Rs.200/- Serial No.
__________
OFFICE OF THE HOSPITAL DIRECTOR
MTI/HAYATABAD MEDICAL COMPLEX
HAYATABAD PESHAWAR
Application form for Employment
(BPS-16 & BELOW)
PHOTO
Post Applied For ____________________________
1. Name (in block letters) __________________________________________________
2. Father’s Name ________________________________________________________
3. Address and other particulars:
i. For correspondence (interview call) …………………………………………………
………………………………..………………………………………………….………
Mobile …………………………………………. Ph. No. …………………………….
ii. Permanent Home Address: ………………………………………………………….
………………………………………………….. Ph. No. …………………………….
iii. E-Mail Address ………………………………. Gender. …………………………...
iv. Nationality ………………v. Religion…………………… vi. Domicile………………
vi. Marital Status ……………………….viii. Date of Birth ……………..………………
4. Education: Commencing from the Matriculation or Equivalent Examination.
Sr. Certificate/ Name of Board/ Exam. With Division/ Attempt % Marks
No Degree University year of passing Distinction Obtained
1.
2.
3.
4.
5.
6.
7.
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List of attested documents attached. Page No.
i. Bio-data _______
ii. Matric (S.S.C.) _______
iii. Intermediate (F. A/ F. Sc.) _______
iv. B. A/ B. Sc. _______
v. M. A/ M. Sc. _______
vi. Detail Marks Sheet (DMC) _______
vii. Merit Certificates _______
viii. Experience Certificates _______
ix. Domicile Certificate _______
x. C.N.I.C _______
xi. ____________ _______
xii. ____________ _______
xiii. ____________ _______
xiv. ____________ _______
xv. ____________ _______
xvi. ____________ _______
I hereby declare that all the entries in this application form, all the additional particulars
(if any) furnished along with it, are true to the best of my knowledge and belief.
_____________________________
Name & Signature of the Candidate Dated: ___/ ___/ 2018
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MTI/Hayatabad Medical Complex Peshawar
Account Receipt (Office Copy)
Name of Applicant _______________________ Diary No.__________
Applied For___________________________Dated________________
Form Submission Fee _______________________________
Signature (Receiver) _______________________________
MTI/Hayatabad Medical Complex Peshawar
Account Receipt (Applicant Copy)
Name of Applicant _______________________ Diary No.__________
Applied For___________________________Dated________________
Form Submission Fee _______________________________
Signature (Receiver) _______________________________
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