Reg. No.

APPLICATION FORM To be Filled by NTS

Picture 1
DIRECTORATE GENERAL HEALTH Paste your recent
passport size color
SERVICES, KHYBER PAKHTUNKHWA
NTS (EPI PROGRAM)
photograph not older than
6 Months having
blue background with gum

Project ID: N-17-4299

Screening Test for various Posts

Eligibility Criteria:
A. Is your age according to the prescribed age limit for the desired Post as on 01-08-2017? Yes No

B. Do you have relevant / prescribed Qualification / Experience as mentioned in Advertisement? Yes No

C. Are you Domiciled in Khyber Pakhtunkhwa? Yes No

If your reply is Yes to A, B & C above, only then please proceed further. Otherwise you are not eligible to apply.

01. Bank Online Deposit of Rs: 450/- from Designated Bank Branches.
Bank Code Deposit Date

*Note: Application Form will not be entertained without Original Deposit Slip (NTS Copy)

02. Desired Post: Fill Only One Box for Desired Post. (Mandatory)
To apply for more than one posts, please use separate form with separate fee. This form will be considered valid only for the first selected post in the sequence.

District Multipurpose Field Multipurpose Field Supervisor

01. Computer Operator (BPS-16) 02. 03.
Supervisor (BPS-16) (BPS-14)

Personal Information: Use CAPITAL letters and leave spaces between words.

03. Name in Full:

04. Fathers Name:

05. Candidate CNIC #:

Write your own CNIC No. Or B Form No.

07. Date of Birth: D D M M Y Y

06. Gender: Male Female Write your Correct Date of Birth
otherwise you will be rejected 1 9

08. Postal Address:

All correspondence will be made on this address though courier service or ordinary postal service.

City: District:

09. Permanent Address:

City: District:

10. Phone No: (OFF) (RES.) (Mobile)

City Code - Phone No DO NOT give your portable mobile number (which is converted
from one network to another) so that SMS delivery is ensured.

11. Are you a Government Servant? If Yes then total years of

In case of Yes, please attach NOC
Yes No continuous experience:

12. Are you a Disabled Person? If yes, state nature

If yes, please attach Disability Certificate Yes No of your disability:

If Non Muslim,
13. Religion: Muslim Non Muslim Please Specify:
 14. 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)

01. Peshawar 02. Abbottabad 03. D.I.Khan 04. Kohat 05. Malakand

15. District of Domicile: Fill Only One Box (Mandatory)

01. Abbottabad 02. Bannu 03. Battagram 04. Buner

05. Charsadda 06. Chitral 07. Dera Ismail Khan 08. Hangu

09. Haripur 10. Karak 11. Kohat 12. Kohistan

13. Lakki Marwat 14. Lower Dir 15. Malakand 16. Mansehra

17. Mardan 18. Nowshera 19. Peshawar 20. Shangla

21. Swabi 22. Swat 23. Tank 24. Tor Ghar

25. Upper Dir

16. Academic Information: (Please attach copies of your academic certificates)

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.

Certificate / Specialization / Year Obtained Marks Total Marks

Degree / Sanad Title Board / University / Institute
Degree Level Major Subject Passing / CGPA / CGPA

Science
Matric / Matric
Equivalent Arts
(10 Years) Other: __________________
Other: _________

Pre-Engineering

F.A F.Sc Pre-Medical

Intermediate / ICS I.Com Mechanical
D.A.E
(12 / 13 Years) D.Com D.A.E Electrical

Other: __________________ Civil

Other: _________

B.A B.Sc

BCS B.Com
Bachelor
(14 Years)
BBA

Other: __________________

M.A M.Sc

MCS/MSIT BCS (Hons)

Bachelor (Hons)
/ Master / M.Com BS (Hons)
Equivalent BDS MBBS
(16 Years)

MBA MPA

BBA (Hons)

Other: __________________

MS / M.Phil
(18 Years)

Higher
(If Any)
 17. Employment Record: (Please attach copies of your experience certificates.)
Please write relevant experience as per required in advertisement.
Job Duration
Sr # Organization / Employer Name Job Title Major Duties Write only Month & Year
From To

01

02

03

04

05

Days Months Years

18. Total Job Experience as on closing date of application:

Undertaking By The Applicant:

I_____________________________ d/s/w of _________________________do hereby solemnly
declare and affirm that I have read and understood the instructions and conditions for appearing in Picture 2
the NTS Test, and I have filled-up the application form as per instructions accordingly. In case of any Affix your recent
information contained herein is found at any stage to be missing, untrue, false or forged, my passport size color
candidature can be cancelled at any stage (even after employment, if so revealed later), and I shall photograph not older than
6 Months having
be liable to legal action.
blue background with Stapler

Date: _________ Thumb Impression ____________ Candidates Signature ________________

GENERAL INSTRUCTIONS / INFORMATION:

Please fill the Application Form properly with complete and correct information / answers.
Please DO NOT leave any field blank, otherwise your application may not be considered.
Incorrect, false or forged information may result in cancellation of your candidature at any stage, even after employment,
and also proceeding of a legal action.
Attach your Two recent Passport Size Photograph, Attested copies of CNIC, Academic Certificates, Experience Certificates,
Domicile Certificate and Original Bank Deposit Slip (NTS Copy)
By Hand submission of Application Form is not allowed.
Mobile Phones or any Electronic Gadgets are not allowed in Test Center premises.
st
Last date for submission of application form is Tuesday 1 August, 2017.
Applications received on or after Wednesday 2nd August, 2017 will be rejected.
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.

HELP LINE: Please Send Application Forms to:

NATIONAL TESTING SERVICE
UAN : +92-51-844-444-1
Website : www.nts.org.pk DGHS KPK - EPI Program (Project)
Plot # 96, Street # 4, H-8/1, Islamabad.

Keep Visiting NTS Website

 Building Standards in Educational and Professional Testing Building Standards in Educational and Professional Testing

NTS COPY BANK COPY

Directorate General Health Services KP (EPI Program) Directorate General Health Services KP (EPI Program)

Branch Code: Date: Branch Code: Date:

Branch Name: Branch Name:

ONLINE DEPOSIT SLIP ONLINE DEPOSIT SLIP
(* Please deposit fee in only one bank & tick the relevant bank) (* Please deposit fee in only one bank & tick the relevant bank)

Allied Bank Limited Muslim Commercial Bank Allied Bank Limited Muslim Commercial Bank
(Formely: Allied Bank of Pakistan Limited) (Formely: Allied Bank of Pakistan Limited)

A/C A/C A/C A/C

Title: NTS-Pakistan-Collection Title: NTS-Pakistan Title: NTS-Pakistan-Collection Title: NTS-Pakistan
A/C A/C A/C A/C
No. 0010008325640018 No. 0647943831005734 No. 0010008325640018 No. 0647943831005734
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

LTD LTD
THE POWER TO LEAD THE POWER TO LEAD
Remote Remote
Branch: National Testing Service-Pakistan A/C NTS-Pakistan Branch: National Testing Service-Pakistan A/C NTS-Pakistan
Title: Title:
A/C A/C A/C A/C
No. 0101820001 No. 17427900464503 No. 0101820001 No. 17427900464503
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 *Note:
Slip (NTS Copy) along Application Form to NTS Office 1. Please Stamp both copies of deposit Slip.
a 2. The Bank Must Return NTS Copy to the Candidate.
Application Form will not be entertained without Original Deposit Slip (NTS Copy)
3. Deposit Slip will not accepted without Candidate CNIC/ B Form No.

Project ID: N-17-4299 Project ID: N-17-4299

Applicants Applicants
Name: Name:
Father Father
Name: Name:
CNIC No/ CNIC No/
B Form No: B Form No:

Post Name: Post Name:

Amount
450/- Amount in Four Hundred & Fifty Rupees Only Amount 450/- Amount in Four Hundred & Fifty Rupees Only
Rs: word: Rs. Non Refundable/ Non Transferable Rs: word: Rs. Non Refundable/ Non Transferable

Applicant Signature Cashier Officer Applicant Signature Cashier Officer

Building Standards in Educational and Professional Testing

CANDIDATE COPY
Directorate General Health Services KP (EPI Program)

Branch Code: Branch Name: Date:

ONLINE DEPOSIT SLIP
(* Please deposit fee in only one bank & tick the relevant bank)

Allied Bank Limited Muslim Commercial Bank LTD

(Formely: Allied Bank of Pakistan Limited)
THE POWER TO LEAD
A/C A/C Remote
Title: NTS-Pakistan-Collection Title: NTS-Pakistan Branch: National Testing Service-Pakistan A/C NTS-Pakistan
Title:
A/C A/C A/C A/C
No. 0010008325640018 No. 0647943831005734 No. 0101820001 No. 17427900464503
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)

Project ID: N-17-4299

Applicants Father
Name: Name:
CNIC No/
Post Name:
B Form No:

Amount 450/- Amount in Four Hundred & Fifty Rupees Only

Rs: word: Rs. Non Refundable/ Non Transferable

Applicant Signature Cashier Officer