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    42bb5 c1f75 Application Form For Mos Doctors

    Uploaded by

    Danish Khan

    Copyright:

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

    42bb5 c1f75 Application Form For Mos Doctors

    Uploaded by

    Danish Khan
    28 views2 pages

    Original Title

    42bb5 c1f75 Application Form for Mos Doctors

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    28 views2 pages

    42bb5 c1f75 Application Form For Mos Doctors

    Uploaded by

    Danish Khan

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Medical Teaching Institution

    Mardan Medical Complex Mardan


    _______________________________________________
    JOB APPLICATION FORM

    Job Advertisement No______________


    Advertisement Date _______________
    (To be filled with Computer) 2x Photo

    Post Applied for:______________________ Bank Deposit Slip No. _____________

    ------------------------------------------------------------------------------------------------------------------------------------------------

    1. Applicant's Name: ____________________________ 2. Father/Husband: ______________________

    3. Date of Birth: __________________________ 4. Domicile: ______________________________


    (Distt./Agency name)
    5. CNIC No.____________________________ 6. Gender (Male/Female):__________________

    7. Email address: ________________________________8. Contact No.___________________________

    8. Age : _______Years __________Months 10. Home Address: _______________________

    _____________________________________________________________________________________

    11. EDUCATIONAL QUALIFICATION (Starting from the recent one):

    S# Qualification Start Date End Date No of Marks Institution


    Attempts
    Month Year Month Year
    MBBS Marks as per Obtained Total % age
    professional Marks Marks

    1
    1st Professional
    2
    2nd Professional
    3
    3rd Professional
    4
    4th Professional
    5
    5th professional

    12. PMDC/PMC Registration No._______________ Validity _______________________


    Medical Teaching Institution
    Mardan Medical Complex Mardan
    _______________________________________________
    13. EXPERIENCE (Starting from Recent/Current job):

    S# Designation/ Post Name of Organization From To Total


    Month Year Month Year Experience in years

    14. Give Two Referee Names (Only Professional or Educational References are required):

    Name: _____________________ Name: ________________________


    Designation: _____________________ Designation: ________________________
    Relationship: _____________________ Relationship: ________________________
    No. of Years of Acquaintance:__________ No. of Years of Acquaintance:_____________
    Contact No.________________________ Contact No. ___________________________
    Email Address:_____________________ __ Email Address:__________________________

    15. Attach attested copies of the following Documents to this job application form:
    National CNIC Card Domicile
    Educational Degrees and Transcripts Experience certificates
    Original Bank Deposit Slip Current Cv/Bio Data
    PMDC Reg.Card

    17. Degree and Experience Overlapping :


    In case of Experience overlapped with the required degree or higher qualification HR will consider
    Degree/Experience whichever is best for the applicant.
    In case of Govt employee NOC may be attached to avoid experience overlap with degree duration.

    18. Applicant's Declaration: I, Mr./Ms............................................................................., hereby solemnly


    Affirm that the information given above is true, correct and that nothing has been concealed.
    I also understand that incomplete form or incorrect data filled by me shall lead to cancellation of my
    application form.

    Applicant's Signature & Date: _____________________

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