Full Name (in Block Letters)*

Date of Birth (DD/MM/YYYY)*

Father's / Husband Name*

Place of Birth*

Nationality*

Domicile*

If Dual Nationality, mention

Gender(Male/Female)

Religion*

Passport # (if any)

Marital Status*

If Married, No. of Children

CNIC # *

Physical Condition

Physical Condition

Nature of Disability (if any)

Using Contact Lenses / Glasses

Height (in feet/inces)

Weight(in Lbs)

Address

Residential Address (including city and country)

Permanent Address

Phone/Cell

Email Address

MATRIC / O LEVEL / EQUIVALENT

INTERMEDIATE / A LEVEL / EQUIVALENT

GRADUATION

MASTER’S DEGREE

OTHER

Section IV — Employment Record (if any)

Section VI — Relatives in PIA (if any)

Section VII — References

Name:

Name:

Occupation:

Occupation:

Address:

Address:

Tel/Cell No:

Tel/Cell No: