Reg. No.

APPLICATION FORM To be Filled by NTS

GOVERNMENT OF THE PUNJAB Picture 1

NTS DISTRICT HEALTH
Paste your recent
passport size color
photograph not older than

AUTHORITY MULTAN 6 Months having

blue background with gum

Project ID: P-18-2736 Screening Test for Posts of BPS-05 & Above

Eligibility Criteria:
A. Is your Age according to the desired Post at the date of 09-02-2018? Yes No

B. Is your Qualification / Experience according to the required post? Yes No

C. Are you Domiciled in Punjab? 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: 500/- 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.

School Health & Nutrition Supervisor Charge Nurse

01 (BS-17) 02 (BS-16)

Chief Technician EPI Computer Operator

03 (BS-16) 04 (BS-15)

Stenographer Computer Operator

05 (BS-14) 06 (BS-12)

Junior Technician (Radiology Technology / Junior Technician (CDC Supervisor / Healthcare

07 ECG Technician) (BS-09) 08 Outreach Technology) (BS-09)

Junior Technician (Vaccinator) Junior Technician (MCH Technology)

09 (BS-09) 10 LHV (BS-09)

Inspector Vaccination Junior Technician (Surgical Technology

11 (BS-09) 12 / O.T Assistant) (BS-09)

Medical Technician (Pharmacy Technology) Junior Technician (Dental Technician)

13 (BS-09) 14 (BS-09)

Junior Technician (Sanitary Inspector / Microscopist

15 Public Health Technology) (BS-09) 16 (BS-09)

Jr. Technician (Anesthesia Assistant / Junior Technician (Pharmacy Technology

17 Anesthesia Technology) (BS-09) 18 Dispenser / Dresser) (BS-09)

Jr. Technician (X.Ray Assistant/Radiographer Jr. Technician (Laboratry Assistant /

19 / Imaging & Radiology Technology) (BS-09) 20 Pathology Technology) (BS-09)

Storekeeper AC Mechanic
21 (BS-06) 22 (BS-05)

Auto Electrician Generator Operator

23 (BS-05) 24 (BS-05)

Mechanic Sanitary Supervisor

25 (BS-05) 26 (BS-05)
Personal Information: Use CAPITAL letters and leave spaces between words.
03. Name in Full:

04. Father’s Name:

05. Candidate CNIC #:

Write your own CNIC No. Or B Form No.

08. 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. 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.

10. Are you a Government Servant and applying through proper channel?
In case of Yes, please attach NOC
Yes No

11. Are you a Disabled Person?

If yes, please attach Disability Certificate Yes No

If Non Muslim,
12. Religion: Muslim Non Muslim Please Specify:

13. Are you Hafiz-e- Quran? Yes No

14. Are you retired from Armed Forces? Yes No

15. Are you registered with Pakistan Nursing Council? Yes No

For the post against Sr. 02

16. Do you possess Nursing Diploma alongwith 1 year Midwifery Course? Yes No
For the post against Sr. 02 & Sr. 10

17. Please mark (1 to 2 years) relevant Diploma / Certificate in relevant technology from Recognized Institute as per requirement of
the post:
i). EPI ii). Radiology iii). Healthcare outreach iv). MCH

v). Vaccinator vi). Surgical vii). Pharmacy viii). Dental Technician

ix). Public Health x). Anesthesia xi). Dispenser / Dresser xii). Imaging & radiology

AC Mechanic
xiii). Pathology xiv). / AC technician
xv). Electrician xvi). Sanitary Inspector

xvii). Other:___________________________________________

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

01. Attock 02. Bahawalnagar 03. Bahawalpur 04. Bhakkar

05. Chakwal 06. Chiniot 07. Dera Ghazi Khan 08. Faisalabad

09. Gujranwala 10. Gujrat 11. Hafizabad 12. Jhang

13. Jhelum 14. Kasur 15. Khanewal 16. Khushab

17. Lahore 18. Layyah 19. Lodhran 20. Mandi Bahauddin

21. Mianwali 22. Multan 23. Muzaffargarh 24. Nankana Sahib

25. Narowal 26. Okara 27. Pakpattan 28. Rahim Yar Khan

29. Rajanpur 30. Rawalpindi 31. Sahiwal 32. Sargodha

33. Sheikhupura 34. Sialkot 35. Toba Tek Singh 36. Vehari
 19. 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. Rwp / Isb 02. Lahore 03. Multan 04. Bahawalpur

05. Sahiwal 06. Faisalabad 07. Gujranwala 08. Sargodha

20. Academic Information: (Please do not attach copies of your academic certificates at this stage.)
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

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

F.A F.Sc
Intermediate / Pre-Medical
D.A.E A’ Level D.A.E
(12 / 13 Years) Other: _________
ICS Other: _____

Bachelor B.Sc BCS

(14 Years)
Other: __________________

Nutrition

Sociology
MA M.Sc Social Work
Bachelor (Hons) BS (Hons) MBA Psychology
/ Master
(16 Years) MPA Political Science
Other: __________________ Economics

Nursing

Other: _________

Higher
(If Any)

21. Employment Record: Relevant experience if any (Please do not attach copies of your experience certificates at this stage)
Job Duration
Sr # Organization / Employer Name Job Title Write only Month & Year

From To

01

02

03

Days Months Years

22. Total Relevant Job Experience as on closing date of application:

23. Age Relaxation Rules: No other relaxations will be admissible as mentioned below
01. Age Relaxation for Male Candidate is 05 years.
02. Age Relaxation for Female Candidate is 08 years.
03. Age Relaxation for Disabled Candidate is 10 years.
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 given below. In case of Affix your recent
any 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 ____________ Candidate’s Signature ________________

GENERAL INSTRUCTIONS / INFORMATION:

Ø Please fill the Application Form properly with complete and correct information / answers.
Ø Please DO NOT leave any field blank, otherwise your application may not be considered.
Ø 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.
Ø Attach your Two recent Passport Size Photographs, Copy of CNIC and Original Bank Deposit Slip (NTS Copy)
Ø By Hand submission of Application Form is not allowed.
Ø Mobile Phones or any Electronic Gadgets are not allowed in Test Center premises.
Ø Use separate envelope and separate application form for each post you are applying for.
Ø Last date for submission of application form is Friday 9th February, 2018.
th
Ø Applications received on or after Saturday 10 February, 2018 will be rejected.
Ø Application should reach NTS office latest by last date of submission of Application Form.
Ø NTS will not be responsible for late receiving of application through courier / Pakistan Post etc.

Please Send Application Forms to:

HELP LINE:
NATIONAL TESTING SERVICE
UAN : +92-51-844-444-1
Website : www.nts.org.pk District Health Authority Multan (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

DISTRICT HEALTH AUTHORITY MULTAN DISTRICT HEALTH AUTHORITY MULTAN

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

A/C Title: National Testing Service-Pakistan A/C Title: NTS Pakistan A/C Title: National Testing Service-Pakistan A/C Title: NTS Pakistan
A/C No: 0101820001 A/C No: 00427991771403 A/C No: 0101820001 A/C No: 00427991771403
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: P-18-2736 Project ID: P-18-2736

Applicant’s Applicant’s
Name: Name:
Father Father
Name: Name:
CNIC No/ CNIC No/
B Form No: B Form No:

Post Name: Post Name:

GST INVOICE GST INVOICE

NTN # 2680612-6 NTN # 2680612-6
GST # 3277876121192 GST # 3277876121192
NTS fee: 431/- NTS fee: 431/-
Amount in Five Hundred Rupees Only Amount in Five Hundred Rupees Only
GST@ 16%: 69/- word: Rs. GST@ 16%: 69/- word: Rs.
Non Refundable/ Non Transferable Non Refundable/ Non Transferable
Total: 500/- Total: 500/-

Applicant Signature Cashier Officer Applicant Signature Cashier Officer

Building Standards in Educational and Professional Testing

CANDIDATE COPY
DISTRICT HEALTH AUTHORITY MULTAN

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

Formely: Allied Bank of Pakistan Limited

A/C Title: NTS-Pakistan-Collection A/C Title: NTS-Pakistan A/C Title: National Testing Service-Pakistan A/C Title: NTS Pakistan
A/C No: 0010008325640018 A/C No: 0647943831005734 A/C No: 0101820001 A/C No: 00427991771403
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: P-18-2736

Applicant’s Father
Name: Name:
CNIC No/
Post Name:
B Form No:

GST INVOICE NTS fee: 431/-

Amount in Five Hundred Rupees Only
NTN # 2680612-6 GST@ 16%: 69/- word: Rs. Non Refundable/ Non Transferable
GST # 3277876121192 Total: 500/-

Applicant Signature Cashier Officer