GOVERNMENT OF PAKISTAN PAKISTAN INSTITUTE OF MEDICAL SCIENCES, G-8/3, ISLAMABAD

02 Photograph attached

APPLICATION FORM
1. 2. 3. 4. 6. 7. 8. 9. 10. Name of Post Name of Candidate Fathers Name Date of Birth Nationality Postal Address Permanent Address Telephone Number NIC No. 5. Domicile BPS
(BPS)

Year of Passing Div./ Grade Examination Marks Maximum Marks Marks Obtained

Name of Board / University

ACADEMIC QUALIFICATION
Examination Passed

EXPERIENCE
Name of Institute/ Company/ Department Designation From To Year Total Experience Month Day

Noted:

The applications on prescribed form containing complete CV/Bio-data/Certificates/Degrees /Domicile with two latest attested 02 photographs.

_______________________

Date _____/_____/ 2013

Signature of the Candidate

GOVERNMENT OF PAKISTAN PAKISTAN INSTITUTE OF MEDICAL SCIENCES, G-8/3, ISLAMABAD

APPLICATION FORM

1. 2. 3. 4. 6. 7. 8. 9. 10.

Name of Post Name of Candidate Fathers Name Date of Birth Nationality Postal Address Permanent Address Telephone Number NIC No.

BPS

5.

Domicile

ACADEMIC RECORD

Examination Passed

Year of Passing

Div./ Class

Marks at the Examination Maximum Marks Marks Obtained

Name of Board / University

EXPERIENCE IN DETAIL
Name of Institute/ Company Designation From To Total Experience Years Months Days

_______________________

Date _________________

Signature of the Candidate

GOVERNMENT OF PAKISTAN FEDERAL GOVERNMENT POLY CLINIC ISLAMABAD

02 Photograph attached

APPLICATION FORM
1. 2. 3. 4. 6. 7. 8. 9. 10. Name of Post Name of Candidate Fathers Name Date of Birth Nationality Postal Address Permanent Address Telephone Number NIC No. 5. Domicile BPS
(BPS)

Year of Passing Div./ Grade Examination Marks Maximum Marks Marks Obtained

Name of Board / University

ACADEMIC QUALIFICATION
Examination Passed

EXPERIENCE
Name of Institute/ Company/ Department Designation From To Year Total Experience Month Day

Noted:

The applications on prescribed form containing complete CV/Bio-data/Certificates/Degrees /Domicile with two latest attested 02 photographs.

_______________________

Date _____/_____/ 2013

Signature of the Candidate

GOVERNMENT OF PAKISTAN
FEDERAL GOVERNMENT POLY CLINIC ISLAMABAD

APPLICATION FORM

1. 2. 3. 4. 6. 7. 8. 9. 10.

Name of Post Name of Candidate Fathers Name Date of Birth Nationality Postal Address Permanent Address Telephone Number NIC No.

BPS

5.

Domicile

ACADEMIC RECORD

Examination Passed

Year of Passing

Div./ Class

Marks at the Examination Maximum Marks Marks Obtained

Name of Board / University

EXPERIENCE IN DETAIL
Name of Institute/ Company Designation From To Total Experience Years Months Days

_______________________

Date _________________

Signature of the Candidate