Вы находитесь на странице: 1из 10

1

CONFIDENTIAL

IN LIEU OF PAFY 1975


PERSONAL DATA FORM
SVA-8101
(Revised 1984)
IMPORTANT
1. No Column will be left blank.
Photo
2. Particulars of even deceased father/mother,
Passport size
father/mother-in-law, brothers, sisters and
5.08x6.35cm
brothers/sisters-in-law etc will also be completed
in all respects.
3. It will be typed and fwd alongwith two attested copies
of Passport size photographs.

PERSONAL

1. Full name MUHAMMAD IRFAN__________________________


2. If you have changed your name, state previous name (s) giving reasons for change
__________________________________________________________________
__________________________________________________________________
3. Allases ____________________________________________________________
4. Rank/Status Service No:
Regt / Corps / Branch / Department
5. Date and place of birth
6. Height 7. Weight 8. Build
9. Complexion 10. Color of eyes
11. Visible marks of identification
12. a. Religion (Islam, Christian, Ahmadi etc)
b. Sect (Sunni, Shia, Deobandi etc)
13. Caste
14. Nationality (indicate if nationality other than Pakistan is also held)

15. National identity card No, date and place of issue (or registration No)

16. Domicile

CONFIDENTIAL
2
CONFIDENTIAL

17. If naturalised, state :-


a. Previous Nationality_____________ Date of Immigration
b. Pakistan Citizenship Certificate No_______________________________
Date_________________Issued at________________________________
18. Passport No Date of Issue
Type of Passport Issuing Authority
Countries for which valid :- _________________________________________
19. Permanent home address :-
Village/Mohalla House No (if any) ______-_________
Post Office Telegraph Office
Thana Teh
Distt
20. Present residential address __________________________
21. If displaced person or optee from India/Bangladesh/Afghanistan, previous residential
address_______________________________________________________________
_____________________________________________________________________
22. Relatives in India/Afghanistan/Bangladesh (to include parents/brothers and sisters of
both husband and wife) :-
Name Relationship Occupation Address
a.
b.
c.
d.
e.
f.
23. Relatives in foreign countries in addition to those mentioned above (to include
parents/ brothers and sisters of both husband and wife : -
Name Relationship Occupation Address
a.
b.
c.
d.
e.
f.

24.
CONFIDENTIAL
3
CONFIDENTIAL

Educational Institutions attended From To Standard


(give full particulars) attained*
S
G
S
uG
*New entrants to indicate Roll S No of examinations passed.
lu
25. Languages (circles appropriate letterG sl – S : Read, W : Write).
uh
a. sl R W d. S R W
ah
b. sn R W e. S R W
ah
c. ______ R f. S R W
na R W
26. Travel abroad :- aR
nv
Country Visited Purpose of aR visit From
a. i
va
b. iv
c. .
d. i
e.
f.
g.
h.

27. a. Name of bankers – in Pakistan (specify branch) :-


(1) _____________________________
b. Name of bankers in foreign countries (specify branch) :-
(1)____________________________________________________________
(2)____________________________________________________________

CONFIDENTIAL
4
CONFIDENTIAL

c. Subscriptions to (in Pakistan) :-


(1) Insurance Policy/Policies Rs. - pm
(2) Religious/Sectional Fund (Specify fund) Rs - pm
(3) DSOP/Provident Funds Rs. pm
(4) Any other non-service funds Rs._________-_____ pm
d. Subscriptions to (in foreign countries) :-
(1) Insurance Policy/Policies Rs._______________ pm
(2) Religious/Sectional or any other fund Rs._______________ pm
(Specify fund)
28. Membership of clubs and other social/literary organizations:-
Name of Branch in which Membership Date of Position
Organisation Registered No if Any Joining Held
a. - - - -

SERVICE
29. Previous occupation or employment:-

Name of Nature of Place From To


Employer (s) Work
a. - - - -

30. a. Date of joining present svc


b. Date of commission
c. Date of promotion to present rank
31.
Professional Courses/ Place From To Result (Grade
Qualification Obtained)
a.
b.
c.
d.
e.
f.

CONFIDENTIAL
5
CONFIDENTIAL

32. a. Service background (last ten years) :-

Fmn/Unit/ Station of Designation From To Name of CO/


Department Posting i.e of Appointment Head of
Location Held Department
a.
b.
c.
d.
e.
f.
g.
h.
j.
b. War experience:-
Fmn/U Appts Loc/Area of From To
nit Held Operation

(1) 65 War

(2) 71 War

33. If tried by military/civil court. Also include other summery disposal . Specify exact
offence in all cases :-
Offence/ Act Under If Found Guilty
Charge Which Tried Date and Place Punishment Awarded
a.

b.

c.

CONFIDENTIAL
6
CONFIDENTIAL

GENERAL
34. Games Football, Volleyball,
35. Hobbies Reading
36. Near relatives in defence services serving/retired to include only
parents/brothers/sisters of both husband and wife.
Rank/ Name Relationship Regt/Corps/ Present
Status Branch/Dept Address
a.
b.
c.
d.
e.
f.

37. Three persons (not relatives) who have been acquainted with you for the last five
years (Give their present address and status)
a.
b
c

38. Property, share and securities held in your name or in the names of your wife and
children:-

a. Property Place Value at Held in


Names of
(1) Movable (In Pakistan)

(Abroad)

(2) Immovable (In Pakistan)

(Abro
ad)

b. Shares/Securities Place Value at Held in


(At Present Held) Names of
CONFIDENTIAL
7
CONFIDENTIAL

(1) In Pakistan

(2) Abroad

FAMILY
39. a. Wife (or Husband in case of female employees)
Full Name -
Malden name (in case of wife)
Present residential address
Date and place of marriage
Date and place of birth
Nationality ____ Cast
Religion (before & after marriage) _____ Sect
Occupation or profession (before and after marriage with full particulars) _

Political affiliation if any Nil

b. Name and residential address of father –in-law ___________________


___________________________________________
Where employed (city and country) ____________
Religion Sect _____ Cast ___
Political affiliations if any
c. Name and residential address of mother –in –law _________________
Religion Sect ________ Cast ______
If employment, where (occupation/profession – city & country) _ NA
Political affiliation if any________________ _______________________

CONFIDENTIAL
8
CONFIDENTIAL

d. Names and address of wife’s brothers and sisters (or husband’s in case of
female employees) :-
Full Name Address Occupation Political
affiliation
if any
(1)
(2)
(3)
(4)
(5)
40. Children :-
Name Sex Date of Profession Present
Birth Address
a.
b.
c.
d.
e.

41. Father (own full name)


Date and place of birth
Nationality Religion Sect
Caste Living Deceased
Present home address
Political affiliation if any (indicate if active, any office if held)
Whether dependent on you
42. Mother (Own) full name
Date and place of birth
Nationality Religion Sect
Caste Lving Deceased
Occupation or profession and place of employment if applicable

Political affiliation if any (indicate if active, any office if held)


Whether dependent on you

CONFIDENTIAL
9
CONFIDENTIAL

AFFIRMATION

44. I swear by almighty God/solemnly affirm in the presence of Almighty God that
the information given in this personal Data form is true and correct to the best of my
knowledge and belief. I fully understand that my false statement or material omission/
suppression of any fact shall render me liable to disciplinary action and/or dismissal
from service.

Date _____Jul 2007 Signature: __________________


Name
(In block capital)

ATTESTATION

(By Head of Educational Institutions/Previous Employer/CO)

45. The above particulars are correct to the best of my knowledge and all columns
have been filled in.

Station: Peshawar Cantt Signature __________________________


Dated: ____Jul 2007 Name
(In block capital)

Designation COMMANDING OFFICER


Address 44 SIG BN PESHAWAR

CONFIDENTIAL
9
CONFIDENTIAL

43. Own brothers and sisters :-


Whether Political
Full name Sex Nationality Religion Sect Caste Occupation Age Dependent Address Affiliation if
on you any
a.

b.

c.

d.

e.

f.

CONFIDENTIAL

Вам также может понравиться