Scribd Logo
Upload

Welcome to Scribd!

  • 33 views

    Khairpur Medical College: Application Form

    Uploaded by

    Waseem Abbas Mangrio
    This document is an application form for a faculty position at Khairpur Medical College in Pakistan. It provides instructions for applying, including how to obtain an application, required documents to submit, and important dates and policies. The main body of the form collects applicant information like contact details, education/degree history, employment record, publications, references, and a declaration of truthfulness. It requests copies of relevant documents and signatures to finalize the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Khairpur Medical College: Application Form

    Uploaded by

    Waseem Abbas Mangrio
    33 views8 pages
    This document is an application form for a faculty position at Khairpur Medical College in Pakistan. It provides instructions for applying, including how to obtain an application, required documents to submit, and important dates and policies. The main body of the form collects applicant information like contact details, education/degree history, employment record, publications, references, and a declaration of truthfulness. It requests copies of relevant documents and signatures to finalize the application.

    Original Description:

    jobapp

    Original Title

    jobapp

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an application form for a faculty position at Khairpur Medical College in Pakistan. It provides instructions for applying, including how to obtain an application, required documents to submit, and important dates and policies. The main body of the form collects applicant information like contact details, education/degree history, employment record, publications, references, and a declaration of truthfulness. It requests copies of relevant documents and signatures to finalize the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    33 views8 pages

    Khairpur Medical College: Application Form

    Uploaded by

    Waseem Abbas Mangrio
    This document is an application form for a faculty position at Khairpur Medical College in Pakistan. It provides instructions for applying, including how to obtain an application, required documents to submit, and important dates and policies. The main body of the form collects applicant information like contact details, education/degree history, employment record, publications, references, and a declaration of truthfulness. It requests copies of relevant documents and signatures to finalize the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 8

    DATE:_______________

    APPLICATION FORM

    For the post of

    KHAIRPUR MEDICAL COLLEGE


    KHAIRPUR MIR’S
    SINDH, PAKISTAN

    1 ADMINISTRATION DEPARTMENT, KMC, KHARIPUR MIR’S.


    APPLICATION PROCEDURE

     Prescribed application forms are available in the office of the Principal, Khairpur Medical
    College, Khairpur Mir’s or can be downloaded from the website www.khprkmc.edu.pk duly
    supported with Pay Order / Bank Draft of Rs.2000/- in favour of Principal, Khairpur Medical
    College, Khairpur Mir’s.

     Application form with full particulars must include three photographs, TWO SETS of attested
    photocopies of relevant Educational/Experience/Residential documents /Domicile, PRC and
    CNIC i-e Matriculation Pakka Certificate/ Mark sheet and onwards including Valid PMDC
    Registration Certificate, Revised PMDC Experience Certificate and copies of Research
    Publications should reach the Administration Department KMC Khairpur Mir’s within due date.

     The required documents are to be submitted at the time of submission of application form and
    no further communication regarding short of documents will be made after due date.
    Application (s) on plain paper and/ or only CV will not be entertained.

     Applicants who are already serving in Government/Semi-Government/ Autonomous Bodies


    should apply through proper channel accompanied by N.O.C from the employer:

     An advance copy of the application form (s) may be sent within due date
     Age limit relaxable as per government policy.
     Only short listed candidates will be called for written test/ interview
     College reserves the right to reject any or all the applications. Incomplete application (s) in
    any manner shall not be entertained
     Canvassing in any manner will disqualify a candidate
     College reserves the right to reject any or all the applications
     No T.A / D.A will be paid for appearing in written test / interview
     College reserves the right of cancellation of advertised post (s) partly or as a whole.

    2 ADMINISTRATION DEPARTMENT, KMC, KHARIPUR MIR’S.


    KHAIRPUR MEDICAL COLLEGE
    KHAIRPUR MIR’S.

    APPLICATION FORM FOR THE POST OF:

    Newspaper. --------------------------------------------------- Advertisement No. & Date. ---------------------------------------------------------------------


    Fee Paid Rs. ----------------------------------------------- Challan/ Draft/Pay Order No. ---------------------------- Dated -------------------------

    1. NAME IN FULL (Block Letters): ________________________________________________________________


    2. FATHER’S NAME: ___________________________________________________________________________
    3. MAILING ADDRESS:_________________________________________________________________________
    __________________________________________________________________________________________
    4. PERMANENT ADDRESS:_____________________________________________________________________
    5. TELEPHONE NO. (Res.):___________________ (Off.) _______________(Mobile) ________________________
    6. DATE OF BIRTH (dd/mm/Year): _______________________________________________________________
    7. SEX (Tick) Male Female 8. MARITAL STATUS: ______________________________
    9. PLACE OF BIRTH: _____________________ 10. DOMICILE/ PROVINCE:___________________________
    11. RELIGION: ____________________________ 12. NATIONALITY: __________________________________
    13. PMDC Reg: No: _________________________ Valid upto ______________________________________
    14. TEACHING EXPERIENCE RECOGNIZED BY PMDC _________(years) _______ (months) ______ (days)
    15. COMPUTERIZED NATIONAL IDENTITY CARD # _____________________________________________
    16. ACADEMIC BACKGROUND:
    NAME OF YEAR OF GRADE/
    QUALIFICATION/ DEGREE MAJOR SUBJECTS
    COLLEGE/UNIVERSITY PASSING DIVISION

    3 ADMINISTRATION DEPARTMENT, KMC, KHARIPUR MIR’S.


    17. EMPLOYMENT RECORD AND JOB EXPERIENCE (in Chronological order)

    DEPARTMENT/ DURATION TOTAL


    DESIGNATION / BPS REASON FOR LEAVING
    ORGANIZATION FROM TO PEROID

    4 ADMINISTRATION DEPARTMENT, KMC, KHARIPUR MIR’S.


    18. RESEARCH PUBLICATIONS/ PUBLISHED PAPERS (No case report/ review article)

    AUTHOR DATE OF ISSUE OF


    S.NO TITLE JOURNAL
    (1ST/ 2ND/ 3RD) JOURNAL

    (Use Additional Sheets If Necessary)

    5 ADMINISTRATION DEPARTMENT, KMC, KHARIPUR MIR’S.


    19. REFERENCES:

    List of Two reputed and responsible persons: Particularly qualify to supply definite information regarding your
    character and ability. Please do not mention blood relation or close relation.

    REFERENCE-I REFERENCE-II

    Name: Name:

    Position: Position:

    Address: Address:

    Tel.
    Tel.

    20. ATTESTED COPIES OF THE FOLLOWING TESTIMONIALS/ CERTIFICATES


    ARE SUBMITTED WITH THE APPLICATION FORM

    1. ___________________________________ 12. ____________________________________

    2. ___________________________________ 13. ____________________________________

    3. ___________________________________ 14. ____________________________________

    4. ___________________________________ 15. ____________________________________

    5. ___________________________________ 16. ____________________________________

    6. ___________________________________ 17. ____________________________________

    7. ___________________________________ 18. ____________________________________

    8. ___________________________________ 20. ____________________________________

    9. ___________________________________ 21. ____________________________________

    10. ___________________________________ 22. ____________________________________

    11. ___________________________________ 23. ____________________________________

    6 ADMINISTRATION DEPARTMENT, KMC, KHARIPUR MIR’S.


    21. DECLARATION.

    I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION SUPPLIED
    BY ME ON THIS APPLICATION FORM IS CORRECT. I UNDERTAKE THAT ANY FALSE STATEMENT OR
    ANY REQUIRED INFORMATION WITHHELD FROM THIS APPLICATION FORM ANY PROVIDE GROUNDS
    FOR THE WITHDRAWAL OF ANY OFFER OR DISMISSAL, IF APPOINTMENT HAS BEEN ACCEPTED.

    Signature: ---------------------------- Dated: ----------------------------

    Place: -----------------------------------

    7
    PLEASE WRITE YOUR MAILING ADDRESS IN THE FOLLOWING EIGHT PLACES.
    ANY CHANGE OF ADDRESS SHOULD BE INTIMATED IMMEDIATELY.

    Name: ___________________________________ Name: ____________________________________


    Father’s Name: ___________________________ Father: ___________________________________
    Address: _________________________________ Address: __________________________________
    _________________________________________ __________________________________________
    _________________________________________ __________________________________________
    Tel. _____________________________________ Tel. ______________________________________

    Name: ___________________________________ Name: ____________________________________


    Father’s Name: ___________________________ Father: ___________________________________
    Address: _________________________________ Address: __________________________________
    _________________________________________ __________________________________________
    _________________________________________ __________________________________________
    Tel. _____________________________________ Tel. ______________________________________

    Name: ___________________________________ Name: ____________________________________


    Father’s Name: ___________________________ Father: ___________________________________
    Address: _________________________________ Address: __________________________________
    _________________________________________ __________________________________________
    _________________________________________ __________________________________________
    Tel. _____________________________________ Tel. ______________________________________

    Name: ___________________________________ Name: ____________________________________


    Father’s Name: ___________________________ Father: ___________________________________
    Address: _________________________________ Address: __________________________________
    _________________________________________ __________________________________________
    _________________________________________ __________________________________________
    Tel. _____________________________________ Tel. ______________________________________

    You might also like

    pFad - Phonifier reborn

    Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

    Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


    Alternative Proxies:

    Alternative Proxy

    pFad Proxy

    pFad v3 Proxy

    pFad v4 Proxy