Benazir Bhutto Shaheed Youth Development Program

APPLICATION FORM

2013-14 SNDH SKILLS DEVELOPMENT PROJECT – COMPONENT I: ROUND II/ GoS TRAINING INITIATIVES – PHASE VI

COURSE DETAILS

Department: (Select training stream)

S S D P - P S T W

G o S - P S T W

APPLICANT’S DETAILS

Name of Applicant: (Block Letters)

Date of Birth: (DDMMYYYY) Age Male / Female

- - Domicile:

Employed Unemployed If unemployed; since:(MMYYYY):

Educational Qualifications:

Certificate / Degree Group / Field / Major Total

Marks

Marks obtained

Year of

Passing

Illiterate / Primary / Middle Select any one: Illiterate Primary Middle

Matriculation Select any one group Science-Bio Science-Comp Arts General

Intermediate Select any one group Pre-Medical Pre-Engineering Other

Bachelor / Graduation Please mention major subject:_______________________________

Masters / Post Graduation Please mention major subject:_______________________________

Any other

PERSONAL INFORMATION

Father’s / Husband’s / Guardian’s Name:

Father’s / Husband’s / Guardian’s CNIC-No:

– – No of family members:

Father’s / Husband’s/Guardian’s Profession Monthly Income (Rs)

Total Number of Unemployed Family Members Household per month Income

Total Monthly Expenditure

Applicant’s Present / Postal Address:

Permanent Address (if different from above):

UNDERTAKING

I solemnly state that the information given on this form is true & correct. And that currently I am not employed anywhere. I have

not availed any training under BBSYDP.

Further, I understand and accept that any information concealed or incorrectly given will disqualify me from the program and its

benefits. I also understand that my registration will be subject to verification of provided information from training institute.

DOCUMENTS REQUIRED (must be attached with the application form)

ACKNOWLEDGEMENT (This acknowledgement slip is to be returned to the applicant for record)

Name of Applicant: ____________________________________________________

CNIC No. of Applicant:

BBSYDP Stamp: ______________________

CNIC --- ---

Phone No. – Mobile No. – E-mail: (Candidate must provide mobile numbers and email to ensure contacts, in case of change, immediately inform PCU-BBSYDP)

District: Town /Taluka

District:: Town /Taluka

Date - -

1. Copy of CNIC.

2. Attested copies of all certificates and degrees.

3. Copy of domicile

- -

(2nd Choice)

District_____________________________________________________

City / Town / Taluka: _________________________________________

Trade: _____________________________________________________

(3rd Choice)

District_____________________________________________________

City / Town / Taluka: _________________________________________

Trade: _____________________________________________________

District for training [Please note: Placement will be made on the basis of availability of seats/training]:

Photograph

Applicant’s Signature:

Form No: ________

Form No:

(1st Choice)

District__________________________________________

City / Town / Taluka: _______________________________

Trade: ___________________________________________

Preferable Training Institute, District and trade (Mention 3 Choices):