news-Application Form for Employment

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APPLICATION FORM FOR CONTRACT

APPOINTMENT OF DOCTORS ON FIXED PAY


Health Department, Government of Khyber Pakhtunkhwa

ATTACH Please attach photocopies of:


● CNIC ATTACH
● Domicile
Passport size
● All Medical Degrees and Diplomas (MBBS/FCPS/other Specialization)
(4 Photos)
● Completion certificate of House Job
● PMC Registration
● Experience Certificates/Letters
NOTE Important things to note:
● All information fields are mandatory; incomplete forms shall not
be accepted.
● If any fields are irrelevant, mark as N/A

Please fill up the form in BLOCK letters


(Only one position can be applied for by each applicant)
Date Position Applied For

First Name Last Name

Gender Marital Status


Male Female Single Married Other
Fathers Name Spouse Name

Nationality Date of Birth Religion

CNIC No. Domicile

Contact Information
Residence Phone No. Cell No.

Email Address

Permanent Address (For Postal & Communication Please)


Country Province

District City

Address Details

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Education (Highest Degree First)
Marks
Degree Institute Obtained Grade %Age Passing Year Board/University

Professional Information
Type Professional Body Number Issue Date Expiry Date

Employment History (Most Recent First)


1. Organization Name Designation

Email Phone No. Last Salary From To Date Leaving Reason

2. Organization Name Designation

Email Phone No. Last Salary From To Date Leaving Reason

3. Organization Name Designation

Email Phone No. Last Salary From To Date Leaving Reason

4. Organization Name Designation

Email Phone No. Last Salary From To Date Leaving Reason

5. Organization Name Designation

Email Phone No. Last Salary From To Date Leaving Reason

Are you currently employed?


Please (√) the box Yes  No 

Are you currently under any Govt. service?


Please (√) the box Yes  No  Provide NOC 

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Can we approach your current employer?
Please (√) the box Yes  No 

Do you have any criminal record?


Please (√) the box Yes  No 

If yes; please provide details

Do any of your relatives/acquaintances currently work in the KP Health Department?


Please (√) the box Yes  No 
If yes, please provide details
Name Designation Department

Languages
Read Write Speak
  
  
  
  

References
Name Organization/Department Designation Contact No. E-mail

Disabilities (if any) Yes  No 


If yes, please specify

I certify that the above information is correct to the best of my knowledge. In case of any wrong declaration, I
will be liable for any consequences including dismissal without notice.

Signature of Applicant: Date:

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FOR OFFICIAL USE ONLY

Eligible:  Dated:

Not Eligible: 

Interviewed Yes  No  Called On:

Application scrutinized by:

Interviewed by:

FREQUENTLY ASKED QUESTIONS (FAQs)

Q. I am interested in applying for more than one position. Do I need to complete a separate
application for each position?
A. You can only apply for one position and submit one application. Multiple applications will result in a
disqualification.

Q. Am I required to follow up on my application?


A. No, once your application is received and found suitable for the position, you will be contacted by the
Department.

Q. How I will be informed if short listed?


A. Shortlisted candidates will be notified via office letter, and telephone.

Q. Does the Health Department give TA/DA to applicants?


A. No TA/DA is permissible.

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