No.

______________
(for Office Use Only)

Attock Petroleum Limited

Department: Human Resource

Section: Personnel

Document No.: HRD-PSL-FM-17

Original Issue: Sep 08, 2014

Rev #:

Rev Date:

Job Application Form

Attock Petroleum Limited is an Equal Opportunity Employer
Please fill the form with correct information in capital block letters with black pen.
SECTION A - PERSONAL INFORMATION

Applicants
Recent
Photograph

Name ________________________________________________________________
Fathers / Husbands Name

__________________________________________________________

Fathers / Husbands Profession __________________________________________________________

Nationality _______________________ Domicile (District & Province)

_________________________

Date of Birth

_________________________

_____/_____/____ (DD/MM/YY)

Present / Postal Address

Place of Birth

_________________________________________

Permanent Address (Do not write in case its similar to

present address)
_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

City/ District: _____________________________

City/ District: ______________________________

Telephone (Res) #:_________________________

Telephone (Office) #: ___________________

Mobile #

___________________________

Emergency #_____________________________

Email Id:

___________________________

CNIC:

Marital Status : ___________________________

No. of Dependents _________________________

Details of Dependents (Spouse and Children only)

S.
No.

Name of Dependent

Relationship

Date of Birth

Occupation (e.g. working / studying /

housewife etc.)

Have you taken up legal permanent residence status in any country other than Pakistan? (If yes please give
details): __________________________________________________________________________________
_________________________________________________________________________________________

Attock Petroleum Limited

Department: Human Resource
Document No.: HRD-PSL-FM-17

Section: Personnel
Original Issue: Sep 08, 2014

Rev #:

Rev Date:

Job Application Form

Have you or any of your above-mentioned dependents ever been diagnosed of a chronic ailment and are you
/ they under any sort of treatment? Yes
No
If Yes, please give details: ____________________________________________________________________
_________________________________________________________________________________________
Have you ever been convicted of any law violation (except minor traffic violation)? Yes

No

If Yes, please give details: ____________________________________________________________________

_________________________________________________________________________________________
Do you have any relative presently employed in APL? Yes

No

If yes, Name of Relative: __________________

Designation: ___________________

Applicants relation with him / her: _____________________________________________________________

SECTION B ACADEMIC DETAILS
(List ONLY completed degrees /certifications)
Degree/
Certificate

Year of GPA/Total
Passing
Marks

CGPA/ Marks
Obtained

Percentage/
Grade

Major Subjects

University /
Board

Matriculation
Intermediate
Diploma
(D.A.E)
Bachelors
Masters
M.Phil / MS
Ph.D
Any Other
Any Degree/ Certification / Diploma in Progress: __________________________________________________
_________________________________________________________________________________________
Any achievement / Honor / Project related to studies undertaken by you during Education:
_________________________________________________________________________________________
_________________________________________________________________________________________

Attock Petroleum Limited

Department: Human Resource

Section: Personnel

Document No.: HRD-PSL-FM-17

Original Issue: Sep 08, 2014

Rev #:

Rev Date:

Job Application Form

List any significant publication(s) you have written (do not attach them):
_________________________________________________________________________________________
_________________________________________________________________________________________
Any achievement / Honor by you in extra-curricular activities / sports during Education:
_________________________________________________________________________________________
_________________________________________________________________________________________
Computer Proficiency
Computer Literacy/ Skills (Tick the appropriate Box)
Average
Good

Excellent

Name the computer software(s) you can work on:

1.

2.

3.

4.

5.

6.

SECTION C WORK EXPERIENCE DETAILS

Employment History (starting from the Latest/ Current Position)
Tenure of Employment
S.
No.

Name of
Organization

From

Total Work Experience: ____________ Years

To

Present / Last
Job Position
Held

Employment
Status
(Permanent/
Contract)

Reason for
Leaving

____________ Months

Give brief description of your job responsibilities (at present / last employment): _______________________
_________________________________________________________________________________________
_________________________________________________________________________________________

Attock Petroleum Limited

Department: Human Resource

Section: Personnel

Document No.: HRD-PSL-FM-17

Original Issue: Sep 08, 2014

Rev #:

Rev Date:

Job Application Form

Give detail of your any outstanding achievement(s) during the employment: ___________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
SECTION D ATTENDED TRAINING(S) / SEMINAR(S) / CONFERENCE(S) DETAIL
(Mention most recent one and please attach separate sheet for more)
S.
No.

Training Attended

Training Institute

Duration / Dates

Training Location

SECTION E INFORMATION REGARDING APPLYING FOR JOB OPPORTUNITY IN APL

Job Position applying / applied for: _____________________________________________________________
Area of Interest / Preferred functional Area (e.g. Finance, Marketing, Admin) ___________________________
_________________________________________________________________________________________
Preferred Location / City of Posting ______________________ Expected Salary ________________________
Time period required by you in joining (in case of your hiring in APL) __________________________________
Have you any objections to our making inquiries from:
(a) Your present employer?

Yes

No

(b) Previous employers?

Yes

No

(c) Your references?

Yes

No

(d) Your Board / University?

Yes

No

Have you ever previously applied for job in APL?

Yes

No

If yes, Date of Applying: ___________________

Position Applied For: __________________

If selected, Reason for Not Joining at that time: _________________________________________________

Attock Petroleum Limited

Department: Human Resource
Document No.: HRD-PSL-FM-17

Section: Personnel
Original Issue: Sep 08, 2014

Rev #:

Rev Date:

Job Application Form

SECTION F REFERENCES DETAILS
Please provide the names / details of two persons other than relatives to whom you are well known
(preferably from your current / previous employment, university etc.).
Name ___________________________________

Name ___________________________________

Address __________________________________

Address __________________________________

_________________________________________

_________________________________________

Organization______________________________

Organization______________________________

Relationship ______________________________

Relationship ______________________________

Contact No: ______________________________

Contact No: ______________________________

For how long are you known to him/ her ________

For how long are you known to him/ her _______

_________________________________________

_________________________________________

Email ID: _________________________________

Email ID: _________________________________

SECTION G DECLARATION BY THE APPLICANT

I confirm that the information I have provided on this Job Application Form and attached Annexure(s) is (to the
best of my knowledge) true, accurate, current and complete; and I agree to notify the Attock Petroleum
Limited promptly if any information contained on this application form should change, in order to keep it true,
accurate, current and complete.
I confirm that all supporting documents submitted as part of this application are authentic, legitimate and
accurate.
I understand that a false statement contained herein or a forged and unauthentic document provided by
me depicting incorrect information will render me liable for the cancelation of my application or
termination of my employment in future course.

___________________
Applicants Signature

_______________
Date

Attock Petroleum Limited

Department: Human Resource
Document No.: HRD-PSL-FM-17

Section: Personnel
Original Issue: Sep 08, 2014

Rev #:

Rev Date:

Job Application Form

ANNEXURE A

Applicants Existing / Last Compensation Package Details

Name of Applicant
Present / Last Employer Name
Present / Last Employer Address
Present / Last Employment Status
Position/ Designation

Regular

Contract

rd

3 Party

(Position with current/ Last Employer)

Training

(Position for which applied/ interviewed at APL)

Current / Last Employers Package

Amount
Comments/ Remarks
Salary
Basic Salary
Other Allowances (please mention)
1.
2.
3.
Gross Salary
Net (Take Home) Salary
Annualized Incentives
Leave Fare Assistance
Annual Bonus
st
1
___________ (Mention Year)
Last
___________(Mention Year)
Annual Increment
st
1
___________ (Mention Year)
Last
___________(Mention Year)
Leave Encashment
Any Other (please mention)
Contingency Benefits
Medical Self
Medical Family
Group Life Insurance
Other
Retirement/ Terminal Benefits
Provident Fund
Gratuity
Pension
Other Benefits/ Perquisites
Company Accommodation / Messing
Company Maintained Car (cc)
Fuel (Amount & Liters)
Mobile (Billing Limit)
Employee Loans (House, Car etc.)
Childrens Education / Scholarship
Entitled Leaves
Type of Leaves

Number of Leaves

Frequency

Candidate must mention EACH and EVERY element of his/ her compensation in terms of its monthly monetary value in specified
column. Kindly attach copy of your latest SALARY SLIP.