“USAID-funded MNBSP Alumni Registration Form”

1. Personal Details

1.1 Name: _______________________________________________________ (In Capital)

1.2 Father’s Name: _________________________________________1.3 CNIC No.:____________________________

1.4 Marital Status: _______________________ 1.5 No. of Dependents: _____________________________________

1.6 Landline No.: ________________________________ Cell No: __________________________________________

Nearby Phone (in case of unavailability of Phone at home) ___________________________________________

1.7 Valid Email: ______________________________________ 1.8 Domicile: ____________________________

1.9 Postal Address: ____________________________________________________________________________________

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1.10 Permanent Address: ________________________________________________________________________________

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2. USAID-MNBSP Scholarship Details

2.1 Name of University: _________________________________________________________________________

2.2 Course Name: BBA MBA BA/BS/BE/ MBBS/DVM/Nursing LLB/LLM MA MSc

2.3 Reg. No.: _____________________ 2.4 Session: ________________ 2.5 Course Duration: ________________

2.6 Degree Completion date (month-year): _______________________

3. Higher Studies/Degree Details

3.1 Name of the University: _________________________________________________________

3.2 Course Name: PhD MS/MPhil other _____________________

3.3 Name of the Scholarship (If availing any): _____________________

3.4 Status of Degree: In progress Completed

3.5 If completed, then Degree Completion date (month-year): _______________________

4. Training Attended:

4.1 Have you attended Talent Grooming Workshop under USAID-MNBSP? Yes No
 If Yes, then please mention how that workshop was helpful in grooming your talent and personality _____________________________

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4.2 Have you attended Career Counselling Workshop under USAID-MNBSP? Yes No

If Yes, then please mention how that workshop was helpful in making your career/future?_____________________________________

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5. Professional Details:

5.1 Employment Details: (Use additional sheet if required)

I. Name of the Organization: __________________________ II. Job Title: ________________________________________
III. Joining Date:______________________________________ IV. Job Station:_______________________________________
V. Phone No. (Optional):_______________________________ VI. Official Email: (optional):____________________________
VII. Salary:____________________________________________ VIII. Date of Leave of job:________________________________
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I. Name of the Organization: __________________________ II. Job Title: ________________________________________
III. Joining Date:______________________________________ IV. Job Station:_______________________________________
V. Phone No. (Optional):_______________________________ VI. Official Email: (optional):____________________________
VII. Salary:____________________________________________
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5.2 Business Detail:
i. Have you Started own business Yes No Some Details ____________________________

ii. Have you join in running family business? Yes No Some Details ____________________________

Dated: _______________________ Signature: ________________________________