Application Form

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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:_______________
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Name:
Postal Address:
Name:
Postal Address:
Name:
Postal Address:
Name:
Postal Address:
Page 4 of 4
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