SHARIF MEDICAL & DENTAL COLLEGE

Jati Umra, Raiwind Road, Lahore Tel: 042-37860101-4, UAN: 111-123-786, Fax (SMCH): 042-37860105 (SMDC): 042-37860122

SHARIF MEDICAL CITY

SHARIF MEDICAL CITY HOSPITAL

EMPLOYMENT FORM
Form No.
INSTRUCTIONS
a) b) c) d) e) Use Capital Letters Attach attested photocopies of all documents Attach recent colored photograph Bring original documents at the time of interview Registration Fee of Rs. 50/- only payable at the time of submission this application by a pay order / bank draft in favour of SMCH / SMDC Habib Bank Limited, Sharif Educational Complex Trust Branch Jati Umra, Raiwind, Lahore.

PHOTOGRAPH

Application for Post of _ ____________

Department____________________________
2. Age ____26 YEARS___________

1. Name ______ ABDUL HAMEED________________________ 2 5 1 3 2 5

3. Father's / Husband’s Name _____NAZIR AHMAD_____________________________________________ 4. CNIC 3 5 0 0 1 0 5 0 7. 7 5. Gender M Male Female

0 1 5 1 3 2 6. Marital Status ____SINGLE_____________________

Religion ______ISLAM____________

8. Mailing Address: House # E 297 / 1.A, Street # 03, Mohalla Muhammad Pura Gulistan Colony Qanchi Amer Siddhu Lahore Cantt. 9. Permanent Address : House # E 297 / 1.A, Street # 03, Mohalla Muhammad Pura Gulistan Colony Qanchi Amer Siddhu Lahore Cantt. 10. Contacts (Tel) _042-5431314-5___ (Mob) _0345-777011________ (Email)
hameeduniworth@gmail.com / ahs_nec@yahoo.com

Valid PM&DC/PNC/PEC/Other Reg. No (if applicable). _____________12.Expiry Date of Reg. ___________ 13. Academic Record Qualification Major Subjects Year of Qualifying 2000 2002 Institution & City BISE BISE Percentage /CGPA /Grade 2ND DIV 2ND DIV

PHYS, CHEM,BIO Matric/ O’ level ACCOUNTING,BANKI FSc / FA / A’ level NG,ECONOMICS Professional Qualification (Basic) B.A JOURNALISM,PERSI AN,

Post Graduation / Additional Qualifications

Distinctions/Awards (if any) during academic career: _____________________________________________ 14. House Job / Internship (if applicable) Sr # 1 2 3 4 Duration (Subject Wise) Duration Hospital / Institution Hospital Type Teachin Non Teaching g

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Total Duration of House Jobs: ____________________________________________________________ 15. Professional Experience / Employment Record Organization Designation Last Salary Drawn Starting Date Ending Date Reason (s) of Leaving

Total Relevant Experience ______________________ 16. List Professional achievements (if any) _____________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ 17. Publications (a) Sr# Professional Case Report Research Article Topic
(in indexed Medical Journals)

Name of the Journals

Author Positions

Total no. of professional Publications ______________________________________________________ (b) Sr# Others Name of the Publications Topic

Any research work under progress at present __________________________________________________ I certify that the information provided by me in this Employment Form is true, complete and correct to the best of my knowledge.

Name of Applicant

Applicant’s Signature
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Date:

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