EMPLOYMENT APPLICATION FORM
Please fill this form carefully and don’t left any column blank. Info. not applicable be
marked as N/A. Email this form at HYPERLINK
Post applied for Click or tap here to enter text.
Preferable branch
Choose an item.
of LRBT
SECTION 1 – PERSONAL INFORMATION
Name Click or tap here to enter text.
(as per CNIC)
Date of birth Age Place of birth
(DD-MM-YYYY)
Religion Gender Choose an item. Nationality
Choose an
Blood group Domicile Any disability Yes No
item.
Present Address
City
Permanent Address
City
CNIC
CNIC No.
expiry
Tel. (Res.) Mobile
Tel. (Office) E-mail
SECTION 2 - FAMILY INFORMATION
Candidate’s Father name Click or tap here to enter text.
Candidate’s Marital Single Married Widow Separated Divorced
status
Candidate’s Spouse
Click or tap here to enter text.
name(s)
Candidate’s No. of
Children Son Daughter
(for married candidates)
Do you have any relative who works/has worked for LRBT? Yes No
If yes, then provide following information:
Name of relative Relationship
Designation Department Choose an item.
Modified on 10 May 2025 Page 1 of 3
SECTION 3 – QUALIFICATION (Write the most recent first, use additional sheet if required. )
Degree/ Period Grade/
Major subjects/
Diploma/ Name of institute Division/
From To specialization
Certificate GPA
(YYYY) (YYYY)
Any other Course/ Degree/ Certificate being undertaken presently? Yes No
If yes, then provide information as required below:
Degree/ Period
Diploma/ Name of institute From To Major subjects/ specialization
Certificate (YYYY) (YYYY)
SECTION 4 – MEDICAL LICENSE (For Doctors and Paramedical Positions only)
PMDC No. PMDC expiry
(For Doctors only)
Professional License No. Expiry date
(For Paramedics only)
SECTION 5 – COMPUTER & LANGUAGE SKILLS
Computer skills 1 2 3
Language skills 1 2 3
SECTION 6 – EMPLOYMENT HISTORY (Write the most recent first, use additional sheet if required. )
Period Last salary
Organization Position held From To Reason for leaving
Rs.
(MMM-YYYY) (MMM-YYYY)
Modified on 10 May 2025 Page 2 of 3
SECTION 7 – HEALTH & LEGAL (use additional sheet if required.)
Have you ever been convicted of a crime? Yes No
If yes, then provide following information:
Nature of crime Date of conviction
Detail of Total No. of
punishment convictions
Are you under treatment/medication of any disease? Yes No
If yes, then provide following information:
Treatment
Nature of disease
starting date
SECTION 8 – EXTRA CURRICULAR
Political
Sports
affiliation
Responsibility in
Any other
Union /
Association interest
SECTION 9 – ADDITIONAL INFORMATION
State any information which you feel is relevant to your application for this position. (e.g. trainings, short courses, personal
abilities, achievements at work, non-work related or voluntary experience) Use additional sheet if required.
(Please provide two professional references, one should preferably be
SECTION 10 – REFERENCE of your present/last employer)
Name Name
Designation/ Designation/
Occupation Occupation
Email
Email Address
Address
Mobile No. Mobile No.
Expected salary
Current / Last drawn salary
(be specific)
Expected joining date
Verification: All the above information provided by me is correct. Any wrong statement will result in termination of my employment.
Authorization: I hereby authorize the LRBT, its authorized affiliates, agents and subsidiaries acting on its behalf, to verify the information and
documents presented with my Application Form; including, but not limited to, education, employment and licenses. I hereby release all
persons or entities requesting or supplying such information from any liability arising from such disclosure. I acknowledge the right for the
Information Recipient to disclose my information to a third party.
Date Signature
HUMAN RESOURCE DEPARTMENT
LRBT House, 37-C, Sunset Lane No.4, Phase-II (Ext.), Defence Housing Authority, Karachi-75500.
Tel: 021-35396600-5; Fax: 021-353966006; website: www.lrbt.org.pk
Modified on 10 May 2025 Page 3 of 3
