Employment

CORTEX PHARMACEUTICALS
JOINING REPORT
Sir,
Reference to my interview on __________________________ And Cortex
Pharmaceuticals Appointment letter No. ____________ Dated:_____________
As___________________ for Cortex Pharmaceuticals, I have joined with effect
from ___________ (Forenoon).

Your’s faithfully

(Signature Head of Department)

Signature:

_________________

Name:

_________________

Dated:

_________________

(Signature of Manager Admin)

CORTEX PHARMACEUTICALS
MEDICAL ASSESMENT
Name:

_______________________

S/O: _________________________

CNIC No: _______________________

Designation:___________________

Date of Appointment: _____________

Department:___________________

Medical History:

______________________________________________

________________________________________________________________
________________________________________________________________

Dated: ____________

____________________
Signature of Individual
____________________________________________________________________
____________________________________________________________________
REMARKS BY MEDICAL OFFICER (CORTEX PHARMACEUTICALS)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Dated: _____________

_______________________
Signature of Medical Officer

Skills:
Additional Skills / Qualifications:
Computer Knowledge

MS Word

MS Excel

MS Power Point

MS Access

Others:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Past Working Experience
Employer Name:

Position Worked As

From

To

Total (Years)

_______________

_________________

______

______

__________

_______________

_________________

______

______

__________

_______________

_________________

______

______

__________

_______________

_________________

______

______

__________

Medical
Medical History:
(if any)

__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

Service Record with Cortex Pharma.
Department:_______________________
Date of Appointment ________________Service Period in Present Grade ________________
Appointed in Grade _________________ Present Grade:______________________________
Initial Designation___________________ Present Designation_________________________
Starting Salary______________________ Present Salary______________________________

CORTEX PHARMACEUTICALS
BIO DATA
Personal
Employee No.:

______________________________

Name:

______________________________

CNIC No.:

______________________________

Father’s Name:

______________________________

Resident of city:

______________________________

District:

______________________________

Mailing Address:

______________________________

Permanent Address:

________________________________________________________
________________________________________________________
________________________________________________________

Phone:

________________

Emergency No:

__________________

Marital Status:

________________

Next of Kin:

__________________

Date of Birth:

_________________

Academics
Qualification

University / College / Institute

Year

___________________

_________________________

___________________

___________________

_________________________

___________________

___________________

_________________________

___________________

___________________

_________________________

___________________

Training / Seminars
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

CORTEX PHARMACEUTICALS
CHECK LIST – PERSONAL DOCUMENTS
OFFICER
A
B
C
D
E
F
G

NAME
FATHER’S NAME
DATE OF BIRTH
DATE OF APPOINTMENT
DESIGNATION
DEPARTMENTS
PERMANENT HOME ADDRESS

H
I

Personal Telephone No. (if any)
Educational Papers (Photocopy)

J

Previous Experience

Yes

OR

No

Years:____________
Months:__________

All certificates (Photocopy) for previous
Experience Held with in Personal File

Yes

OR

No

CORTEX PHARMACEUTICALS
BIO – DATA FOR PERSONAL FILE
OFFICERS
Name

:

______________________________

Father’s Name

:

______________________________

CNIC #

:

______________________________

IT No. (If Any)

:

______________________________

Date of Birth

:

______________________________

Marital Status

:

______________________________

Next of Kin: (Name:____________________) Relationship:_______________
Mailing Address

:

_______________________________
_______________________________
_______________________________

Tele No.

_______________________________

Permanent Address

:

_______________________________
_______________________________
_______________________________

Contact Person in Case of (Emergency)
Address:

Name:_____________________

________________________________________________________
_________________________________________________________

Tele No.:

______________________

Date of Joining

:

____________________________________

Designation (at time of Emp.)

:

____________________________________

Highest Qualification (Civil)

:

____________________________________

Institution / University Awarding Degree:

____________________________________

Professional (Qualification)

____________________________________

Name of Institution

:

____________________________________

Past Working Experience

Employer Name:
_______________
_______________
_______________
_______________

Position Worked As
_________________
_________________
_________________
_________________

from
______
______
______
______

To
______
______
______
______

Total (Years)
__________
__________
__________
__________

Name of Banker: ______________________________A/C No._______________________
Health Problem (if any)________________________________________________________
E.O.A.B.Card No. (If any) _______________________________________________________
Date:__________________________

Signature of Individual:___________________