OFFICE OF THE PROVINCIAL ELECTION COMMISSIONER, KPK, 11-A, MICHNI ROAD, PESHAWAR CANTT:

Application for POST of ______________________

APPLICATION FORM

Application Reference No. (for office use only) 1. 3. 5. 6. 7. 9. 12.

14.

Name _______________ Fathers Name_______________

2. 4.

Date of Birth ____________________ e-mail _________________________

Postal Address _______________________________________________________________ Permanent Address ___________________________________________________________ Contact #_______________ Gender:____________ 8. NIC # 10. Marital Status ____________

11. Domicile ___________

Province___________ 13. Religion _________

ACADEMIC RECORD (Give Exact names in Examination Column). Starting from High School (i.e. Matric) onwards in chronological Order.

Examination (Matric/O Level FA / F.Sc, BA/BSc, MA/MSc etc)

Marks Passing Year Board / University Obtained Total % age Division / Grade CGPA Major subjects of study.

15.

PROFESSIONAL EXPERIENCE:
Exact Name of Post Organization Name Duration Job Description

16.
I certify that the information provided by me in this Form is true, complete and correct to the best of my knowledge and belief. I understand that any misrepresentation or material omission made on Application Form or other document(s) requested by the ECP may result in cancellation of this and future application in ECP. Date: 13-11-2006 * Note: i) ii) iii) Do not send copy of any certificate/degree with application. Partially filled forms shall be rejected. Send applications through registered post to The Deputy Director (Estt), Office of the Signature: ____________________________________

Provincial Election Commissioner, KPK, 11-A, Michni Road, Peshawar Cantt: