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Institute of Cost & Management Accountants of Pakistan

Co rpo ra t e Re l at i on s Dep a rt me n t
Estd
. 1951
Student Employment Form
The submission of “Student Employment Form” is mandatory with Examination Form. The same form may be sent to the employer
for verification as and when required specially in case of student’s request for two year and final certificates. The data will be kept
confidential and will only be used for student’s better career prospects. Please tick () mark in appropriate boxes.

Date______/_______/______ Registration #: _____________

Name: ___________________________________________________ Age: _____________________

Email: ___________________________________________________ Cell: _____________________


Category Previous Qualification(s) – Graduation onward Stage(s) completed upto (with all courses).
Coaching Level Degree / Certificate % Obtained Stage – 1 Stage – 2
Correspondence Graduation Stage – 3 Stage – 4
Stage – 5 Stage – 6
Centres Professional – 1 Professional – 2
Karachi Professional – 3 Professional – 4
Islamabad
Lahore
Multan Employment Nature Overall Work Experience
Faisalabad Job Less than 1 year 1- 3 years 3 – 5 years
Other, Internship 5 – 10 years 10 – 20 years More than 20 years

Current Employment
Organization / Employer*:
(*If Internship, then also Organization:
please mention) Address:

Contact No.: Fax No.

Organization Type: Manufacturing Government Service Banking & Insurance

NBFIs Education Other, please specify

Designation:
Department:
Month & Year of Joining:

Salary / Stipend Range in Less than 5,000 5,000 – 15,000 15,000 – 25,000 25,000 – 40,000
Pak Rs. (PKR) per month:
40,000 – 60,000 60,000 – 80,000 80,000 – 100,000 More than 100,000

Employment History (write only last three)

Organization Designation Department From To

Unemployment Status (if unemployed)

Unemployment Reason: Not getting job No appropriate job found Previously underemployed

Job not required Other, please specify

I certify that above information provided by me is correct and true to the best of my knowledge and belief. I authorize the Institute to contact
and get verification from my current or previous employer(s) as and when required.

Signature of Student