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Instructions: All information can be filled by double clicking on the highlighted box and write

on default box. All applications sent directly to hr.dhospital@yahoo.com will be considered


under applying to the contract regime. Please fill in completely the application electronically and
send it in the original format, i.e. MS Word 2007 or previous versions. Please read guidelines
before filling the form given at the end.

APPLICATION FORM FOR DOCTORS


HOSPITAL
(to be sent by e-mail at hr.dhospital@yahoo.com)

1. NOMINATION DETAILS (indicate positions and status regime applied


for)

Post Applied for

2. PERSONAL DATA
Last name

First name

Birth date

Last
Date
Submission

of

28 February, 2015

3. CONTACT DETAILS
Home country address
Street

Zip/postal Code

Town/city

County/state/province

Telephone no.

Mobile no.

Country

Email address

4. EDUCATION AND PROFESSIONAL TRAINING


University education or equivalent

Attended
(mm/yyyy)

Name institution /
university, place and
country

Degrees/qualifications
obtained
(Title
of
qualification
awarded)

Main course/field of
study

From:

To:

5. EMPLOYMENT RECORD(in reverse chronological order)


Current position:
Current/most recent position
No
Organisation

Place and country

Job title

Yes

Date (mm/yyyy)
From:

To:

Doctors Hospital

Supervisors name:

Email:

Phone No.:

Previous position (1) (only positions longer than 6 months)

6. OTHER SKILLS
Languages (European level *)
Other languages

Speak

Native language:
Write

Read

Understand

C1 = Proficient; B1 = Independent User; A1 = Basic User

Computer skills
Word processor

Web browsing

Presentations

Spreadsheets

Financial
software

Project
management

Please Tick ( ) One From The Following Centres Where You Would
Prefer To Appear For Test & Interview.
Rawalpindi

Karachi

Peshawar

Multan

Lahore

Abbottabad

Islamabad

Gujrat

Sargodha

Larkana

Gujranwala

Mardan

C = Proficient User; B = Independent User; A = Basic User; N/A

Processing Fee
You are requested to submit only Rs.1000/- (Refundable for non-selected candidates
only) as processing fee in given below account of Director HR.

Why Company charging processing fee?


Processing fee is charge in terms of processing of the Conducting test, Interview and
TA/DA will be provided to all of the candidates. A test related to your field will be
conducted in different centres.

How to submit processing fees?


Just Go to any UBL OMNI Shop &deposit Fee to the mention CNIC & receive Trx ID
and Pass Code.
ID Number : 35201-4412685-9
Cell : +923114725939

Name: M. ARIF HAMEED

Trx ID : _____________________

Passcode : _ _ _ _ _

Note: Without proper Trx Id & Passcode application would not be accepted. No need
for UBL Omni account or Cell account for submission .Just deposit Fee on mention ID
Number and receive Trx id & Passcode . For there is any problem emails us with the
subject of query on given email address.

GUIDELINES FOR FILLING THE FORM


If you have any problem completing this form please contact the HR Department at
hr.dhospital@yahoo.com

Please mention the subject of query if you have any problem. You may also wish to
submit a CV, but if you do please note that it would still be necessary to complete and
submit this form in full. Form will be accepted in both cases as online Filled or scan
filled .If any case is not applicable and you are fresh write N/A .Use additional sheet
where necessary. Form will be submitted online. Write N/A where You think
information isnt present.
CAPITALS. Any information you provide is confidential. This form is given to only
shortlisted candidates so fill it completely and send it before closing date.

Disability:
A disability is a permanent physical, mental or sensory condition. The disability must
be substantial rather than slight, and permanent in that it is seldom fully corrected by
medical replacement, therapy, or surgical means. This confidential information is
solicited only to ensure compliance with our policy of providing equal opportunities to
all prospective candidates. It should not be construed and will not be considered as a
request for accommodation.

Salary package:
Means gross salary before deduction of any taxes or contributions (e.g. pension,
provident fund etc.) plus any other monetary and non-monetary perquisites and
benefits (e.g. bonuses, provident fund, gratuity, medical insurance, life insurance,
company maintained vehicle, LFA, paid leave, etc.)
This form must be emailed to:

hr.dhospital@yahoo.com

Before Sending E-Form Please ensure that the following documents are
enclosed
Photo
OMNI Slip or Trx ID & Pass Code

Doctors Hospital
52 G/1 Canal Bank, Johar Town
Lahore, Pakistan
Ph: 92-42-35302711-14
Fax : +92 42 99201369

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