U.S.

Department of State APPLICATION FOR EMPLOYMENT AS A LOCALLY EMPLOYED STAFF OR FAMILY MEMBER

OMB APPROVAL NO. 1405-0189 EXPIRES: 12/31/2012 ESTIMATED BURDEN: 1 Hour

(This application is for positions recruited by the U.S. Mission under the Office of Overseas Employments Interagency Local Employment Recruitment Policy) POSITION 1. Position Title 2. Grade

ADMINISTRATIVE ASSISTANT
3. Vacancy Announcement Number (If known)

FSN-7
4. Date Available for Work (mm-dd-yyyy) 02/01/2012 PERSONAL INFORMATION

12-07
5. Last Name (s) / Surnames First Name

Middle Name

SIAL
6. Other Names Used 7. Date of Birth (mm-dd-yyyy) 3/28/1983 9. Current address

MUHAMMAD

ADNAN

8. Place of Birth

LAHORE
10. Phone Numbers Day Evening Cell Yes Yes No No If yes, provide number 923218867277

H 209, B BLOCK, PGSHS, DEFENCE ROAD, MOHLANWAL, LAHORE.

[email protected]
12. Are you a U.S. Citizen? 13. Do you have permanent U.S. Resident status?

14a. U.S. Social Security Number (for U.S. Citizens/Permanent Residents) And / Or 14b. Country Identification Number 15. Are you legally eligible to work in this country? Yes No

If yes, Mission HR may require verification of eligibility. Please attach copies of all documentation that confirms your legal eligibility to work in this country (e.g., work permit, residency permit). If you are not sure if you need to submit proof of eligibility, contact the Missions HR office. 16.If hired, are there accommodations the Mission needs to provide so that you can perform all the essential functions and duties of the position? Yes No If yes, please explain

17. If you are applying for a position that includes driving a U.S. Government vehicle, do you have a valid drivers licence? Yes No If yes, Class / Type of License If yes, have you operated a vehicle without incident for the past three years? Yes No

DS 0174 12-2009

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18. What days are you available to work as part of a regularly scheduled work week? (Check all that apply) Sunday Monday Tuesday Wednesday Thursday Friday Saturday

19. Do any of your relatives or members of your household work for the United States Government? Yes No If yes, provide the details below. If you need more space, use an additional sheet of paper. (See instructions for Completing the DS-174 for the definition of relatives and members of household. Name Relationship Agency, Position and Location

U.S. CITIZEN ELIGIBLE FAMILY MEMBER (USEFM) AND U.S. VETERANS HIRING PREFERENCE

20. Are you claiming preference in hiring under U.S. law, including the Foreign Service Act of 1980, based upon your status as either a U.S. Citizen Eligible Family Member (USEFM) or U.S. Veteran? See Instructions for Completing the DS-174 for additional information about the USEFM and U.S. Veterans hiring preference. (Check only one) Yes, I am a U.S. Citizen EFM and also a U.S. Veteran Yes, I am a U.S. Veteran Yes, I am a U.S. Citizen EFM No, I am neither a U.S. Citizen, nor a U.S. Veteran

If claiming eligibility for U.S. Veteran preference, you must attach a copy of your most recent DD-214, Certificate of Release or Discharge from Active Duty. If claiming conditional eligibility for U.S. Veterans preference, you must submit proof of conditional eligibility.
EDUCATION 21. Graduate School Name of School, City, State, Country Dates Attended (mm-dd-yyyy) From 1/28/2010 Graduate? Degree / Diploma Major Subject

AIR UNIVERSITY ISLAMABAD FEDERAL CAPITAL PAKISTAN

DEGREE
Yes

MANAGEMENT

To

12/31/2011

No Graduate? Yes Degree / Diploma Major Subject

Dates Attended (mm-dd-yyyy) From 2/2/2007

ALLAMA IQBAL OPEN UNIVERSITY ISLAMABAD FEDERAL CAPITAL PAKISTAN

DEGREE

HUMAN RESOURCE MANAGEMENT

To

2/2/2009

No Graduate? If no, highest grade level completed Yes

Dates Attended (mm-dd-yyyy) From 3/3/2005

PUNJAB UNIVERSITY LAHORE PUNJAB PAKISTAN

B.A.

To

3/4/2006

No Graduate? Yes Certificate / Diploma Major Subject

CENTRAL MODEL
DS 0174 12-2009

Dates Attended (mm-dd-yyyy) From 3/3/1997

MATRIC

SCIENCE
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LAHORE PUNJAB PAKISTAN

LICENSE, SKILLS, TRAINING, MEMBERSHIP, AND RECOGNITION 22. List professional licenses, certifications, typing/keyboard, computer skills, formal and on-line training, and other skills and abilities you consider relevant to the position. Please include the license or certification number. Attach a copy if the license or certification is a requirement of the position. If licensed in the U.S., please list the state of issuance. If licensed in another country, please list the province/state/region and country of issuance. (Use additional pages, as required).

TYPING SPEED 55 WPM BASIC IT TRAINING LINUX END USER LINUX ADMINISTRATION MATERIAL MANAGEMENT, WAREHOUSING AND PROCUREMENT
23. List professional organizations, associations, awards, honors, fellowships, and publications you consider significant

INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH, VOL, 3 NO. 5, 2011. WORLD APPLIED SCIENCES JOURNAL, VOL 15, NO. 6
LANGUAGES 24. List your languages, the appropriate competency levels, and your primary/ first spoken/native language using the language standards below. You may only identify one primary/first spoken/native language. Languages Indicators Level I = Basic Knowledge Level II = Limited knowledge Level III = Good Working Knowledge Language Speak Read Write Primary Language? Yes Yes Yes Yes No No No No Level IV = Fluent Level V = Professional Translator / Interpreter

ENGLISH URDU PUNJABI

III VI VII
WORK EXPERIENCE

V VII V

IV VII V

Include all work experience, paid and voluntary. Start with your present or most recent work experience. When describing work, list specific duties/responsibilities and accomplishments. Include supervisory responsibilities and the number of employees supervised. Go into as much detail as possible for work experience that directly relates to the advertised position. Include all periods of unemployment and the reason. (Use additional pages, as required) 25a. Job Title (If U.S. Government, include the Series and Grade)

REGIONAL DIRECTOR
From 9/1/2009 (mm-dd-yyyy) To

DATE
(mm-dd-yyyy)

Salary per year in U.S. Dollars or Local Currency

Hours per Week

PAK RS. 480000/-

40
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DS 0174 12-2009

Employers Name and Address

Supervisors Name and Contact Information Name

JEELANI BIZ EDEN TOWER, LAHORE.

ALI IMRAN 0321-4559909 [email protected]

Phone Number E- mail Address

May HR contact your current supervisor? Yes No Describe your major duties/responsibilities and accomplishments.

BUSINESS DEVELOPMENT AND SEARCHING FOR NEW OPPORTUNITIES. TO PREPARE JOB DISCRIPTIONS FOR EACH POSITION. PREPARATION AND IMPLEMENTATION OF HR POLICIES AND IN LINING THE ORGANIZATIONAL GOALS WITH INDIVIDUAL'S. HIRING AND TRAINING OF NEW EMPLOYEES.
Reason(s) for leaving. (Do not write N/A or Not applicable)

WANTS TO WORK WITH WELL REPUTED AND INTERNATIONALY REOWNED ORGANIZATION.

INTERNEE HR.
From 7/13/2009 (mm-dd-yyyy) To 8/22/2009 (mm-dd-yyyy) Salary per year in U.S. Dollars or Local Currency Hours per Week

RS. 2500/Supervisors Name and Contact Information Name

40

Employers Name and Address

CHAWLA CHEMICAL AND METAL INDUSTRIES QUAID E AZAM INDUSTRIAL AREA LAHORE

WAJEEHA KHALID

Phone Number E- mail Address

May HR contact your current supervisor? Yes No Describe your major duties/responsibilities and accomplishments.

PREPARATION OF JOB DESCRIPTION. HIRING AND FIRING. PREPARATION OF PAYROLLS AND IMPLEMENTATION OF HR PRACTICES. MANAGING PERFORMANCE APPRAISALS AND FEEDBACK.
Reason(s) for leaving. (Do not write N/A or Not applicable)

COMPLETION OF INTERNSHIP.
25c. Job Title (If U.S. Government, include the Series and Grade)

LECTURER
From 1/1/2008 (mm-dd-yyyy) To 12/1/2008 (mm-dd-yyyy) Salary per year in U.S. Dollars or Local Currency Hours per Week

RS. 240000/-

40

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Employers Name and Address

Supervisors Name and Contact Information Name

NICON 6TH ROAD, RAWALPINDI, PAKISTAN.

MIR WAJID 03456444462

Phone Number

E- mail Address

May HR contact your current supervisor? Yes No Describe your major duties/responsibilities and accomplishments.

IMPARTING KNOWLEDGE TO THE STUDENTS OF MBA THROUGH DELIVERING LECTURES, ASSIGNMENTS AND PROJECTS. DELIVERED LECTURES ON ORGANIZATIONAL DEVELOPMENT, HUMAN RESOURCE MANAGEMENT, HUMAN RESOURCE DEVELOPMENT, PERFORMANCE MANAGEMENT, ORGANIZATIONAL BEHAVIOR, AND BUSINESS RESEARCH.
Reason(s) for leaving. (Do not write N/A or Not applicable)

JOB OPPORTUNITY IN INDUSTRY WITH BETTER POSITION AND PAY.

From

(mm-dd-yyyy)

To

(mm-dd-yyyy)

Salary per year in U.S. Dollars or Local Currency

Hours per Week

Employers Name and Address

Supervisors Name and Contact Information Name Phone Number E- mail Address

May HR contact your current supervisor? Yes No Describe your major duties/responsibilities and accomplishments. Reason(s) for leaving. (Do not write N/A or Not applicable) REFERENCES 26. List three personal references who are not relatives or former supervisors who have knowledge of your work performance. Mission HR will obtain your permission before contacting any references. Name Address or E-mail Telephone 923215305790 Occupation

GROUP CAPTAIN SYED MUKHTAR AHMED JILANI FAQIR MUHAMMAD

SMAJILANI@YAH OO.COM

DEFENCE PERSON PROFESSOR AIR

923215112251

UNIVERSITY FAROOQ

923004322313

PROFESSOR PUNJAB UNIVERSITY

SIGNATURE AND CERTIFICATION 27. I certify that, to the best of my knowledge and belief, all of the information on and attached to this application is true, correct, complete, and made in good faith. I understand that false or fraudulent information on or attached to this application may be grounds for not hiring me, or for terminations/dismissal after I begin work, and may be punishable by fine or imprisonment according to this countrys law or U.S. law. I understand that any information I voluntarily provide on or attached to this application may be investigated.

Signature

Date (mm-dd-yyyy)

1/20/2012

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DS-174 CONTINUATION SHEET WORK EXPERIENCE 25__. Job Title (If U.S. Government, include the Series and Grade)

From

(mm-dd-yyyy)

To

(mm-dd-yyyy)

Salary per year in U.S. Dollars or Local Currency

Hours per Week

Employers Name and Address

Supervisors Name and Contact Information Name Phone Number E- mail Address

May HR contact your current supervisor? Yes No Describe your major duties/responsibilities and accomplishments. Reason(s) for leaving. (Do not write N/A or Not applicable) DS-174 CONTINUATION SHEET WORK EXPERIENCE 25__. Job Title (If U.S. Government, include the Series and Grade)

From

(mm-dd-yyyy)

To

(mm-dd-yyyy)

Salary per year in U.S. Dollars or Local Currency

Hours per Week

Employers Name and Address

Supervisors Name and Contact Information Name Phone Number E- mail Address

May HR contact your current supervisor? Yes No Describe your major duties/responsibilities and accomplishments.

Reason(s) for leaving. (Do not write N/A or Not applicable)

DS 0174 12-2009

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