QMF-035-HR-02-01 Issued Date: 01-06-2004 Issue Status: 01

BIO DATA FORM

(Officer & Manager Cadres)
INSTRUCTIONS
1 Please fill in this form clearly in BLOCK LETTERS, in your own hand writing.
2 Attach copies of National Identity Card, Academic & Experience Certificates. Please attach your
3 Attach three latest passport size photographs. recent photograph
4 Attach the pay-slip of your last drawn salary or a salary certificate from your last served organization.
5 The information and all details furnished by you will be treated as strictly confidential.
6 Incorrect information can result into your disqualification.

POST APPLIED FOR Date of Birth Age

/ /
Full name Nationality Religion

Father's / Hasband's name Height Weight

Father's / Hasband's Occupation Marital Status

Single Married Widow(er)
Present Address
Number of Children Male: Female:

Tel. Res Tel. Mobile Blood Group

Permanent Address (If different)
E.O.B.I No.
- -
Any other contact Number(s)

I.D. Card No. (Old) - - I.D. Card No. (New) - -

FAMILY DETAIL
DEPENDANT FAMILY NON-DEPENDANT FAMILY
Name Relationship Age Name Relationship Occupation

EDUCATION Please start with the most recent and move backwards
Examination Institution City Period Division/ Main Subjects
Passed From To Grade

COMPUTER SKILLS
Software Proficiency Software Proficiency
Adequate Good Excellent Adequate Good Excellent

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What is your main area of specialization?

PROFESSIONAL TRAINING (Diplomas, Certificates, Short Courses, Seminars & Workshops)

Title of Training Institution Duration Dates

JOB HISTORY (Present or most recent position)

Name of Employer Organisation Nature of Business

Address & Telephone Total No. of Employees

Date of Joining

Designation (Present / Last) Reporting to (Designation) No. of Subordinates

Designation (on joining) Reporting to (Designation) Gross Salary on joining

Reason for Leaving Date of Leaving / Still serving

Brief Job Description (Main Functions & Responsibilities) Emoluments (Last drawn) Perquisites

1 Basic Salary: Co. Car / Motorcycle

House Rent: Pick & Drop

2 Conveyance: Bonus

Utilities: Leave Fare Assistance

3 C.L.A: Leave Encashment

Others: Gratuity

4 Gross Salary: Provident Fund

Deduction: Group Life Insurance

.
NET SALARY: Hospitalisation Coverage

JOB HISTORY (Previous Jobs)

Employer Position Held From To Gross Salary

MEDICAL INFORMATION

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Date of Last Medical Examination Examined By Nature of Disabilities (if any)

Have you suffered / are you suffering from any of the following diseases?
Hepatitis Cardiac Disease Diabetes Hypertension Mental Illness

LANGUAGE PROFICIENCY (Slight, Fair or Fluent) HONOURS (Awards, Prizes, Scholarships etc.)
Language Reading Writing Speaking Year/Exam Description

EXTRA CURRICULAR ACTIVITIES

Please give detail of your spare time interest, hobbies and sporting activities:

Social, Fraternal, Business or other organization/ club etc., to which you belong:

SOURCE OF APPLICATION

Advertisement Someone Please give detail

REFERENCES Please give two responsible references who have known you for at least three years
Name Position & Company Telephone Nos. Relationship

ACQUAINTANCES If you know anyone in munawar pharma, please give detail

Name Designation City Relationship

Have you ever been Rusticated /Expelled while at school /college? Yes No

Have you ever been Terminated from Job? Yes No

Have you ever been Arrested, Indicted or Summoned into court as a defendant in a Yes No
criminal proceeding or Convicted, Fined or Imprisoned for the violation of any law?

DECLARATION
I hereby certify that the answers given by me to the foregoing questions are true, correct and without any omissions whatsoever.

I agree and clearly understand that in the event of my being employed in munawar pharma, if it is found that any statement or information
mentioned above in this application form is untrue or false, the same shall be sufficient cause of termination / dismissal of my sercive from
the Company.

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Applicant's Initials Applicant's Signatures Date

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