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1. Personal Information:
(a) Employee Personal No: _____________ (if already allotted)
(b) Name: ____________________________ Father Name_________________________
(c) Date of Birth: ______________________ C .N.I.C #:____________________ (Attach NIC photocopy)
(d) Domicile District: ______________________Email address: ______________________________
(e) Gender: ________________ Marital status: __________________Religion: _________________
(f) Postal Address:__________________________________________________________________
(g) Permanent address: ______________________________________________________________
(h) Office Phone No: _______________________Cell No:___________________________________
(i) GP Fund Account No: __________________(if already allotted)
2. Education Information:
S.No Qualification Passing Grade Board/
Name Year / GPA University Name Major Subjects
1 SSC
2.
3
4
5
6
7
3. Service Information:
Subscribers Nomination
1. _______________________________ 2. ________________________________