Chief Minister (Punjab) Scheme for Chinese Language Scholarships Application Form Program applied for: Tick that is applicable 1. Category A Affix two recent passport size photograph Category B: Personal Information Name (in block letters) Father/Husband ‘s Name (in block letters) Tick that is applicable Mailing Address Telephone Email Day Month Year Age on closing date of Advertisement Date of Birth CNIC No. Marital Status 2. Days Months Single Married Years Gender Male Female EDUCATIONAL QUALIFICATION (in chronological order) Certificate/ Degree Major Subjects Institution Passing year Marks / CGPA Obt. Max. Per% / CGPA Matric FSc/FA BSc/BA/BS (Hons) Other courses ......................................................................................................................................................................................... Receipt Received by: Name______________________________ Signature ______________________________ Diary No.:_____________________________________ Date: ________________________________ Page 1 of 4 3. WORK EXPERIENCE (starting from the most recent) if any Duration Organization Position held/major duties D 5. From M Y D To M Y DISTINCTIONS/AWARDS 6. REFERENCES 1. 2. 7. CHECK LIST Identify documents attached with this application 1. Academics Certificates / Degrees a. Matriculation b. Intermediate c. Bachelor/ BS (Hons) 2. CNIC 3. Two passport size photographs 4. Domicile Certificate 5. Experience / Service Certificate/s 6. Certificate/s of Distinction/s 7. Certificate/s of Co-curricular Activities: 8. DECLARATION I hereby solemnly declare that all the information provided herein is correct to the best of my knowledge and belief. Date: Candidate’s Signature: Page 2 of 4 CERTIFICATE OF DEPARTMENTAL PERMISSION TO BE SUBMITTED BY THE CANDIDATE WHO IS IN GOVT./SEMI GOVT./ AUTONOMOUS BODY SERVICE WITH THE APPLICATION FORM DULY COMPLETED, FAILING WHICH THE APPLICATION SHALL BE REJECTED. 1. The following particulars should be filled in by the candidate:a. b. c. d. e. f. Name Father’s Name Post held presently Office/Department Category applied for Advertisement dated Dated: Signature of the Candidate 2. (This portion should be filled in by the Department / Office.) The above candidate has been permitted by this Office/Department to apply for the said scholarship and that:a. He / She has been employed in this Department / Office as ________________________________________________________since_______ b. He/She holds this post on permanent/temporary/contact basis. c. If a Departmental candidate/employee is selected, he/she will be relieved by the parent Department to join the Language Course for which he/she has applied for. Signature Name and Designation of the Appointing Authority or authorized Officer on his behalf Dated:_______________ Page 3 of 4 Name: Postal Address: Name: Postal Address: Name: Postal Address: Name: Postal Address: Page 4 of 4