U.S. Department of State OMB APPROVAL NO.

1405-0189
EXPIRES: 5/31/2019
APPLICATION FOR EMPLOYMENT AS A
ESTIMATED BURDEN: 1 Hour
LOCALLY EMPLOYED STAFF OR FAMILY MEMBER
(This application is for positions recruited by the U.S. Mission under the
Office of Overseas Employment’s Interagency Local Employment Recruitment Policy)

POSITION
1. Position Title 2. Grade
 ADMINISTRATIVE CLERK (CLO) (I-50122)      FSN-6    
3. Vacancy Announcement Number 4. Date Available for Work (mm-dd-yyyy)
 Islamabad-2018-120      August 16, 2018    
PERSONAL INFORMATION
5. Last Name(s)/Surnames First Name Middle Name
 KHAN   ASIF 

6. Other Names Used

 N/A    
7. Current Address 8. Phone Numbers
 Bab-e-Salam Overseas Employment Promoter    Day  091-527-5139    
 18-A, Commercial Complex, Saddar Road,      Evening  0315-989-0338   
 Peshawar Cantt.     Mobile  0315-989-0338    

9. E-mail Address
 asif.finance344@gmail.com    

10. Are you a U.S. Citizen?

Yes  No

11. Do you have permanent U.S. Resident status (green card)?

Yes  No
If yes, provide number.      

12a. U.S. Social Security Number (for U.S. Citizens/Permanent U.S. Residents)      

and/or

12b. Country Identification Number  17301-7639145-9    

13. Are you legally eligible to work in this country?

 Yes No
If yes, Mission HR may require verification of eligibility. Please attach copies of all documentation that confirms your legal eligibility to work in
this country (e.g., work permit, residency permit).

14. If you are applying for a position that includes driving a U.S. Government vehicle, do you have a current and valid driver’s license?
Yes No  Not Applicable

If yes, Class/Type of License      

If yes, have you operated a vehicle without incident for the past three years?
Yes No

DS-174 Page 1 of 6
05-2016
15. What days are you available to work as part of a regularly scheduled work week? (Check all that apply.)
Sunday  Monday  Tuesday  Wednesday  Thursday  Friday  Saturday

16. Do any of your relatives or members of your household work for the United States Government? Yes  No

If yes, provide the details below. If you need more space, use an additional sheet of paper. (See Instructions for Completing the DS-
174 for the definition of relatives and members of household.)
Name Relationship Agency, Position, and Location
                 
                 
                 
                 
                 
U.S. CITIZEN ELIGIBLE FAMILY MEMBER (USEFM) AND U.S. VETERANS HIRING PREFERENCE
17. Are you claiming preference in hiring under U.S. law and policy based upon your status as either a U.S. Citizen Eligible Family
Member (USEFM) or U.S. Veteran? See instructions for Completing the DS-174 for additional information about the USEFM and U.S.
Veterans hiring preference. (Check only one.)

U.S. Citizen EFM U.S. Veteran

U.S. Citizen EFM and also a U.S. Veteran  Neither a U.S. Citizen EFM, nor a U.S. Veteran

Have you invoked this preference for a prior position at this post/Mission? Yes  No

If yes, which agency?       Date (mm-dd-yyyy)      

If claiming eligibility for U.S. Veteran preference, you must attach a copy of your most recent DD-214, Certificate of Release or
Discharge from Active Duty. If claiming conditional eligibility for U.S. Veterans preference, you must submit proof of conditional
eligibility.
EDUCATION
18. Graduate School Dates Attended Did you Degree/Diploma Major Subject
Name of School, City, State or Country (mm-yyyy) graduate?
 University of Peshawar      Economics  
 Peshawar, Khyber Pakhtunkhwa     From  08-2013   Yes Master Of Science in  Public Finance  
 Pakistan     To  02-2014  No Economics    Statistics    

Undergraduate College/University Dates Attended Did you Degree/Diploma Major Subject

Name of School, City, State or Country (mm-yyyy) graduate?
 Government Commerce College      Management    
 University of Peshawar     From 09- 2007  Yes  Bachelor of Commerce  Accounts    
 Peshawar, Pakistan     To 10- 2011 No (Hons.)   Marketing    
 High School/GED or Country Equivalent Dates Attended Did you If no, highest grade level completed.
Name of School, City, State or Country (mm-yyyy) graduate?
 Khyber College of Science      Higher Secondary School Certificate in Pre-
 Peshawar, Khyber Pakhtunkhwa     From  03-2006  Yes Engineering (Physics, Mathematics, Chemistry,
 Pakistan     To 05-2007 No English, and Urdu    

Other, e.g. Technical/Vocational School Dates Attended Did you Certificate/Diploma Major Subject
Name of School, City, State or Country (mm-yyyy) graduate?
 GHS School No.1       Maths, Physics,
 Peshawar Cantt.     From  02-2004  Yes  Secondary School  Chemistry, English    
 Pakistan     To  03-2005 No Certificate      Urdu, Biology    

DS-174 Page 2 of 6
 LANGUAGES
19. List your languages, the appropriate competency levels, and your primary/first spoken/native language using the language
standards below. You may only identify one primary/first spoken/native language.
Language Indicators
Level I Basic Knowledge
Level II Limited Knowledge
Level III Good Working Knowledge
IV Fluent
Level V Professional Translator/Interpreter
Language Level To: Speak Read Write
Primary -  Pushto    IV      II       II    
 English      III      IV      IV    
 Urdu      IV      IV      IV    
                       

WORK EXPERIENCE
20. Include all work experience, paid and voluntary. Start with your present or most recent work experience. When describing
work, list specific duties/responsibilities and accomplishments. Include supervisory responsibilities and the number of employees
supervised. Go into as much detail as possible for work experience that directly relates to the advertised position. Include all
periods of unemployment and the reason. (Use additional pages, as needed.)
20a. WORK EXPERIENCE
20a. Job Title (If U.S. Government, include the series and grade)
 Career Consultant and Administration Officer    
From (mm-yyyy) To (mm-yyyy) Salary per Year in U.S. Dollars or Local Currency Hours per Week
 09-2012      06-2018      PKR 652,000.00    48    

Employer’s Name and Address Supervisor’s Name and Contact Information

 Bab-e-Salam Overseas Employment Promoter     Name  Khan Saeed    
 18-A, Commercial Complex Saddar Road     Phone Number 091-527-4451, (Ext: 9291)    
 Peshawar Cantt.     E-mail Address  babesalam2825@gmail.com    
Were you a supervisor in this position?  Yes No May HR contact your supervisor?  Yes No

If yes, how many people did you supervise?  04    

Describe your major duties/responsibilities and accomplishments.

1. Administring HR responsibilites and documentation, such as Hiring, Contracts of Employment, and Record Keeping
2. Support and assist the Staff for all HR related Issues,
3. Prepare and update the HR Data Base for all the new and old recruitments
4. Prepare Protector Documentation for the Emigrant Office and Briefing Clients regarding their saftey during their travel and
Employment
5. Assist and Liaise with various Recruitment Agencies; such as visa confirmation and issuance of air tickets
6.  Marketing and Promotion services about Air Ticketing and Career vice in different Companies
7. Day to day entries of Cash book and making invoices in System Software   
Reason(s) for Leaving (Do not write “N/A” or “not applicable”.)
 Still Working    

DS-174 Page 3 of 6
 20b. WORK EXPERIENCE
20b. Job Title (If U.S. Government, include the series and grade)
 Accountant   
From (mm-yyyy) To (mm-yyyy) Salary per Year in U.S. Dollars or Local Currency Hours per Week
 03-2011      08-2012      2,16000 PKR      36 Hrs    

Employer’s Name and Address Supervisor’s Name and Contact Information

 K Group of Companies   
Name  Tajamul Shah     
 First Floor Lamsy Arcade, Fakh-e-Alam Road    
Phone Number  091-5250407   
 Peshawar Cantt    
E-mail Address  khanial@ymail.com    
Were you a supervisor in this position? Yes  No May HR contact your supervisor?  Yes No
If yes, how many people did you supervise?      
Describe your major duties/responsibilities and accomplishments.
 1. Prepare invoices, vouchers, A/P, A/R, Purchases and Sales.
2. General Journal Entries
3. Prepare cash flow statement and cash flow statement from Accural Accounting Profit
4. Adjustment entries at the end of accoutning period
5. Dealing with drifferent kind of customer about the property of our company    

Reason(s) for Leaving (Do not write “N/A” or “not applicable”.)

 Better Career Prospects    

20c. WORK EXPERIENCE

20c. Job Title (If U.S. Government, include the series and grade)
 Computer operator     
From (mm-yyyy) To (mm-yyyy) Salary per Year in U.S. Dollars or Local Currency Hours per Week
02-2008      10-2009      1,44,000     30 HRS    

Employer’s Name and Address Supervisor’s Name and Contact Information

 Asad Jan Composing Center     Name  Asad Jan     
 Inside Sultan Market, Opp GPO     Phone Number  5273131 Ext 9291    
 Peshawar Cantt     E-mail Address  asadcomposing1@gmail.com   

Were you a supervisor in this position? Yes  No May HR contact your supervisor?  Yes No
If yes, how many people did you supervise?      
Describe your major duties/responsibilities and accomplishments.
 Prepare Thesis Report, Memos, Draft, Quotation and Letter Pad in Ms Word
making Excel Sheet and presentation slides in Power Point
Inpage Urdu Typing
Scanning, Printing And photocopies of different documentation
Toner Refiling of Taskalfa Machine and Ricoh Colour Laser jet machine
Networking among different Computer PCs    

Reason(s) for Leaving (Do not write “N/A” or “not applicable”.)

 Job was left for the demand of giving more time to studies due to be in the final years of under-graduate education.   

DS-174 Page 4 of 6

20d. WORK EXPERIENCE

 20d. Job Title (If U.S. Government, include the series and grade)
     
From (mm-yyyy) To (mm-yyyy) Salary per Year in U.S. Dollars or Local Currency Hours per Week
                       
Employer’s Name and Address Supervisor’s Name and Contact Information
      Name      
      Phone Number      
     
E-mail Address      
Were you a supervisor in this position? Yes No May HR contact your supervisor? Yes No
If yes, how many people did you supervise?      
Describe your major duties/responsibilities and accomplishments.
     
Reason(s) for Leaving (Do not write “N/A” or “not applicable”.)
     
LICENSE, SKILLS, TRAINING, MEMBERSHIP, AND RECOGNITION

21. List professional licenses, certifications, typing/keyboard skills, computer skills, formal and online training, and other skills and abilities you
consider relevant to the position. Include the license or certification number and attach a copy if the license or certification is a requirement of
the position. If licensed in the U.S., please list the state of issuance. If licensed in another country, please list the province/state/region and
country of issuance. (Use additional pages, as necessary.)
1. 42 words per minute typing speed
2. Amadeus Ticketing Certificate
3. Certificate in MS Office
4. Peachtree, Tally and Quickbook accounting Certificates
22. List professional organizations, associations, awards, honors, fellowships, and publications you consider significant.
 Lawn Tennis MEPCO Certificate    

REFERENCES
23. List three personal references who are not relatives or former supervisors who can speak knowledgeably of your work performance.
Name Address Telephone Occupation
 KHAN SAEED     Bab-e-Salam Overseas Employment  091-527-5451    Managing Director    
Promoter, Peshawar
babesalam2825@gmail.com    
 ABDUL WAKEEL     Society for Sustainable  0300-900-3181    Executive Director    
Development, Rehman Baba Road,
University Town, Peshawar
dulwak@yahoo.com
ssdpesh@yahoo.com    
 NOOR SALAM     Union Travel PSA, 20A, Hussain Plaza  0333-9008608    Manager    
Khyber Bazar Peshawar
noorunion@gmail.com    
SIGNATURE AND CERTIFICATION
24. I certify that, to the best of my knowledge and belief, all of the information on and attached to this application is true, correct, complete, and
made in good faith. I understand that false or fraudulent information on or attached to this application may be grounds for not hiring me, or for
termination/dismissal after I begin work, and may be punishable by fine or imprisonment according to this country’s law or U.S. law. I understand
that any information I voluntarily provide on or attached to this application may be investigated.
Signature Date (mm-dd-yyyy)
 06-26-2018    
Asif Khan

DS-174 Page 5 of 6

CONTINUATION – WORK EXPERIENCE

 20     . Job Title (If U.S. Government, include the series and grade)
     
From (mm-yyyy) To (mm-yyyy) Salary per Year in U.S. Dollars or Local Currency Hours per Week
                       

Employer’s Name and Address Supervisor’s Name and Contact Information

      Name      
      Phone Number      
     
E-mail Address      
Were you a supervisor in this position? Yes No May HR contact your supervisor? Yes No

If yes, how many people did you supervise?      

Describe your major duties/responsibilities and accomplishments.

     

Reason(s) for Leaving (Do not write “N/A” or “not applicable”.)

     

CONTINUATION – WORK EXPERIENCE

20     . Job Title (If U.S. Government, include the series and grade)
     
From (mm-yyyy) To (mm-yyyy) Salary per Year in U.S. Dollars or Local Currency Hours per Week
                       

Employer’s Name and Address Supervisor’s Name and Contact Information

      Name      
      Phone Number      
      E-mail Address      
Were you a supervisor in this position? Yes No May HR contact your supervisor? Yes No

If yes, how many people did you supervise?      

Describe your major duties/responsibilities and accomplishments.

     
Reason(s) for Leaving (Do not write “N/A” or “not applicable”.)
     

DS-174 Page 6 of 6