Nursing Job Form

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To

Paste the
Passport Size
Photo

The Medical Director,


The Childrens Hospital &,
The Institute of Child Health,
Lahore.
Subject:-

APPLICATION FOR THE POST OF CHARGE NURSE


FILL IN BLOCK LETTERS

NAME
FATHERS NAME
DATE OF BIRTH

DOMICILE

I.D. CARD NO

PHONE

POSTAL ADDRESS (Temporary)


POSTAL ADDRESS (Permanent)
QUALIFICATIONS:Sr.
No.
1.

Year of
Passing

Marks
Obtained

Total
Marks

Div/Grade

Name of
Institution

Matriculation

2.

F.Sc.

3.
4.

Generic Nursing B.Sc 4


year Programme
General Nursing

5.

Midwifery

6.

Other

GENERAL EXPERIENCE
Sr. No.
1.

Name of Department

From

To

From

To

2.
PAEDIATRIC EXPERIENCE:Sr. No.
1.

Name of Department

2.
Attach:Attested Photocopy of following:1.
2.
3.
4.
5.
6.

I.D. Card.
Domicile Certificate.
Education Certificates.
Experience Certificates.
One Passport Size Photograph.
Valid registration from Pakistan Nursing Council.

Signature of Applicant

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