Certificates                                                                       Yes         No
2. Transcripts                                                                                   Yes          No
3. Degree / Diploma                                                                               Yes         No
4. Experience Certificates                                                                       Yes          No
5. Course Reports                                                                                 Yes         No
6. CNIC & Domicile                                                                                Yes         No
7. SVA (8101), Svc Particular Performa, Release / Retirement Order,                               Yes         No
  (Armed Forces Personnel Only)

N. Declaration:


By    signing    below   and    submitting    this   Application    Form,   I   ----------------------------------   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: __________________________

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Nlcaf2012

  • 1. 1 NLCAF-2012 National Logistic Cell Application Form Place Passport Size APPLICATION FOR THE POSITION OF Photo with Blue Background 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. Father’s Name: ------------------------------------------------------------------------------------------------------------------------ - - 3. CN.I.C No.: 4. Religion: ---------------------------------- 5. Sect: ------------------------------- 6. Caste: ------------------------------- 7. Nationality: ---------------------------------------------- 8. Gender Male Female 9. Domicile Distt: ----------------------------------------- 10. Domicile Province : --------------------------------------------- 11. Date of Birth (dd/mm/Year): ----------------------- 13. Marital Status: Married Unmarried Divorced Separated Widowed 12.Age: ------------------------- 14. Permanent Address: ---------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------- Tehsil: .: ------------------------------- Distt:-------------------------------- Province:-------------------------------------------- 15. Present Address: ------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------- Tehsil: .: ------------------------------- Distt:-------------------------------- Province:------------------- 16. Postal Address: --------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------- Tehsil: .: ------------------------------- Distt:-------------------------------- Province:--------------------
  • 2. 2 17. Personal Contacts : a) Phone No. (With Area Code):-------------------------------- c) Fax No.(If any):---------------------------------------------- b) Mobile No.:----------------------------------------------------- d) E-mail Address:---------------------------------------------- B. Academic Background: 1. Qualification (Starting from last degree you held) Division / Degree Held Field of Study Institution From To Grade 2. Provide Details of Professional Training , Certifications etc. Duration Course/Diploma/Certification Field of Study Institution Results From 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
  • 3. 3 E. Employment History (Starting from present position. Must mention NLC experience if any): Total working experience: _____________ Years ____________ Months. Period Per month Organization Position Pay Reasons of Leaving From To Drawn F. Family Details: 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. ______________________________________________________________________________________________
  • 4. 4 H. Discipline: Have you ever been terminated from any service? Yes No Have you ever been punished by the Court of Law? Yes No Have you ever been punished by the Pakistan Armed Forces Act? Yes No Have you ever deserted from Pakistan Armed Forces? Yes No Give details.____________________________________________________________________________________ J. Choice of Duty Station: 1. ------------------------------------------------------------- 2. ---------------------------------------- 3. ------------------------------------------------------------- Reason for Choosing Above Station(s): ______________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Are you willing for employment anywhere in Pakistan? Yes No Are you willing to be employed on contract basis (Extendable) 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
  • 5. 5 If yes then mention following details:- 1. Name: ___________________________ 1. Name: _____________________________________ 2. Designation: _______________________ 2. Designation: ________________________________ 3. Relationship: __________________________ 3. Relationship: ________________________________ 4. Department: __________________________ 4. Department: ________________________________ 5. Location: ____________________________ 5. Location: __________________________________ L. Expected Remuneration: Applicants’ Expected Per Month Salary. Rs…………….. Expected Perks / Privileges should be indicated (Pick and Drop Facility / Dedicated Transport, Mobile Ceiling, Medical Coverage, Leave etc. However, perks are provided as per NLC Rules)………………. M. Acknowledgement: It is certified that I have attached Scanned copies of following documents:- 1. Educational Certificates Yes No 2. Transcripts Yes No 3. Degree / Diploma Yes No 4. Experience Certificates Yes No 5. Course Reports Yes No 6. CNIC & Domicile Yes No 7. SVA (8101), Svc Particular Performa, Release / Retirement Order, Yes No (Armed Forces Personnel Only) N. Declaration: By signing below and submitting this Application Form, I ---------------------------------- 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: __________________________