Registration No.

REGISTRATION FORM
To be Filled by NTS
S T N S T N
Paste your
recent
passport size
color photograph
with gum
Picture 1
Health Sector Reform Unit,
IMU, Health Department, Govt.
of Khyber Pakhtunkhwa
G
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Eligibility Criteria:
A. Is your Age according to the desired Post at the date of 30-09-2014?
B. Is your Education relevant as per Required Qualification & Experience (if) mentioned in Advertisement?
If your reply is Yes to A & B above, only then please proceed further. Otherwise you are not eligible to apply.
Yes
Yes
No
No
Bank Code
Deposit Date
*Note: ithout Original Deposit Slip Application Form will not be entertained w (NTS Copy)
1. Bank Online Deposit of Rs: 450/- from Designated Bank Branches.
2. Desired Test City: Fill Only One Box (Mandatory)
(Subject to a minimum of 200 candidates, other wise the candidates will be assigned next nearest test city)
1.
4.
2. Peshawar
5.
Mardan
Abbottabad
3.
6. Swat
Kohat
D.I. Khan
(All correspondence will be made on this address though courier service or ordinary postal service)
9. Postal Address:
4. Fathers Name:
5. Candidate CNIC# :
8. Email:
City:
Postal City
District:
6. Gender:
Write your Correct Date of Birth
other wise you will be rejected
7. Date of Birth:
D M Y Y D M Y Y
Male Female
Mandatory (Write your cnic no also
attached the photocopy of your CNIC.
Other wise you are not eligible)
1 9
3. Name in Full:
Personal Information: Use CAPITAL letters and leave spaces between words.
(RES.) (Mobile) 10. Phone No: (OFF)
(City Code - Phone No) Mandatory: You will informed through this number)
Candidate must hold BA / BSC or equivalent degree from HEC recognized University.
Max age limit: 21 years to 35 years
12. Do you have Valid Motorcycle Driving License? (for male candidates) Yes No
Recruitment Test For
Monitoring and Data Collection
Assistant (BS-16) Male / Female
11. Are you a Government Servant? Yes No
If Yes then total number of continuous
years as Government Servant?
Years
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13. District of Domicile: Fill Only One Box (Mandatory)
1.
9.
5.
13.
17.
21.
25.
Abbottabad
Haripur
Buner
Kohistan
Hangu
Mansehra
Shangla
Tor Ghar
4.
12.
8.
16.
20.
24.
Charsadda
Lakki Marwat
Mardan
Swabi
Upper Dir
2.
10.
6.
14.
18.
22.
Bannu
Karak
Chitral
Lower Dir
Nowshera
Swat
3.
11.
7.
15.
19.
23.
Battagram
Kohat
D. I Khan
Malakand
Peshawar
Tank
14. Academic Information:
Note: 1. NTS will not issue Roll No Slips to those who have not filled in their academic record properly.
2. Candidate should convert their grades into marks. (O Level/A Level or any other degree having grade. )
3. Write exact degree name & major subject mention in certificate/ transcript.
4. Result awaiting candidates are not eligible.
16. Total Job Experience:
15. Employment Record: (Please do not attach your documents at this stage)
Sr #
1.
2.
3.
Organization/ Employer Name Job Title
Months Years
Write only Month & Year
Job Duration
From To
Certificate /
Degree Name
Year
Passing
Obtained
Marks/CGPA
Total
Marks/CGPA
Board / University Degree Title
Matric
(10 Years)
Intermediate
(12 Years)
Bachelor
(14 Years)
Bachelor /
Master
(16 Years)
Others
Major Subject
(Other than compulsory
i.e Urdu, Pak. Std, Islamiyat etc)
District Name District Code
District Code List given on last page.
17. District applied for Posting: Write Domicile of District Code & Name (Mandatory)
G
Khyber Pakhtunkhwa:
District Code District Code District Code District Code
Abbottabad 301 308 314 320
307
306 313 319 325
305 312 318 324
304 311 317 323
303 310 316 322
302 309 315 321 Swabi Haripur Malakand
Hangu
Chitral
Lower Dir Shangla
Dera Ismail Khan
Buner
Tor Ghar Kohistan Nowshera
Battagram
Tank Kohat Mardan
Bannu
Swat Karak Mansehra
Charsadda
Upper Dir Lakki Marwat Peshawar
By Hand submission of Application Form is not allowed.
Mobile Phones are not allowed in Test Center premises.
Undertaking By The Applicant:
I_____________________________ d/s/w of ___________________________ do
hereby solemnly affirm that I have read and understood the eligibility criteria for appearing in
the NTS test and that I have filled the form as per instructions given above and in the event any
information contained herein is found too be untrue, I shall be liable to disciplinary action which
may result in my disqualification at any stage.
Date: ________________ Signature of the Candidate__________________
Affix your
recent
passport size
color
photograph
with Stapler
Picture 2
Please Send Application Forms to:
Help line:
Manager Operations
National Testing Service
1-E, Street No. 46, I-8/2,
Islamabad.
UAN. +92-51-844-444-1
Website: www.nts.org.pk

Last date for application submission is Tuesday, 30th September 2014.

Application should reach NTS office latest by last date of submission of Application Form.
NTS will not be responsible for late receiving of application through courier / Pakistan Post etc.
Applications received after Wednesday, 1st October 2014 will not be entertained by NTS.
Check List Provide the following documents other wise Application Form will not be e ntertained
Copy of Your CNIC
2 Passport size color photographs
Original Bank Deposit Slip NTS Copy
Date:
ONLI NE DEPOSI T SLI P
(* Please deposit fee in only one bank & tick the relevant bank)
Building Standards in Educational and Professional Testing
Officer Cashier Cashier
A/C
No.
I-8 Markaz Branch Islamabad (0140947)
NTS-Pakistan-Collection 0010008325640018
Remote
Branch:
A/C
Title:
(Formely: Allied Bank of Pakistan Limited)
Allied Bank Limited
A/C
No.
I-8 Markaz Branch, Islamabad (1501)
NTS-Collection 0041749181000999
Remote
Branch:
A/C
Title:
Muslim Commercial Bank
Non Refundable/ Non Transferable
A/C
No.
Cantt Br Kashmir Road Rawalpindi (0041)
NTS- Pakistan 0205523391
Remote
Branch:
A/C
Title:
A/C
No.
H9 Shalimar Recording Co ISB (1742)
NTS-Collection 1742-79002786-03
Remote
Branch:
A/C
Title:
THE POWER TO LEAD
LTD
Building Standards in Educational and Professional Testing
Branch Code:
Branch Name:
Cashier Cashier
CNIC No/
B Form No:
Father
Name:
Applicants
Name:
Amount
Rs:
Amount in
word: Rs.
Non Refundable/ Non Transferable
Note: Bank Service Charges Free of Cost
Note: Bank Service Charges Free of Cost
Branch Code:
Branch Name:
CNIC No/
B Form No:
Father
Name:
Applicants
Name:
Amount
Rs:
Amount in
word: Rs.
Date:
Officer
Note: Bank Service Charges Free of Cost
Note: Bank Service Charges Free of Cost
A/C
No.
I-8 Markaz Branch Islamabad (0140947)
NTS-Pakistan-Collection 0010008325640018
Remote
Branch:
A/C
Title:
(Formely: Allied Bank of Pakistan Limited)
Allied Bank Limited
A/C
No.
I-8 Markaz Branch, Islamabad (1501)
NTS-Collection 0041749181000999
Remote
Branch:
A/C
Title:
Muslim Commercial Bank
A/C
No.
Cantt Br Kashmir Road Rawalpindi (0041)
NTS- Pakistan 0205523391
Remote
Branch:
A/C
Title:
A/C
No.
H9 Shalimar Recording Co ISB (1742)
NTS-Collection 1742-79002786-03
Remote
Branch:
A/C
Title:
THE POWER TO LEAD
LTD
Note: Bank Service Charges Free of Cost
Note: Bank Service Charges Free of Cost
Note: Bank Service Charges Free of Cost
Note: Bank Service Charges Free of Cost
*Note: Desired Bank Stamp is required on the Deposit Slip & Send Original
Deposit Slip (NTS Copy) along Application Form to NTS Office
Application Form will not be entertained without Original Deposit Slip (NTS Copy)
a
*Note:
1. Please Stamp both copies of deposit Slip.
2. The Bank Must Return NTS Copy to the Candidate.
. 3 Deposit Slip will not accepted without Candidate CNIC/ B Form No.
Applicant Signature Applicant Signature
(Health Sector Reform Unit, IMU, Health Department, Govt. KPK 25,26-10-2014) (Health Sector Reform Unit, IMU, Health Department, Govt. KPK 25,26-10-2014)
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Four Hundred & Fifty Rupees Only
450/-
Four Hundred & Fifty Rupees Only
450/-