Shaukat Khanum Memorial Cancer Hospital & Research Centre

Volunteer/Non Professional
Registration Form
Name:
Father Name
Date of Birth:
National ID Card #:

Paste Photo Here

Telephone (Res.):
Mobile / Cell:
E-mail:
Address:
Person to be contacted in case of emergency:
Relationship:

Telephone #:

Qualifications:
Institution

Degree

Major Subjects

Grade

Year

Professional/Internship Experience (if any):

Organization

Job Title

Dates
From
To

Reason for
leaving

Skills :

SKMCH-HRD-017

Shaukat Khanum Memorial Cancer Hospital & Research Centre

Availability:
Dates:

From:

To:

Are there any specific days or time that you are available? If so, please tick in appropriate box:
Mon

Tue

Wed

Thu

Fri

9 am 1 pm
1 pm 5 pm

Is there any specific department/area you are interested in? Please specify:

Referees:
1

Name:

Telephone:

Relationship

Name:

Telephone:

Relationship

I understand that volunteering for SKMCH&RC does not automatically entitle me for a permanent job.
Signature: _________________________

Date: ____________________

Instructions:

Attach one copy of National ID card

Students who are under 18 years are required to attach copy of National ID card of their parents
Attach one passport size photograph
Internship/Volunteership request letter from institution (if applicable).
Applications should be submitted at least three weeks prior to the proposed starting date.

Please send duly filled application to the address given below:

Human Resources Department
Shaukat Khanum Memorial Cancer Hospital and Research Centre
7-A, Block R-3, Johar Town, Lahore, Pakistan
Telephone: 042-35905000 Ext: 3040, 3041, 3037
or email at: careers@shaukatkhanum.org.pk
For Concerned Department Use Only:
Department Name:

Signature:

Date of Joining:

Availability Till:

For HRD Use Only:

Signature:
Application accepted:

Date

Yes

No

Comments (if any):

SKMCH-HRD-017

Shaukat Khanum Memorial Cancer Hospital & Research Centre

TERMS AND CONDITIONS FOR VOLUNTEERS/INTERNS

I shall take care of my own belongings and valuables, SKMCH&RC shall not be responsible for
any loss or damage.

I shall indemnify any loss or damage caused by me to hospital property.

I shall abide by the rules and regulation (if applicable) and disciplinary policies and procedures at
SKMCH&RC.

I shall adhere to the timings that will apply during the volunteership/internship.

If I remain absent for more than two consecutive days without informing my supervisor my
volunteership/internship will be terminated.

Incase of any misconduct or in-disciplined behavior, SKMCH & RC reserves the right to
terminate the volunteership/internship at any time without assigning any reason thereof.

SKMCH & RC shall not be held responsible for loss or damage caused to me by any natural
causes.

I shall not, during the continuance or after the termination of your volunteership/internship,
disclose any information obtained or acquired concerning the affairs of the Hospital unless
compelled to do so by a Court of Law. If I disclose any such information, the Hospital reserves
the right to take legal action against me.

During my stay, SKMCH & RC shall not provide any medical coverage or transport facility.

Certificate of volunteership/internship will be given to those candidates who will complete their
volunteership/internship satisfactorily.

No stipend will be paid to the volunteers/interns.

I, ________________, hereby accept and agree to abide by the terms and conditions mentioned
here-in-above.

Signature:

Date:

Witnesses:
1.
2.

SKMCH-HRD-017