APPLICATION FORM 2012

Post Diploma Training Program (Nuclear Power Plant Technology)

at CHASCENT (Mianwali) and KINPOE (Karachi)
(Read advertisement before filling the form)

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Roll NO. ___________________

(to be filled by JAC)

Name (block letters): _____________________________________________________________________

Fathers Name: _______________________________________CNIC:______________________________
Postal Address:___________________________________________________________________________
Religion:______________________ Sect: _________________

Date of Birth:______________________

PTCL with area code: ________________ Mobile:______________________ E-mail: ______________

Final Result declared?

Field (Select one)

Yes

If No, expected date of Result:

No

1. B.Sc

2. DAE in (a) Chemical

(b) Computer

(e) Mechanical

Marks % :

_____________

Matric

F.Sc.

(c) Electrical

(d) Electronics

(f) Civil

DAE

B.Sc.

Test Center where you want to appear (Write any one from mentioned below):_____________________
1. Karachi
6. Quetta
11. Sargodha

2. Multan
7. Larkana
12. Bahawalpur

3. Lahore
8. Nawabshah

Note: Furnishing wrong information will automatically

disqualify you at any stage of training.

4. Islamabad
9. Faisalabad

5. Peshawar
10. D.G. Khan

_____
Applicant's Signature and date