Qatar Melamine Company (QMC) Ltd EMPLOYMENT FORM NO: EMP: 52837-2015

QMCO AN EQUAL OPPORTUNITY EMPLOYER

Please carefully read the Guidelines on the last page before filling this Form

FOR OFFICIAL USE ONLYApplication accepted/rejected/contingent

Reasoning

Date of Interview Joining Date Initials Date

POSITION APPLIED FOR Job title

DepartmentLast Date: May 02,2015

Have you any employer? youy Yes NoHow much notice do you need to give to your current employer?Would you accept a temporary position? Yes NoWould you accept a part time position? Yes No

Have you worked for QMCO before? Yes No

When Where Employee No.

Reasons for leavingQMCO LTD.

Referral source:(Website/ Newspaper/ TV/ Radio/ College/ Universityplacement office/ Employee Referral/ Friend/ word of mouth/ Employment Agency/ Bulletin Board)

Specify source

Name

_

Mr. / Ms / Miss / Mrs.NameSurnameFather’s/ Husband’s nameDate of birth

PERSONAL DETAILS

PHOTOGRAPH

Place of birthN.I.C No. - -

9

ReligionMarital status Single Married Separated Widow

DETAILS OF DEPENDENTS (SPOUSE (S) & UNMARRIED CHILDREN OR PARENTS)NAME RELATIONSHIP OCCUPATION DATE OF BIRTH

PRESENT ADDRESS

H.No. St. No. Town City/Village

Tehsil_ District Post Code/Post Office

Telephones (include full STD code)

Home Work Mobile, if you have one

Fax, if you have one E-mail, if you have one

May we contact you by e-mail - Yes / No May we contact you at work - Yes / No

PERMANENT ADDRESS (if different from above)

H.No. St. No. Town City/Village

Tehsil_ District Post Code/Post Office

Home Telephone (include full STD code)

NEXT OF KIN

Name RelationshipAddress (if

different from above

HomeTelephone

(include full STD code)

WorkTelephone

(include full STD code)

Mobile phone (include full STD code)

NOMINATION FOR PAYMENT OF GRATUITY & FINAL DUES IN THE EVENT OF DEATHSr. # Name Relationship Address Phone No.

Do you have any caring responsibilities? (E.g. young children, dependent relatives) Yes No Have you ever been convicted of a crime? If yes, describe in full, including date and location of

court records. A conviction will not necessarily disqualify you from employment and will be considered only if it relates reasonably to the job duties. Yes No

Do you hold a valid driving License? Yes No Have you any relatives presently working with QMCO If yes, state name, designation and

relationship and company where your relative works

What absences (in number of days) from work have you had in the last 2 years?Sickness Casual_ Annual Others

HEALTH DECLARATION

A health condition will not necessarily disqualify you from employment and will be considered only if it relates reasonably to the job duties.

o Do you suffer from any chronic disease or repetitive illness? Yes No

o Do you have any disability? Yes No

o Have you had any major illness identified in least five years? Yes No

If the answer to any of the above is YES, please provide as much details as possible.

EDUCATION

Certificate(s)/Diploma(s) Degree(s)

Name ofSchools

/Colleges

City andCountry

Dates attended Roll No/Reg No

Month&Year of

AwardFrom To

Matriculation / O-Levels / GCSE or equivalent

Intermediate / A-Levels or equivalent

Graduation

Post-Graduate / Professional

FUTURE PLANS

TRAINING SECTION

List any training you have received or courses which did not lead to a qualification but which you feel is relevant to the job you are applying for.o PROFESSIONAL TRAINING

DescriptionConducted byOrganization/Institution

City andCountry

Dates attended Level attained

Date ofAwardFrom To

o OTHER TRAINING

DescriptionConducted byOrganization/Institution

City andCountry

Dates attended Level attained

Date ofAwardFrom To

EMPLOYMENT RECORD

Begin with your present or most recent employment. Include any periods of self-employment. If more than one position has been held with the same employer, list each position separately with most recent position first.

If you are fresh or have no experience then simply write N/A yet in given below columns.

Attach original or a certified copy of your most recent pay slip if available .Please be aware that information provided in this section will be confirmed with your present / most recent employer

Employer

Nature of Business

Address, phone, fax, email

Manager’s / Supervisor’s namePosition held/Title/DesignationNumber of staff who directly report to you

Brief description of duties, responsibilities and accomplishments

Dates of employment From To From To From To

Starting salary packageEnding salary packageMay we contact the employer?

Reasons for wishing to leave or for having left

Expected salary packageFrom QMCO LTD?

Future career aspirations

REFERENCES

Please provide details of three people who know you and your work to whom personal and professional reference can be made:

Present or most recent employer

(Head of Department)

Person you know in a professional

capacity outside your present or most recent place of employment

A relative or a person you know in a personal capacity

Title and Name

Position held

Full address

E-MailTelephoneFaxMobileHow long known

Processing FeeYou are requested to submit Rs.1600/- (Refundable for unselected candidate only) as processing fee in given below details of Director HR of and fill the Transaction ID, Code with date in given below space.

Why Company charging processing fee?

Processing fee is charge in terms of processing expenses of the verification such as CNIC Verification through NADRA (CNIC NO), Degree (By using Registration No / Roll NO) Verification and Miscellaneous etc... The processing fee is refundable for unselected candidate only.

How to deposit the fee?

For Easy Paisa

Just go to any nearest Easy Paisa Shop and deposit the fee amount through CNIC Only and mention the Transaction ID, Easy Paisa Shop Name and Code in the given below column.

You can also deposit through Mobi Cash Service

Note: The Mobile No is not used for communication and it is linked with Accounts Server.

Processing Fee Details:

For Easy Paisa

Mobile No: 0332 3002008 CNIC: 37405 1250723 3

Transaction ID: _____________ Easy Paisa Shop Name: ___________________ Code: __________

Only attach color scan copy of your Current National Identity Card (CNIC) with the E-Form.

Please do not send any certificates with your application.

These will be required at the time of interview, once an offer is made and accepted.

DECLARATION

I certify that the information provided by me in this form and all transcripts/documents submitted

herewith or in connection with this application for employment is accurate and true, and may be

subject to verification, I understand that falsification or concealment of any information, may

disqualify my application and/or be ground for disciplinary action up to and including termination

and /or legal action. Unless otherwise indicated, I agree and give my consent that any person, firm

or organization listed herein is authorized to furnish QMCO with reference material concerning

my character, past employment or any other information requested.

Signatures

(Applicant shall be deemed to have signed this Form and made the above Declaration if thisForm is submitted through email without signature of the applicant is accepted)

Date

GUIDELINES FOR FILLING THE FORM

If you have any problem completing this form please contact the HR Department at hr.qmco@gmail.com.

You may also wish to submit a CV, but if you do please note that it would still be necessary to complete and submit this form in full.

You must provide all information requested in this form to avoid rejection of your application.

Use additional sheet where necessary.

The form may be emailed to the given below Email Address.

Type or print scan in black or blue ink and in block

capitals. Any information you provide is confidential.

The acceptance of this form does not in any way whatsoever assure eventual employment with QMCO Company LTD.

Please note that your application will not be acknowledged if the form is incomplete.

Only short listed candidates will be notified of the outcome of their applications; if you do not hear within two weeks of the closing date you should assume that your application has been unsuccessful on this occasion.

Disability:

A disability is a p e rm a n e n t p h y s i c al , m e n t a l o r s e n s or y c on d i ti o n . The disability must be substantialrather than slight, and permanent in that it is seldom fully corrected by medical replacement, therapy, or surgical means. This confidential information is solicited only to ensure compliance with our policy of providing equal opportunities to all prospective candidates. It should not be construed and will not be considered as a request.

Salary package:Means gross salary before deduction of any taxes or contributions (e.g. pension, provident fund etc.) plus any other monetary and non-monetary perquisites and benefits (e.g. bonuses, provident fund, gratuity, medical insurance, life insurance, company maintained vehicle, LFA, paid leave, etc.)

This form may be:

Emailed to hr.qmco@gmail.com

Country Head Office

PO Box No 5920 Khayaban-e-Iqbal, D.H.A Karachi 75500, Pakistan Fax: +92 (21) 32419162

Regional Offices: Lahore, Sukkur, Faisalabad, Multan, Islamabad, Peshawar

Group Head Quarters

Qatar Melamine Co Ltd PO Box 23111, Doha Bank Tower Corniche Street Doha, Qatar Fax: (0974) 4477-0347