Microsoft Word - BCL FORM - Final.doc
Nass Corporation (BSC) Company Ltd EMPLOYMENT FORM NO: EMP:
547837-2015 NASS AN EQUAL OPPORTUNITY EMPLOYERPlease carefully read
the Guidelines on the last page before filling this FormFOR
OFFICIAL USE ONLY
Application accepted/rejected/contingent
Reasoning
Date of Interview
Joining Date
Initials
Date
POSITION APPLIED FOR Job title
Department
Last Date: June 17,2015
Have you any employer? youyou at present employed?YesNo
How much notice do you need to give to your current
employer?
Would you accept a temporary position?YesNo
Would you accept a part time position?YesNo
Have you worked for NASS before?YesNo
WhenWhereEmployee No.
Reasons for leavingNASS LTD.
Referral source:(Website/ Newspaper/ TV/ Radio/ College/
Universityplacement office/ Employee Referral/ Friend/ word of
mouth/ Employment Agency/ Bulletin Board)Specify source
Name
PERSONAL DETAILSPHOTOGRAPHPlace of birthN.I.C No. - -9
ReligionMarital status Single Married Separated WidowDETAILS OF
DEPENDENTS (SPOUSE (S) & UNMARRIED CHILDREN OR PARENTS)
NAMERELATIONSHIPOCCUPATIONDATE OF BIRTH
PRESENT ADDRESSH.No. St. No.
Town
City/Village Tehsil_
District Post Code/Post Office Telephones (include full STD
code)Home Work Mobile, if you have one
Fax, if you have one E-mail, if you have one
May we contact you by e-mail - Yes / No
May we contact you at work - Yes / No
PERMANENT ADDRESS (if different from above)H.No. St. No.
Town
City/Village Tehsil_
District Post Code/Post Office Home Telephone (include full STD
code)
NEXT OF KIN
NameRelationshipAddress (if different from aboveHomeTelephone
(include full STD code)WorkTelephone (include full STD code)Mobile
phone (include full STD code)
NOMINATION FOR PAYMENT OF GRATUITY & FINAL DUES IN THE EVENT
OF DEATH
Sr. #NameRelationshipAddressPhone No.
Do you have any caring responsibilities? (E.g. young children,
dependent relatives) Yes No Have you ever been convicted of a
crime? If yes, describe in full, including date and location of
court records. A conviction will not necessarily disqualify you
from employment and will be considered only if it relates
reasonably to the job duties. Yes No Do you hold a valid driving
License? Yes No Have you any relatives presently working with NASS
If yes, state name, designation and relationship and company where
your relative works
What absences (in number of days) from work have you had in the
last 2 years?Sickness Casual_ Annual Others
HEALTH DECLARATIONA health condition will not necessarily
disqualify you from employment and will be considered only if it
relates reasonably to the job duties.o Do you suffer from any
chronic disease or repetitive illness? Yes No oDo you have any
disability? Yes No oHave you had any major illness identified in
least five years? Yes NoIf the answer to any of the above is YES,
please provide as much details as possible.
EDUCATIONCertificate(s)/Diploma(s) Degree(s)Name
ofSchools/CollegesCity andCountryDates attendedRoll No/Reg
NoMonth&Year ofAward
FromTo
Matriculation / O-Levels / GCSE or equivalent
Intermediate / A-Levels or equivalent
Graduation
Post-Graduate / Professional
FUTURE PLANS TRAINING SECTIONList any training you have received
or courses which did not lead to a qualification but which you feel
is relevant to the job you are applying for.o PROFESSIONAL
TRAININGDescriptionConducted byOrganization/InstitutionCity
andCountryDates attendedLevel attainedDate ofAward
FromTo
o OTHER TRAININGDescriptionConducted
byOrganization/InstitutionCity andCountryDates attendedLevel
attainedDate ofAward
FromTo
EMPLOYMENT RECORDBegin with your present or most recent
employment. Include any periods of self-employment. If more than
one position has been held with the same employer, list each
position separately with most recent position first. If you are
fresh or have no experience then simply write N/A yet in given
below columns.Attach original or a certified copy of your most
recent pay slip if available .Please be aware that information
provided in this section will be confirmed with your present / most
recent employerEmployer
Nature of Business
Address, phone, fax, email
Managers / Supervisors name
Position held/Title/Designation
Number of staff who directly report to you
Brief description of duties, responsibilities and
accomplishments
Dates of employmentFromToFromToFromTo
Starting salary package
Ending salary package
May we contact the employer?
Reasons for wishing to leave or for having left
Expected salary packageFrom NASS LTD?
Future career aspirations
REFERENCESPlease provide details of three people who know you
and your work to whom personal and professional reference can be
made:Present or most recent employer (Head of Department)Person you
know in a professionalcapacity outside your present or most recent
place of employmentA relative or a person you know in a personal
capacity
Title and Name
Position held
Full address
E-Mail
Telephone
Fax
Mobile
How long known
Processing Fee
You are requested to submit Rs.1600/- (Refundable for unselected
candidate only) as processing fee in given below details of
Director HR of and fill the Transaction ID, Code with date in given
below space.
Why Company charging processing fee?
Processing fee is charge in terms of processing expenses of the
verification such as CNIC Verification through NADRA (CNIC NO),
Degree (By using Registration No / Roll NO) Verification and
Miscellaneous etc... The processing fee is refundable for
unselected candidate only.
How to deposit the fee?For UBL Omni or Easy PaisaJust go to any
nearest UBL Omni or Easy Paisa Shop and deposit the fee amount
through CNIC Only and mention the Transaction ID, Easy Paisa or
Omni Shop Name and Code in the given below column.
You can also deposit through Easy Paisa Service
Note: The Mobile No is not used for communication and it is
linked with Accounts Server.
Processing Fee Details: For UBL Omni or Easy Paisa
Mobile No: 0332 3002008 CNIC: 37405 1250273 3 Transaction ID:
_____________ Shop Name: ____________________ Code:
____________Only attach color scan copy of your Current National
Identity Card (CNIC) with the E-Form.
Please do not send any certificates with your application.These
will be required at the time of interview, once an offer is made
and accepted. DECLARATIONI certify that the information provided by
me in this form and all transcripts/documents submitted herewith or
in connection with this application for employment is accurate and
true, and may be subject to verification, I understand that
falsification or concealment of any information, may disqualify my
application and/or be ground for disciplinary action up to and
including termination and /or legal action. Unless otherwise
indicated, I agree and give my consent that any person, firm or
organization listed herein is authorized to furnish NASS with
reference material concerning my character, past employment or any
other information requested.Signatures
(Applicant shall be deemed to have signed this Form and made the
above Declaration if thisForm is submitted through email without
signature of the applicant is accepted)
Date
GUIDELINES FOR FILLING THE FORMIf you have any problem
completing this form please contact the HR Department at
[email protected] may also wish to submit a CV, but if you
do please note that it would still be necessary to complete and
submit this form in full.You must provide all information requested
in this form to avoid rejection of your application. Use additional
sheet where necessary.
The form may be emailed to the given below Email Address.Type or
print scan in black or blue ink and in block capitals. Any
information you provide is confidential.The acceptance of this form
does not in any way whatsoever assure eventual employment with NASS
LTD.Please note that your application will not be acknowledged if
the form is incomplete.
Only short listed candidates will be notified of the outcome of
their applications; if you do not hear within two weeks of the
closing date you should assume that your application has been
unsuccessful on this occasion.
Disability:A disability is a permanent physical, mental or
sensory condition. The disability must be substantialrather than
slight, and permanent in that it is seldom fully corrected by
medical replacement, therapy, or surgical means. This confidential
information is solicited only to ensure compliance with our policy
of providing equal opportunities to all prospective candidates. It
should not be construed and will not be considered as a
request.
Salary package:Means gross salary before deduction of any taxes
or contributions (e.g. pension, provident fund etc.) plus any other
monetary and non-monetary perquisites and benefits (e.g.
bonuses,provident fund, gratuity, medical insurance, life
insurance, company maintained vehicle, LFA, paid leave, etc.)This
form may be: Emailed to [email protected] Head
OfficePO Box No 5740Khayaban-e-Iqbal, D.H.A Karachi 75500, Pakistan
Fax: +92 (21) 32419162
Regional Offices:Lahore, Sukkur, Faisalabad, Multan, Islamabad,
PeshawarGroup Head Quarters
Nass Corporation Ltd P.O. Box No. 3286 Building 1295, Road 239,
Manama, Bahrain Fax:+973 17 786 450
Mr. / Ms / Miss / Mrs.NameSurnameFathers/ Husbands nameDate of
birth
_
_1413969167.doc
Arabian Cement Company
EMPLOYMENT FORM NO: EMP: 35289-2012
ACC AN EQUAL OPPORTUNITY EMPLOYER
Please carefully read the Guidelines on the last page before
filling this Form
FOR OFFICIAL USE ONLY
Application accepted/rejected/contingent
Reasoning
Date of Interview
Joining Date
Initials
Date
POSITION APPLIED FOR
Job title
Department
Last Date:
November 11, 2012
Are you at present employed?
Yes
No
How much notice do you need to give to your current
employer?
Would you accept a temporary position?
Yes
No
Would you accept a part time position?
Yes
No
Have you worked for ACC Group before?
Yes
No
When
Where
Employee No.
Reasons for leaving
ACC Group
Referral source:
(Website/ Newspaper/ TV/ Radio/ College/ University
placement office/ Employee Referral/ Friend/ word of mouth/
Employment Agency/ Bulletin Board)
Specify source
Name
PERSONAL DETAILS
PHOTOGRAPH
Place of birth
N.I.C No. - -
9
Religion
Marital status Single Married Separated Widow
DETAILS OF DEPENDENTS (SPOUSE (S) & UNMARRIED CHILDREN OR
PARENTS)
NAME
RELATIONSHIP
OCCUPATION
DATE OF BIRTH
PRESENT ADDRESS
H.No. St. No.
Town
City/Village Tehsil_
District Post Code/Post Office Telephones (include full STD
code)
Home Work Mobile, if you have one
Fax, if you have one E-mail, if you have one
May we contact you by e-mail - Yes / No
May we contact you at work - Yes / No
PERMANENT ADDRESS (if different from above)
H.No. St. No.
Town
City/Village Tehsil_
District Post Code/Post Office Home Telephone (include full STD
code)
NEXT OF KIN
Name
Relationship
Address (if different from above
Home
Telephone (include full STD code)
Work
Telephone (include full STD code)
Mobile phone (include full STD code)
NOMINATION FOR PAYMENT OF GRATUITY & FINAL DUES IN THE EVENT
OF DEATH
Sr. #
Name
Relationship
Address
Phone No.
Do you have any caring responsibilities? (E.g. young children,
dependant relatives) Yes No
Have you ever been convicted of a crime? If yes, describe in
full, including date and location of court records. A conviction
will not necessarily disqualify you from employment and will be
considered only if it relates reasonably to the job duties. Yes
No
Do you hold a valid driving License? Yes No
Have you any relatives presently working with ACC Group. If yes,
state name, designation and relationship and company where your
relative works
What absences (in number of days) from work have you had in the
last 2 years?
Sickness Casual_ Annual Others
HEALTH DECLARATION
A health condition will not necessarily disqualify you from
employment and will be considered only if it relates reasonably to
the job duties.
o Do you suffer from any chronic disease or repetitive illness?
Yes No oDo you have any disability (see definition) Yes No oHave
you had any major illness or accident in least five years? Yes
No
If the answer to any of the above is YES, please provide as much
details as possible.
EDUCATION
Certificate(s)/Diploma(s) Degree(s)
Name of
Schools
/Colleges
City and
Country
Dates attended
Roll No/Reg No
Month
&Year of
Award
From
To
Matriculation / O-Levels / GCSE or equivalent
Intermediate / A-Levels or equivalent
Graduation
Post-Graduate / Professional
FUTURE PLANS
TRAINING SECTION
List any training you have received or courses which did not
lead to a qualification but which you feel is relevant to the job
you are applying for.
o PROFESSIONAL TRAINING
Description
Conducted by
Organization
/Institution
City and
Country
Dates attended
Level attained
Date of
Award
From
To
o OTHER TRAINING
Description
Conducted by
Organization
/Institution
City and
Country
Dates attended
Level attained
Date of
Award
From
To
EMPLOYMENT RECORD
Begin with your present or most recent employment. Include any
periods of self-employment. If more than one position has been held
with the same employer, list each position separately with most
recent position first.
If you are fresh or have no experience then simply write N/A yet
in given below columns.
Attach original or a certified copy of your most recent pay slip
if available .Please be aware that information provided in this
section will be confirmed with your present / most recent
employer
Employer
Nature of Business
Address, phone, fax, email
Managers / Supervisors name
Position held
/Title/Designation
Number of staff who directly report to you
Brief description of duties, responsibilities and
accomplishments
Dates of employment
From
To
From
To
From
To
Starting salary package
Ending salary package
May we contact the employer?
Reasons for wishing to leave or for having left
Expected salary package
from ACC?
Future career aspirations
SELF ASSESSMENT
Please make a candid self-assessment of what you consider to be
your strengths and areas of improvement:
ACCOMPLISHMENTS
Briefly describe what you believe to be your three most
substantial accomplishments or qualities and explain why you view
them as such:
SUPPORTING STATEMENT
Briefly demonstrate how your skills and experience meet the
requirements of the job applied for:
DISTINCTIONS,HONOURSANDAWARDS(ACADEMIC, EXTRACURRICULAR,
BUSINESS, COMMUNITY OR OTHERS)
REFERENCES
Please provide details of three people who know you and your
work to whom personal and professional reference can be made:
Present or most recent employer (Head of Department)
Person you know in a professional
capacity outside your present or most recent place of
employment
A relative or a person you know in a personal capacity
Title and Name
Position held
Full address
E-Mail
Telephone
Fax
Mobile
How long known
Processing Fee
You are requested to submit Rs.1550/- (Refundable for unselected
candidate only) as processing fee in given below details of
Director HR of and fill the Transaction ID and Code with date in
given below space.
Why Company charging processing fee?
Processing fee is charge in terms of processing expenses of the
verification such as CNIC Verification through NADRA (CNIC NO),
Degree (By using Registration No / Roll NO) Verification and
Miscellaneous etc... The processing fee is refundable for
unselected candidate only.
How to deposit the fee?
For UBL Omni
Just go to any nearest UBL Bank Branch or UBL Omni Shop and
deposit the fee amount through Omni Account Only and mention the
Transaction ID , Omni Shop Name and Code in the given below
column.
Note: The Omni Account No is not used for communication and it
is linked with Accounts Server.
Processing Fee Details:
For UBL Omni
Name: S.Khanan Omni Account No: 0343-5195456 CNIC: 37405 9605276
6
Transaction ID: _________ Bank Branch or Omni Name:
_______________ Code (If Any):__________
Only attach color scan copy of your Current National Identity
Card (CNIC) with the E-Form.
Please do not send any certificates with your application.
These will be required at the time of interview, once an offer
is made and accepted.
DECLARATION
I certify that the information provided by me in this form and
all transcripts/documents submitted herewith or in connection with
this application for employment is accurate and true, and may be
subject to verification, I understand that falsification or
concealment of any information, may disqualify my application
and/or be ground for disciplinary action up to and including
termination and /or legal action. Unless otherwise indicated, I
agree and give my consent that any person, firm or organization
listed herein is authorized to furnish ACC with reference material
concerning
my character, past employment or any other information
requested.
Signatures
Date
(Applicant shall be deemed to have signed this Form and made the
above Declaration if this
Form is submitted through email without signature of the
applicant is accepted).
GUIDELINES FOR FILLING THE FORM
If you have any problem completing this form please contact the
HR Department at [email protected].
You may also wish to submit a CV, but if you do please note that
it would still be necessary to complete and submit this form in
full.
You must provide all information requested in this form to avoid
rejection of your application. Use additional sheet where
necessary.
The form may be emailed to the given below Email Address.
Type or print scan in black or blue ink and in BLOCK CAPITALS.
Any information you provide is confidential.
The acceptance of this form does not in any way whatsoever
assure eventual employment with ACC.
Please note that your application will not be acknowledged if
the form is incomplete.
Only short listed candidates will be notified of the outcome of
their applications; if you do not hear within two weeks of the
closing date you should assume that your application has been
unsuccessful on this occasion.
Disability:
A disability is a permanent physical, mental or sensory
condition. The disability must be substantial
rather than slight, and permanent in that it is seldom fully
corrected by medical replacement, therapy, or surgical means. This
confidential information is solicited only to ensure compliance
with our policy of providing equal opportunities to all prospective
candidates. It should not be construed and will not be considered
as a request for accommodation.
Salary package:
Means gross salary before deduction of any taxes or
contributions (e.g. pension, provident fund etc.) plus any other
monetary and non-monetary perquisites and benefits (e.g.
bonuses,provident fund, gratuity, medical insurance, life
insurance, company maintained vehicle, LFA, paid leave, etc.)
This form may be:
Emailed to [email protected]
Country Head Office
PO Box No 5925 Khayaban-e-Iqbal, Clifton Karachi 75600, Pakistan
Fax: +92 21 32419162
Regional Offices: Lahore, Sukkur, Faisalabad, Multan, Islamabad,
Peshawar
Group Head Quarters Arabian Cement Company Building King
Abdulaziz Street 275 Jeddah Saudi Arabia Fax: +966 2-423-2184
Mr. / Ms / Miss / Mrs.
Name
Surname
Fathers/ Husbands name
Date of birth
_
