I want to be a volunteer at CPLC Personal Information Your Name (required) Father's/ Husband's Name CNIC No Date of Birth Gender MaleFemale Mother Tongue Cell Number(s) Your Email (required) Residential Address Residential Telephone No Educational/ Professional Qualification Education Qualification Profession Office Address Office Telephone No Normal Business Hours Special Skills (if any) 0 Social Activities (if any) 0 Personal Achievements 0 Availability for CPLC Minimum number of days per week Minimum number of hours per day Availability in odd hours (if required) YesNo Availability on Sunday/ Holiday (if required):YesNo References(i) Name: Relationship: Address: Telephone Numbers: References(ii) Name: Relationship Address : Telephone Numbers: Documents Required Copy of CNIC Passport size photograph (one) Photograph 1"x1" (one) Copy Education Certificate (highest obtained Degree/ Certificate) Declaration I Mr/Ms. solemnly affirm that: (a) I am not affiliated with any political party. (b) I am not affiliated with any banned organization in any country. (c) I am not involved in any crime in / outside country. (d) I am not a Government Servant / associated with Government in any capacity. (e) I am not suffering from any chronic disease. (f) I am not a defaulter of Bank / Financial Institution. That whatever stated above is true to the best of my knowledge and belief. I have not concealed any fact. In case, if any of the above information is found incorrect, I am liable to be punished under relevant Sections of Law and I become ineligible to be a Volunteer of CPLC. 2015-11-10 6vvzci_cplc