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NLC-IAF-2016
National Logistic Cell
Internship Application Form
2016

INTERNSHIP DISCIPLINE __________________________________________

INTERNSHIP QUARTER (1 ST
OR 2ND)____________________________________ Place Passport Size
Photo with Blue
ADVERTISEMENT IN __________________________ DATED ______________ Background

Instructions:
i. Personal Information should be in Capital Letters.
ii. Properly filled / complete forms will only be considered.
iii. No Column will be left blank (In case of non applicability NA / Nil should be filled).

A. Personal Information:

1. Name: ---------------------------------------------------------------------------------------------------------------------------------

2. Fathers Name: ------------------------------------------------------------------------------------------------------------------------

3. CN.I.C No.: - -

4. Religion: ---------------------------------- 5. Sect: ------------------------------- 6. Caste: -------------------------------

7. Nationality: ---------------------------------------------- 8. Gender Male Female

9. Domicile Distt: ----------------------------------------- 10. Domicile Province : ---------------------------------------------

11. Date of Birth (dd/mm/Year): ----------------------- 13. Marital Status: Married Unmarried Divorced
Separated Widowed
12.Age: -------------------------

14. Permanent Address: ----------------------------------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------------------------------------------------------------
Tehsil: .: ------------------------------- Distt:-------------------------------- Province:--------------------------------------------

15. Present Address: -------------------------------------------------------------------------------------------------------------------

--------------------------------------------------------------------------------------------------------------------------------------------
Tehsil: .: ------------------------------- Distt:-------------------------------- Province:-------------------

16. Postal Address: ---------------------------------------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------------------------------------------------------------
Tehsil: .: ------------------------------- Distt:-------------------------------- Province:--------------------
17. Personal Contacts :

a) Phone No. (With Area Code):-------------------------------- c) Fax No.(If any):----------------------------------------------

b) Mobile No.:----------------------------------------------------- d) E-mail Address:----------------------------------------------

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B. Academic Background:

1. 1. Qualification (Starting from last degree you held)

Division /
Degree Held Field of Study Institution From To
Grade

2. Provide Details of Professional Training , Certifications etc.

Duration
Course/Diploma/Certification Field of Study Institution Results
From To

C. Awards / Achievements:

D. Computer Literacy [List SW/HW info known to you]

HW/SW/Applications No Little Good Excellent

MS Word

MS Excel

MS Power Point

MS Access

OAS
E. Employment History - Starting from present position (If any).

Total working experience: _____________ Years ____________ Months.

Period Per month

Organization Position Pay Reasons of Leaving
From To Drawn
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F. Family Details:

Next of Kin: ___________________________ Relation: _________________________

Address: _____________________________________________________________________________

Name Sex Date of Birth Age Relation Profession Present Address

G. Medical Ailment / History / Disability:

Do you have any infection disease such as AIDS, HIV, Hepatitis, TB?
_______________________________________________________________________________________________

Do you have any disability?

Last Medical Fitness Test. Please mention date and results.

______________________________________________________________________________________________

H. Discipline:

Have you ever been punished by the Court of Law? Yes No

Have you ever been expelled from university / institutions? Yes No

Do you have any political affiliation? Yes No

Give details.____________________________________________________________________________________

I. Choice of Duty Station:

1. ------------------------------------------------------------- 2. ----------------------------------------
3. -------------------------------------------------------------
Reason for Choosing Above Station(s): ______________________________________________________________
_______________________________________________________________________________________________
Are you willing for internship anywhere in Pakistan? Yes No

Are you willing to stay in Field Area / Project Sites? Yes No

J. Availability:

1. Are you willing to Join for internship in 1st Quarter (1st Jul 2015 to 30 Sep 2015) Yes No

2. Are you willing to Join for internship in 2nd Quarter (1st Oct 2015 to 31 Dec 2015) Yes No
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K. References:

1. 1. Provide a details of two Academic / Professional References :

Reference-1 Reference-2

1. Name: ______________________________________ 1. Name: ______________________________________

2. Address: ____________________________________ 2. Address: ____________________________________

_____________________________________________ _____________________________________________

3. Phone: _____________________________________ 3. Phone: _____________________________________

4: Fax _______________________________________ 4.Fax:________________________________________

5. E-mail: ____________________________________ 5. E-mail: _____________________________________

2. Do you have blood relative(s) serving in NLC: Yes No

If yes then mention following details:-

1. Name: ___________________________
1. Name: _____________________________________

2. Designation: _______________________ 2. Designation: ________________________________

3. Relationship: __________________________ 3. Relationship: ________________________________

4. Department: __________________________ 4. Department: ________________________________

5. Location: ____________________________ 5. Location: __________________________________

L. Declaration:

By signing below and submitting this Application Form, I ---------------------------------- S/O, D/O ----------------------------
do hereby declare that the information provided above, is accurate to the best of my knowledge and I fully understand
that my false statement or material omission / suppression of any fact shall regret my application and shall render me
liable to disciplinary and/or dismissal from service, at any stage.

Signature of Applicant: ___________________________ Date: _______________________________________

Note: Filled application form should be sent through e-mail at [email protected]

mentioning the Discipline, Quarter, Location and Qualification Status i.e.
Graduate or Undergraduate in the subject line for example:-

Internship Finance 1st Quarter Rwp (Graduate)

OR
Internship Human Resource 1st Quarter Rwp (Under Graduate)