PARCO HSEQ-CHQ-HR-F-001B

Application for Employment

Corporate Head Quarter Rev. 001 25.03.2015 Page No. 1 of 2
CONFIDENTIAL
PAK-ARAB REFINERY LIMITED
Corporate Headquarters, Korangi Creek Road,
P.O. Box No. 12243, Karachi-75190, Pakistan RECENT COLOR
PHOTOGRAPH
APPLICATION FOR EMPLOYMENT
PM-1.1.3

Personal Information:
Family
Name:
Marital Single
Status: Married
Father's Name:
Present Address Permanent Address Children Boys Girls
Number
Ages

Spouse's qualification and

experience, if any

Parents
Residing with you:
Contact: Res: Office Cell Email Father only Mother only
Both None
Date of Birth Place of Birth Nationality Religion Domicile NIC NO. Financially dependent on you:
Wholly Partly Not dependent

Position Desired: _________________ Expected Salary: ________________ When able to join: _____________

Educational:
Examinations Passed Year CGPA/% Major Subjects Name and City of Institution

Matriculation
Intermediate
Diploma (DAE or others)
Bachelor's
Master's
Other

Employment History:
Please describe every position which you have held since the first job. Start from the last position. Also account for all periods of unemployment and state
reasons.

Date Name and Address of the Gross Salary

Position Held Reason for Leaving
Employer
From To Starting Last

PHOTOCOPY NOT ACCEPTABLE

1
 PARCO HSEQ-CHQ-HR-F-001B
Application for Employment
Corporate Head Quarter
Rev. 001 25.03.2015 Page No. 2 of 2

Please give break up of your present/last gross salary.

Basic Pay House Rent Utilities Conveyance Allowances Other Total Remarks

Any other benefits. please specify:

o May enquiries be made from your present/previous employers/supervisor? Yes No

o Are you under any service bond with your present employer? Yes No

o Have you previously applied or worked at PARCO? Yes No

o Do you have any relative employed in PARCO? Yes No

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

o Do you suffer or have suffered from any serious or contagious illness Yes No
or disability or hospitalization in the last 5 years. If yes, give details.

o Have you ever been convicted of crime other than traffic violation Yes No
if yes, give details:

o Does any member of your family (wife, children & parents) suffer from or have Yes No
a history of any serious contagious illness or disability, if yes, give details.

o Have you been charged with misconduct or issued any charge sheet or warning Yes No
letters by any previous employer? If yes, give details:

o Please feel free to add any other information you think should be considered in evaluating your application

Details of Armed Services (if any):

Last rank held: Date of service From To

Have you any reserve liability: If so up to when:

Reason for leaving:

References:

Please give the names of two persons other than relatives to whom you are well known.
Name Address Occupation/Position For how long are you Contact No
known to him/her

I certify that the information given by me 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 employment.

Applicant's Signature Date Place