ALLAMA IQBAL OPEN UNIVERSITY

H-8, ISLAMABAD
Application Form No. __________________

DEPARTMENTAL PERMISSION CERTIFICATE FOR

PERSON IN GOVERNMENT SERVICE

(1) (a) Full Name of the advertised post _____________________________________________

(b) Name of Department/Division/Ministry _______________________________________
(2) (i) Name of candidate ________________________Fathers Name ____________________

(ii) I.D. Card No.

(iii) Designation _______________________________________________BPS __________

(iv) Present department with complete address _____________________________________
______________________________________________________________________________
(3) I have applied for the above post on the prescribed form separately. Departmental permission for submission
of my application, may kindly be forwarded to the Registrar, Allama Iqbal Open University, H-8, Islamabad,
Closing date for receipt of application by the University is ________________________

Date _____________________ Signature of the candidate ______________________

(4) Forwarded: Mr./Miss/Mrs. ________________________________________ is employed in this department

since___________. He/she/holds a temporary/permanent/adhoc/contract/daily wages post under the
Federal/Provincial/Semi Government/Government/Autonomous Corporation (strike out not applicable).
His/her total continuous government service (Federal/Provincial is ________ years_______ months
_____ days.

(5) The candidate has availed extraordinary leave for ______ years_____ months_____ days and/or has availed
study leave for _______ years______ months______ days.

(6) There is nothing adverse in his/her performance evaluation report (PER)/annual confidential reports/ records,
antecedents/character, which may render him/her ineligible/unsuitable for the post applied for.

(7) There is no disciplinary case pending against him/her in the Department/Organization, where he /she is
serving.

Signature__________________________

Name ____________________________
Designation and department with complete
Registrar,
address (to be signed by head of the
Allama Iqbal Open University,
Department/Division/Ministry
Sector H-8, Islamabad
(Official stamp must be affixed)
 ORIGINAL
ALLAMA IQBAL OPEN UNIVERSITY
SECTOR H-8, ISLAMABAD
Please affix
APPLICATION FORM Passport size
(Administrative/Servicing Posts) Photograph here
(BPS-17 & above)
(To be submitted in duplicate)

Subject: APPLICATION FOR THE POST OF________________________________ (BPS____ )

(If applied for Regions post, name of Regions must be written)
A. PARTICULARS:
1. Name in full (in block letters) _____________________________________________________

2. Fathers Name: _________________________________________________________________

3. Date & Place of Birth: ___________________________________________________________

4. Domicile (indicate district): _______________________________________________________

5. Permanent Address: _____________________________________________________________

______________________________________________________________________________

6. Mailing Address: _______________________________________________________________

______________________________________________________________________________
7. Marital Status: Married Unmarried 8. Nationality: ________________________
9. Religion _________ 10. Bank Challan #. _________ Bank Branch_________ Dated _________

11. Present Employment (if any):

(a) Post held: _______________________ (b) Organization: _____________________

(c) Pay Scale: ______________________ (d) Present Pay: ______________________

12. National Identity Card No.

B. ACADEMIC QUALIFICATIONS: (please attach attested copies o f all academic certificates/degrees)

Name of Examination Mark University/

Division Year Major Subject
(Please Tick) Percentages Board
a) S.S.C

b) HSSC

c) B.A/ B.Sc./B.Com.
(Hons Pass)

d) M.A/M.Sc.

e) M.Phil.

f) Ph.D. (Specialization..)

g) Any other

C: PREVIOUS SERVICE RECORD: (BPS-16 AND ABOVE ONLY)

13. (Starting from initial position)
 Name of Institution/ Post Held with Pay Scale Period Total
Organization/Department
Designation BPS From To Year Month

Year Month
Total Experience in BPS-16
Total Experience in BPS-17
Total Experience in BPS-18
Total Experience in BPS-19

Note: Please attach two sets of attested photo copies of experience certificate/national identity card.

14. Please give details of training, research, extension work, etc. (Add separate sheets, if necessary)

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

15. Reference (at least three names with designations and address in respective fields)

1. ______________________________________________________________________________

______________________________________________________________________________

2. ______________________________________________________________________________

______________________________________________________________________________

3. ______________________________________________________________________________

______________________________________________________________________________

16. Details of documents, etc. attached.

____________________________________________________________________________________

____________________________________________________________________________________

Declaration: By signing below, I acknowledge that the above information is true to the best of my knowledge. Any misinformation would render me ineligible
for the induction.

I shall abide by the rules / regulations of the university and shall comply to the decision of university as final and binding.

Dated: ___________________ Signature of Applicant

Telephone No. ______________