Interview Questionnaire Form
Information regarding your work history is required by the Workers’ Compensation Division to rate your
level of disability and to determine your eligibility for vocational assistance benefits. PLEASE COMPLETE
THE FORM AS ACCURATELY AND COMPLETELY AS YOU CAN. (May attach a resume if current.)
Full Name
Full Address
Engineering Council Registration Number:
Is your current Residence in Lahore? Yes No
If not please specify where will your residence during job:
______________________________________________
Are you currently employed? Yes No
Which of the following languages are you affluent in?
English
Pashto
Urdu
Father's Occupation :
Questions and Details:
Do you plan to study in the future? If yes then elaborate.
Describe yourself in a few words.
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_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Are you willing to relocate? Yes No
(Islamabad & Karachi)
What particular in field your interest mainly lies?
Sales & Marketing
Product research
On-Field Engineering
What is the most attractive feature of this job profile?
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_____________________________________________________________________________________
Why do you want to join our organization?
_____________________________________________________________________________________
_____________________________________________________________________________________
Where do you see yourself after a few years in the industry?
_____________________________________________________________________________________
_____________________________________________________________________________________
Are your family members dependent on you? Yes No
(If Yes) Please specify____________________________________________________________________________
Please attach a separate sheet (mobile snapshot of it) with the given text written by hand to
understand your handwriting.
“Professor Max Müller says that "by putting together twenty-three or twenty-four letters in every
possible variety. We might produce every word that has ever been used in any language of the world.
The number of these words, taking twenty-three letters as the basis, would be
25,852,016,738,884,976,640,000, or, if we took twenty-four, would be 620,448,401,733,239,439,
360,000”
What are your salary expectations? ___________________________
Kindly specify any family members or references of yours working in Pakistan Industrial Sector
(particularly in energy, fertilizer, chemical, power, oil and gas or cement).
List any additional information you would like us to consider:
_____________________________________________________________________________________
_____________________________________________________________________________________
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PREVIOUS WORK HISTORY :(If any)
Previous Employer:___________________ Phone:____________________
Address:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Dates of employment: From________________ To _________________
Total months worked: _________
Reason for leaving: ________________________________________________________________
Job title: _______________________________________________
PLEASE READ CAREFULLY AND SIGN:
I hereby certify the information furnished is true and correct. I also agree to release all records regarding
my Prior employment and education to “Excel Technological Services” in order to verify the information
provided in this form.
Electronically Signed: ______________________ Date:___________________________