Reg. No.

REGISTRATION FORM

To be Filled by NTS

Picture 1

Health Department, Khyber Pakhtunkhwa

Paste your recent

passport size color
photograph with
Open Face

Independent Monitoring Unit

Government of Khyber Pakhtunkhwa
Situation Vacant For various Posts

Eligibility Criteria:
A. Is your Age according to the prescribed age limit for the desired Post as on 07-03-2016?

Yes

No

B. Do you have relevant / prescribed Qualification / Experience as mentioned in Advertisement?

Yes

No

C. Are you Domiciled in Khyber Pakhtunkhwa / FATA?

Yes

No

If your reply is Yes to A, B & C above, only then please proceed further. Otherwise you are not eligible to apply.

01. Bank Online Deposit of Rs: 400/- from Designated Bank Branches
Deposit Date

Bank Code

*Note: Application Form will not be entertained without Original Deposit Slip (NTS Copy)

02. Desired Post and District Applying For: Fill Only One Box for Desired Post and District Applying For. (Mandatory)
To apply for more than one posts and one district, please use separate form. This form will be considered valid only for the first selected choice in the sequence.

Provincial Position
Divisional Monitoring Officer
(BS-18)

01.

02.

Computer Operator
(BS-12)

District Positions For District Position the candidates must be domiciled of the District applying for.
District Applying For (Male)

Monitoring &
Data Collection Assistant
(Male / Female) (BS-16)

02.

i.

Abbottabad

ii.

Mansehra

iii.

Haripur

iv.

Torghar

v.

Kohistan

vi.

Malakand

vii.

Upper Dir

viii.

Lower Dir

ix.

Peshawar

x.

Nowshera

xi.

D. I. Khan

xii.

Bannu

xiii.

Mardan

xiv.

Swabi

xv.

Hangu

xvi.

Kohat

xvii.

Karak

xviii.

Shangla

xix.

Chitral

District Applying For (Female)

i.

Haripur

ii.

Battagram

iii.

Peshawar

iv.

Lakki Marwat

v.

Mardan

vi.

Mansehra

vii.

Karak

03. Desired Test City: Fill Only One Box

(Mandatory)

Subject to a minimum of 200 candidates, otherwise the candidates will be assigned next nearest test city.

01.

Peshawar

02.

D.I. Khan

03.

Swat

04.

Abbottabad

Personal Information: Use CAPITAL letters and leave spaces between words.
04. Name in Full:
05. Fathers Name:
06. Candidate CNIC #:
Write your own CNIC No. Or B Form No.

07. Gender:

Male

08. Date of Birth:

Female

Write your Correct Date of Birth

otherwise you will be rejected

1 9

09. Postal Address:

All correspondence will be made on this address though courier service or ordinary postal service.

Postal City
District:

City:
10. Phone No: (OFF)

(RES.)

(Mobile)

City Code - Phone No

Mandatory

11. Are you a Government Servant?

Yes

In case of Yes, please attach NOC

12. Are you a Disabled Person?

Yes

If yes, please attach Disability Certificate

13. Religion:

Muslim

15. Academic Information:

If yes, state nature

of your disability:

No

If Non Muslim,
Please Specify:

Non Muslim

14. Do you have valid Driving License?

If Yes then total years of

continuous experience:

No

Yes

If yes,
please specify:

No

LTV

MTV

(Please attach attested copies of your academic certificates.)

Note: 1. NTS will not issue Roll No Slips to those who have not filled in their academic record properly.
2. Candidate should convert their grades into marks. (O Level / A Level or any other degree having grade).
3. Write exact degree name & major subject mention in certificate / transcript.
4. Result awaiting candidates are not eligible.
Certificate /
Degree Name

Degree Title

Specialization / Major Subject

Year Passing

Obtained Marks / CGPA

Total Marks / CGPA

Board / University / Country

Middle
(08 Years)

Matric
(10 Years)

Intermediate
(12 Years)

Bachelor
(14 Years)

Bachelor (Hons)
/ Master
(16 Years)

MS / M.Phil
(18 Years)

Diploma /
Certificate

16. Employment Record: (Please attach copies of your experience certificates.)

Job Duration
Sr #

Organization / Employer Name

Write only Month & Year

Job Title

From

01
02
03
Years

17. Total Job Experience as on closing date of application:

Months

Days

To

18. District of Domicile: Fill Only One Box

(Mandatory)

01.

Abbottabad

02.

Bannu

03.

Battagram

04.

Buner

05.

Charsadda

06.

Chitral

07.

Dera Ismail Khan

08.

Hangu

09.

Haripur

10.

Karak

11.

Kohat

12.

Kohistan

13.

Lakki Marwat

14.

Lower Dir

15.

Malakand

16.

Mansehra

17.

Mardan

18.

Nowshera

19.

Peshawar

20.

Shangla

21.

Swabi

22.

Swat

23.

Tank

24.

Tor Ghar

25.

Upper Dir

26.

FATA

Undertaking By The Applicant:

I_____________________________ d/s/w of _________________________do hereby solemnly
declare and affirm that I have read and understood the instructions and conditions for appearing in
the NTS Test, and I have filled-up the application form as per instructions given below. In case of any
information contained herein is found at any stage to be missing, untrue, false or forged, my
candidature can be canceled at any stage (even after employment, if so revealed later), and I shall
be liable to legal action.

Date: _____________________

Picture 2
Affix your recent
passport size color
photograph
with Open face

Signature of the Candidate_______________________

General Instructions / Information:

Please fill the Application Form properly with complete and correct information / answers.

Please DO NOT leave any field blank, otherwise your application may not be considered.

Incorrect, false or forged information may result in cancellation of your candidature at any stage, even after employment,
and also proceeding of a legal action.
Attach your Two recent Passport Size Photographs, Copies of CNIC, Domicile Certificate, Academic Certificates,

Experience Certificate and Original Bank Deposit Slip (NTS Copy)

By Hand submission of Application Form is not allowed.

Mobile Phones or any Electronic Gadgets are not allowed in Test Center premises.

Use separate envelop and separate application form for each post you are applying for.

Last date for submission of application form is Monday

Applications received on or after Tuesday

7th March, 2016.

8th March, 2016 will be rejected.

Application should reach NTS office latest by last date of submission of Application Form.

NTS will not be responsible for late receiving of application through courier / Pakistan Post etc.

HELP LINE:
UAN
: +92-51-844-444-1
Website : www.nts.org.pk

Please Send Application Forms to:

IMU Health KP (Project)
National Testing Service
1-E, Street No. 46, Sector I-8/2,
Islamabad.

Building Standards in Educational and Professional Testing

Building Standards in Educational and Professional Testing

Independent Monitoring Unit Health - KP

Independent Monitoring Unit Health - KP

Date:

Branch Code:

Date:

Branch Code:

Branch Name:

Branch Name:

ONLINE DEPOSIT SLIP

(* Please deposit fee in only one bank & tick the relevant bank)

Muslim Commercial Bank

Allied Bank Limited

Muslim Commercial Bank

Allied Bank Limited

(Formely: Allied Bank of Pakistan Limited)

(Formely: Allied Bank of Pakistan Limited)

Remote
I-8 Markaz Branch Islamabad (0140947)
Branch:
A/C
A/C
Title: NTS-Pakistan-Collection No. 0010008325640018

Remote
Branch:
A/C
Title:

I-8 Markaz Branch, Islamabad (1501)

A/C
No.

Remote
I-8 Markaz Branch Islamabad (0140947)
Branch:
A/C
A/C
Title: NTS-Pakistan-Collection No. 0010008325640018

Remote
Branch:
A/C
Title:

I-8 Markaz Branch, Islamabad (1501)

Note: Bank Service Charges Free of Cost

A/C
647943831003775
No.
Note: Bank Service Charges Free of Cost

Remote H9 Shalimar Recording Co ISB (1742)

Branch:
A/C
A/C
No. 17427900464503
Title: NTS-Pakistan

Remote
Branch:
A/C
Title:

Remote H9 Shalimar Recording Co ISB (1742)

Branch:
A/C
A/C
No. 17427900464503
Title: NTS-Pakistan

Note: Bank Service Charges Free of Cost

Note: Bank Service Charges Free of Cost

Note: Bank Service Charges Free of Cost

647943831003775
Note: Bank Service Charges Free of Cost

Remote
Branch:
A/C
Title:

NTS-Pakistan

NTS-Pakistan

LTD

LTD

THE POWER TO LEAD

Cantt Br Kashmir Road Rawalpindi (0041)

NTS- Pakistan

A/C
No.

217767828

Note: Bank Service Charges Free of Cost

THE POWER TO LEAD

*Note: Desired Bank Stamp is required on the Deposit Slip & Send Original
Deposit Slip (NTS Copy) along Application Form to NTS Office
a
Application Form will not be entertained without Original Deposit Slip (NTS Copy)

Cantt Br Kashmir Road Rawalpindi (0041)

NTS- Pakistan

Father
Name:

Father
Name:

CNIC No/
B Form No:

CNIC No/
B Form No:

Post Name:

Post Name:

Applicant Signature

Amount in
word: Rs.

Four Hundred Rupees Only

Amount
Rs:

Non Refundable/ Non Transferable

Cashier

Officer

Note: Bank Service Charges Free of Cost

1. Please Stamp both copies of deposit Slip.

2. The Bank Must Return NTS Copy to the Candidate.
3. Deposit Slip will not accepted without Candidate CNIC/ B Form No.
Applicants
Name:

400/-

217767828

*Note:

Applicants
Name:

Amount
Rs:

A/C
No.

400/-

Applicant Signature

Amount in
word: Rs.

Four Hundred Rupees Only

Non Refundable/ Non Transferable

Cashier

Officer