PAK-ARAB REFINERY LIMITED

Corporate Headquarters, Korangi Creek Road, P.O.Box No. 12243, Karachi -75190, Phone: 021-509100-25

INTERNSHIP APPLICATION FORM

RECENT
Name of Candidate ______________________________________________ Father's Name ______________________________________________ PHOTOGRAPH

Domicile ______________________________ Blood Group ____________ Email: ____________________________________________

Present Address: _____________________________________________________________________________________________________________

Permanent Address:_____________________________________________________________________________________________________________________________

Phone (Residence): _____________________________________________

Mobile: __________________________________________ Others:______________________________
Date of Birth Place of Birth Nationality Religion C-N.I.C. No.

Session/Year of Division/ Marks

Qualification Name & Address of Institution
Passing Grade Obtained Out of % age

SSC/O-Level

HSC/A-Level

Bachelors: (Kindly mention the name and duration of degree)

Degree: ___________________________________ Duration:_________________________
Session/Year of Division/ Marks
Year/Semesters Name & Address of Institution
Passing Grade Obtained Out of % age

Semester -I
1st Year
Semester -II

Semester -I
2nd Year
Semester -II

Semester -I
3rd Year
Semester -II

Semester -I
4th Year
Semester -II

Total Marks (Aggregate)

Masters: (Kindly mention the name and duration of degree)

Degree: ___________________________________ Duration:_________________________
Session/Year of Division/ Marks
Year/Semesters Name & Address of Institution
Passing Grade Obtained Out of % age

Semester -I
1st Year
Semester -II

Semester -I
2nd Year
Semester -II

Total Marks (Aggregate)

Computer/Other Skills
Previous Internships / Experience (if any)
Date Department Position Emolument
Name & Address of Employer
From To Stipend / Salary Any Other Benefits

Do you have any relative employed in PARCO? __________ Yes ___________ No

If yes, please state his/her name, position/department and relationship.

Do you suffer or have suffered from any serious contagious illness or disability in the last 5 years? __________ Yes ___________ No

If yes, give details.

I certify that the information given by me in this application is true and correct to the best of my knowledge and I understand that a false statement will render me
liable for termination of my Internship.

Signature of Candidate Date