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
Applicant’s
Recent
Photograph
Name ________________________________________________________________
Father’s / Husband’s Name
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: ___________________
Applicant’s 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.
___________________
Applicant’s 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
Applicant’s 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 Employer’s 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.)
Children’s 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 attaché copy of your latest SALARY SLIP.