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Fields No. 8, 9 must be entered for Service Card

GOVERNMENT OF KHYBER PAKHTUNKHWAEstablishment of HR Database

(Note: Please carefully read the instructions at the back before filling the form)

PERSONAL DATA CAPTURE FORM

Level: Provincial District (Tick one) Department: _______________________________

District: ____________________Personal No: __________Belt No.___________

Personal Information

1. New NIC No:

2. Old NIC No(If new NIC not available)

3. Name:

4. Fathers/Husbands Name:

5. Date of Birth :Day - Month - Year

6. Gender / Sex: 7. Religion: ________________8. Blood Group: _____________

9. Mark of identification: _______________________________________________

10.Province: ___________________________________

11.District of Domicile: ___________________________________

12.Tehsil of Domicile: ___________________________________

13.Phone No. Office: ____________________Residence/Cell#__________________

14.Marital Status:

15.Wife Employment Status:

16.If Spouse Govt: Employee, CNIC #.

17.Present Address: _________________________________________________

_________________________________________________________________

18.Permanent Address:_________________________________________________

_________________________________________________________________

19.Dependants: (Father/Mother, Wife / Husband & Children)*

S.No Name (Optional) Relationship Date of Birth

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

Day - Month - Year

- -

- -

- -

Male Female

Married Single Widower Divorced

Unemployed Government Private Self-employed

- -

Must include Da , Month & Year

*Use additional pages if required

Paste one

recent Passportsize

photograph for

Service Card

Must include Da Month & Year

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Service Information:

Initial Appointment

20. Service Status: Permanent Fixed Pay Contract 21. Employee Status Federal NWFP Punjab

- -23. Cadre/Service

Group:_____________________________________22. Appointment Date:

Day Month Year e.g. DMG, PCS, Secretariat, Police, Tea

24. BPS: ______________________________________ 25. Designation: _________________

26. Department: ________________________________ 27. Attached Dept: _________________

Present Posting

28. Service Status: Permanent Fixed Pay Contract 29. BPS:___________ (NOTE: Enter oro

30. Designation: ________________________________ 31. Department: ________________

32. Attached Dept: ______________________________

34. Joining Date: 33. Station / Facility:_____________________________Day

35. Running Basic Pay: __________________________ 36. Secretariat Employee: Ye

37. Service History (initial appointment to date)*

37 a) TransferDesignation BPS To Department To Station / Facility District Date

37 b) DeputationDesignation BPS From Department To Department

37 c) PromotionFrom Designation To Designation From BPS To BPS Department

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38. Qualification (start with the highest qualification):S.No Institute Name & Address Qualification* Grade Year of

Passing

Major Subject

*Qualification: Matric, F.A, F.Sc, DCom, B.A, B.Sc, BCom, M.A, M.Sc etc

39. Trainings / Courses :S.No Course Title Institute Name & Address Country From Date To Date

Day-Month-Year Day-Month-Year

40. Computer Literate:

41. Language Proficiency:S.No Language Read Write Speak

I hereby certify that all the information provided

above is correct to the best of my knowledge

Signature: ____________________

Name: ____________________

Date: _____ -______ -___________Day - Month - Year

FOR OFFICIAL USE ONLY

Entered into Database: Entry Date: _____________________

Form Checked By: _____________________ Entered By: _____________________

Verified by: _____________________

Yes No

Yes

To be verified by Reporting Officer:

Designation: ___________________

Signature: _____________________

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Instructions for filling out the forms.

.

NDPR019-01-1.15-DCF01-2.08

The forms filled by District Devolved, Non Devolved employees are to be returned to the EDO, Finance and PlanningDepartment of their respective District.

Forms filled by the Provincial employees should be returned to the Programmer / Coordinator FMIU, FinanceDepartment Peshawar (HR Database Wing).

The filled forms must be returned within 10 days of receipt of the forms.

Incharge of every office should ensure that the filled forms must reach the required destination within five days afterreceipt of the filled Forms from the employees.

All applicable fields must be legibly f illed in Capital Letters for computerization.

Use Additional pages wherever required

Complete all the dates in the format: DD - MM YYYY i.e. Day - Month - Year

At the Top right corner of the Form tick Provincial for non-devolved or Provincial level off ices /institutions, and tickDistrict for devolved departments.

Item 21 tick the original Employing Authority

Item 23 (Cadre / Service Group), the employee should enter his correct Service Group/ Cadre e.g. DMG, OMG, PolicePSP, Police PCS, Accounts, PCS Executive, PCS Secretariat, or any other applicable and used in the filling of ACRforms.

Item 26 Department, please write complete departments e.g. Establishment, Administration etc.

Item 27 Attached Department, please write complete attached departments e.g. Public Service Commission.

Item 36 Secretariat employee, Tick Yes if the person is working in any secretariat Department.

Item 37 Service History Give complete details of all changes in the career due to posting / transfers, promotion,

deputation, whether the appointment in the given pay scale/position is Transfer, Promotion, Deputation, pay etc . Startfrom the 1st

appointment and give detail up to the present appointment.

Item 37, 29, 24 Write your original pay scale as given in the budget books and not the pay scale due to move-over,selection grade, additional charge or shoulder promotion etc.

Item 37, 33 Station / facility means the station (school, hospital, District or office etc) where the employee is/wasposted.

In item 38 Qualification, only one subject should be entered under Major Subject as follows:Upto Graduation: Mention Arts, Commerce, Science, Pre-Engineering, Pre-Medical etc.For Professional & Master Degrees and above: The discipline e.g. English, Urdu, Economics, Geology, MBBS,Engineering, Computer Science, MBA etc

In item 39Training / Courses, mention the training/ courses which are at least of one week duration and helpful forthe career.

For further inquiry, contact FMIU, Finance Department. Ph. No. 0 91 9212673 or 091 9211136 or office of theEDO (F&P) in every district.