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 SHABBIR KHAN__________________________


2. If you have changed your name, state previous name (s) giving reasons for change
__________________________________________________________________
__________________________________________________________________
3. Allases ____________________________________________________________
4. Rank/Status NCB Service No:
Regt / Corps / Branch / Department SIGNALS
5. Date and place of birth 30-11-1980
6. Height 5' - 5" 7. Weight 58 8. Build MEDIUM
9. Complexion FAIR 10. Color of eyes BLACK
11. Visible marks of identification MOLE ON NECK
12. a. Religion (Islam, Christian, Ahmadi etc) ISLAM
b. Sect (Sunni, Shia, Deobandi etc) SUNNI
13. Caste KHATTAK
14. Nationality (indicate if nationality other than Pakistan is also held)
NIL
15. National identity card No, date and place of issue (or registration No)
37104-1002496-3
16. Domicile ATTOCK (PUNJAB)

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 Haddo Wali House No (if any) .
Post Office Telegraph Office Injra
Thana Injra Teh Jhand Distt ATTOCK

20. Present residential address ______As Above____________________


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*
Govt School Haddo S 1998 Middle
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. Urdu sl R W d. S R W
ah
b. Pashto sn R W e. S R W
ah
c. Pujabi ______ 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) DSP/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 Nov 08


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 Cricket
35. Hobbies Watching TV
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. Sub (R) Muhammad Naseer Brother ASC As per
para 19
b. Lnk (R) Muhammad Basir Brother ASC As per
para 19
c. L/Hav Muhammad Ali Brother 5 Punjab As per
para 19

37. Three persons (not relatives) who have been acquainted with you for the last five
years (Give their present address and status)
a. Sub (R)Haji Gul
b. Haji Sher Khan
c. Capt (R) Rafique Khan

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)

(Abroad)

CONFIDENTIAL
7
CONFIDENTIAL

b. Shares/Securities Place Value at Held in


(At Present Held) Names of

(1) In Pakistan

(2) Abroad

FAMILY
39. a. Wife (or Husband in case of female employees)
Full Name Bibi Hawa
Malden name (in case of wife)
Present residential address As per para 19
Date and place of marriage 2000
Date and place of birth 1979
Nationality Pakistani____ Cast Khattak
Religion (before & after marriage) __Islam___ Sect Sunni
Occupation or profession (before and after marriage with full particulars) _
House Wife
Political affiliation if any Nil

b. Name and residential address of father –in-law _Zeri Gul__(Late) _______


___________________________________________
Where employed (city and country) ____________
Religion Sect _____ Cast ___
Political affiliations if any
c. Name and residential address of mother –in –law ____Bibi Jan________
Religion Islam Sect __Sunni______ Cast _Khattak_____
If employment, where (occupation/profession – city & country) _ NA
Political affiliation if any________________NIL____________________

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) Abdul Qayyum As per para 19 Agriculture Nil
(2) Abdul Rahim “ Forest Guard
(3) Hav HAssan Khan “ Army
(4) Aman Ullah “ “
(5) Abdul Rauf “ “
40. Children :-
Name Sex Date of Profession Present
Birth Address
a. Hira Shabbir F 2002 Student As per para 19
b. M. Ahmad Shabbir M 2004 - “
c. Hina Shabbir F 2008 - “
d.
e.

41. Father (own full name) Amin Gul (Late)


Date and place of birth
Nationality Pakistani Religion Islam Sect Sunni
Caste Khattak Living No Deceased Yes
Present home address
Political affiliation if any (indicate if active, any office if held) --
Whether dependent on you --
42. Mother (Own) full name Momina Bibi
Date and place of birth 1938 (Attock)
Nationality Pakistani Religion Islam Sect Sunni
Caste Khattak Living Yes Deceased No
Present home address
Political affiliation if any (indicate if active, any office if held) --
Whether dependent on you Yes

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 _____Nov 2008 Signature: __________________


Name: MUHAMMAD SHABBIR KHAN
(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: Sialkot Cantt Signature __________________________


Dated: ____Nov 2008 Name
(In block capital)

Designation COMMANDING OFFICER


Address 44 SIG BN SIALKOT

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
As per
a. Muhammad Naseer M Pakistani Islam Sunni Khattak JCO (Retd) 55 Years No No
para 19

As per
b. Muhammad Baseer M Pakistani Islam Sunni Khattak Agriculture 52 Years No No
para 19

As per
c. Muhammad Ali M Pakistani Islam Sunni Khattak Mil svc 37 Years No No
para 19

As per
d. Halima Bibi F Pakistani Islam Sunni Khattak House Wife 45 Years No No
para 19

As per
e. Fatima Bibi F Pakistani Islam Sunni Khattak House Wife 42 Years No No
para 19

As per
f. Amna Bibi F Pakistani Islam Sunni Khattak House Wife 39 Years No No
para 19

CONFIDENTIAL