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APPLICATION FOR THE POST OF _______________________________________

1. Name___________________________ 2. Fathers Name _____________________

3. Date of Birth ________________________ 4. Domicile __________________________

5. N.I.C Card No. ____________________ 6. Phone No. i) Cell No._________________

ii) Res. PTCL_______________
iii) Any other contact
No._______________________
iv) Email: __________________
7. Permanent Address________________________________________________________

______________________________________________________________________________

8. Mailing Address__________________________________________________________

9. Present Posting if any______________________________________________________

10. EDUCATIONAL QUALIFICATION

S. No. Qualification Name of Institution Year Award if any

1.
2.
3.
4.

11. Experience before postgraduate qualification (in the relevant speciality)

S. No. Designation Institute / Hospital/ Unit From To Total Stay

1.
2.
3.
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12. EXPERIENCE AFTER POST GRADUATE QUALIFICATION (in the relevant speciality)

S. No. Designation Institute / Hospital/ Unit From To Total Stay

1.
2.
3.

13. Research Papers:

S. No. Title of research Name of Journal with year, Vol. Authorship where the 1st, 2nd,
paper/article No. page No. 3rd, 4th so on

Signature of the Applicant

Note: Application form must be filled completely and should accompany copies of all
necessary documents, research etc otherwise application form will not be entertained.