You are on page 1of 4

Educator App.

Form 2017-18
Government of the Punjab
School Education Department
Past one
Application Form for Educators (2017-18) Passport Size Photograph

Dirary No.___________________ Dated:____________________

Name of Posts Applied: SIDRA RAFIQUE Application Submitted to:___________________________


Applied against Quota: 1-Minority 2-Disable 3-Applicable 4-Rule 17-A 5-Open Merit
PERSONAL INFORMATION
CNIC Number: 3 1 2 0 5 - 0 6 7 3 8 2 1 - 0 Applicant's Name SIDRA RAFIQUE

Father's Name Muhammad Rafique Date of Birth: 1 0 / 0 1 / 1 9 9 3

Gender 1-Male 2-Female Religion: 1-Muslim 2-Non-Muslim Please Tick

Marital Status: 1-Single 2-Married Husband's Name (If Applicable):____________________

Domicile of applicant:
(Write only one Domicile District and Tehsil)
District BAHAWALPUR Tehsil YAZMAN

Domicile of her Husband (if applicable):


District____________ Tehsil
(Write only one Domicile District and Tehsil)

CNIC of her Husband : - - Cell # -

Permanent Address _______________________________________________________________


(As per Domicile)

Mailing Address _______________________________________________________________

ACADEMIC QUALIFICATION
Merit Marks
Subjects studied other than
Name of Div/ as per
SR. Certificate / compulsory e.g. Urdu, Board / Passing Marks Total
Certificate %age Grade/ Recruitmen
No. Degree English, Pak, Study, University Year Obtained Marks
/ Degree CGPA t Policy
Islamiat etc
2017-18

1 Matric

2 Intermediate

3 Graduation
Post
4
Graduation
B.Ed/M.Ed/
5
M.A Edu
6 NTS Test NTS
Any other
7
(Specify)
Marks under
8
Rule 17-A
TOTAL MARKS
DOCUMENTARY PROOF
Documents to be attached with the Application Form: (Tick the relevant box)
1-CNIC Copy 2-Domicile Copy 3-Nikkah Nama Copy 4-Husband's Domicile 5-Certificates/Degrees

6-Disability Certificate 7-Service Record (incase of in service employee 8-Departmental Permission(NOC)if any

9-CNIC of Her Husband 10-Service Record for availing 10 additional Marks under Rule 17-A
APPLICANT DECLARATION
I certify that the information mentioned in this application form is true and correct to best of my Signature:
knowledge and belief. I understand that statements found to be false/incorrect shall disqualify me from _______________
the recruitment process and would make me liable for criminal action under Criminal Procedure Code / Day Month Year
Pakistan Penal Code Date: / /
Passport Size Photograph

______________________
5-Open Merit

Please Tick

Merit Marks
as per
Recruitmen
t Policy
2017-18

5-Certificates/Degrees

tmental Permission(NOC)if any


Year