Personal Details

Fresher ‫ﺣﺪﻳﺚ اﻟﺘ ﺨﺮج‬ Additional Documents ‫وﺛﺎﺋﻖ إﺿﺎﻓﯿﺔ‬

No No
Application Type ‫ﻧﻮع اﻟﺘﻄﺒﯿﻖ‬ Position Applied For ‫اﻟﻮظﯿﻔﺔ اﻟﻤﺘﻘﺪم ﻟﮫﺎ‬
New
NonPhysician

Sub-Category First Name ‫اﻻﺳﻢ اﻷول‬

Pharmacists AHTISHAM

Last Name ‫اﺳﻢ اﻟﻌﺎﺋﻠﺔ‬ Alias Name ‫اﺳﻢ اﻻﺳﻢ اﻟﻤﺴﺘﻌﺎر‬

JAVAID

First Name (Arabic) ‫اﻻﺳﻢ اﻷول ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﯿﺔ‬ Last Name (Arabic) ‫اﺳﻢ ااﻟﻌﺎﺋﻠﺔ ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﯿﺔ‬

Date Of Birth ‫ﺗﺎرﻳﺦ اﻟﻤﯿﻼد‬ Country of Birth ‫ﺑﻠﺪ اﻟﻤﯿﻼد‬

28/06/1994 Pakistan

Passport Number ‫رﻗﻢ ﺟﻮاز اﻟﺴﻔﺮ‬ Current Nationality ‫اﻟ ﺠﻨﺴﯿﺔ اﻟ ﺤﺎﻟﯿﺔ‬
DW8676462 Pakistan

Gender ‫ﺟﻨﺲ‬ Marital Status ‫اﻟ ﺤﺎﻟﺔ اﻟ ﺤﺎﻟﺔ اﻹ ﺟﺘﻤﺎ ﻋﯿﺔ‬

Male Single

Country of Residence ‫ﺑﻠﺪ اﻹﻗﺎﻣﺔ‬ Cross Check ‫ﺷﯿﻚ ﻣﺴﻄﺮ‬

Yes
Pakistan

Passport / National ID ‫ﺟﻮاز ﺳﻔﺮ‬ Name Change Certificate ‫ﺷﮫﺎدة‬

187302_20191219225850967.jpg

Education Details 1
Name as Shown on Certificate ‫ اﺳﻢ اﻟﻤﺆﺳﺴﺔ‬/ ‫اﻟ ﺠﺎﻣﻌﺔ‬ University/ Institution Name ‫ اﺳﻢ اﻟﻤﺆﺳﺴﺔ‬/ ‫اﻟ ﺠﺎﻣﻌﺔ‬
AHTISHAM JAVAID UNIVERSITY OF SARGODHA

College Name ‫اﺳﻢ اﻟﻜﻠﯿﺔ‬ University Address ‫ﻋﻨﻮان اﻟ ﺠﺎﻣﻌﺔ‬

UNIVERSITY OF SARGODHA UNIVERSITY ROAD, SARGODHA, PUNJAB, PAKISTAN

University City ‫اﻟﻤﺪﻳﻨﺔ اﻟ ﺠﺎﻣﻌﯿﺔ‬ University Country ‫ﺑﻠﺪ إﺻﺪار اﻟﺸﮫﺎدة‬

SARGODHA PAKISTAN

Qualification Attained ‫اﻟﻤﺆھﻼت اﻟ ﺤﺎﺻﻞ ﻋﻠﯿﮫﺎ‬ Major Subject ‫اﻟﻤﻮﺿﻮع اﻟﺮﺋﯿﺴﻲ‬

DOCTOR OF PHARMACY(PHARM-D) PHARMACEUTICS, PHARMACOLOGY, PHARMACOGNOSY

Student Identity / Enrollment Number Graduation Year/ Qualification Conferred/ Issue Date
‫ رﻗﻢ اﻟﺘﺴ ﺠﯿﻞ‬/ ‫ھﻮﻳﺔ اﻟﻄﺎﻟﺐ‬ ‫ ﺗﺎرﻳﺦ اﻹﺻﺪار‬/ ‫ اﻟﻤﺆھﻞ اﻟﻌﻠﻤﻲ‬/ ‫ﺗﺎرﻳﺦ اﻟﺘ ﺨﺮج‬
13-US-PMY-17 2018

Document to be verified ‫اﻟﻤﺆھﻼت اﻟ ﺤﺎﺻﻞ ﻋﻠﯿﮫﺎ‬ Copy of back page of academic certificate
187302_20191219232237133.jpg ‫ﻧﺴ ﺨﺔ اﻟﺼﻔ ﺤﺔ اﻟ ﺨﻠﻔﯿﺔ ﻣﻦ اﻟﺸﮫﺎدة اﻟﻌﻠﻤﯿﺔ‬
187302_20191219232410414.jpg

Employment Detail 1
Employer Name ‫اﺳﻢ ﺻﺎ ﺣﺐ اﻟﻌﻤﻞ‬ Employer Address ‫ﻋﻨﻮان ﺻﺎ ﺣﺐ اﻟﻌﻤﻞ‬
 ALMADINA PHARMACY POLICE STATION ROAD,PINDI GHEB,ATTOCK,PUNJAB,PAKISTAN

Employer Telephone Number ‫رﻗﻢ ھﺎﺗﻒ ﺻﺎ ﺣﺐ اﻟﻌﻤﻞ‬ Employer City ‫ﻣﺪﻳﻨﺔ ﺻﺎ ﺣﺐ اﻟﻌﻤﻞ‬
00923336060786 PINDI GHEB,ATTOCK

Employer Country Name ‫ﺣﺪد إن ﻛﻨﺖ ا ﺧﺘﺮت ﻏﯿﺮ ذﻟﻚ‬ Employment From (‫ﻓﺘﺮة اﻟﻌﻤﻞ )ﻣﻦ‬
PAKISTAN 01/12/2018

Employment To (‫ﻓﺘﺮة اﻟﻌﻤﻞ )إﻟﻰ‬ Job Title ‫اﻟﻤﺴﻤﻰ اﻟﻮظﯿﻔﻲ‬

17/12/2019 PHARMACIST

Department ‫ﻗﺴﻢ‬ Employee Code ‫رﻣﺰ اﻟﻤﻮظﻒ‬

PHARMACY

Full Time / Part Time ‫ دوام ﺟﺰﺋﻲ‬/ ‫دوام ﻛﺎﻣﻞ‬ AgencyName ‫إذا ﻛﺎن ﻣﺆﻗﺘﺎ ﻳﺮ ﺟﻰ ﺗ ﺤﺪﻳﺪ اﺳﻢ اﻟﻮﻛﺎﻟﺔ إن و ﺟ ​ﺪ‬
Full Time

Employment Certificate ‫ﺷﮫﺎدة اﻟ ﺨﺒﺮة‬

187302_20191221084326653.jpg

Health License Detail 1

Applicant Name as Shown on License Issuing Authority Name ‫اﺳﻢ اﻟ ﺠﮫﺔ اﻟﻤﺼﺪره‬
‫اﺳﻢ ﻣﻘﺪم اﻟﻄﻠﺐ وﻓﻘﺎ ﻟﻠﺮ ﺧﺼﺔ‬
PUNJAB PHARMACY COUNCIL
AHTISHAM JAVAID

Country Name ‫ﺣﺪد إن ﻛﻨﺖ ا ﺧﺘﺮت ﻏﯿﺮ ذﻟﻚ‬ State/Province ‫ اﻟﻤﻘﺎطﻌﺔ‬/ ‫اﻟﻮﻻﻳﺔ‬
PAKISTAN PUNJAB

City ‫اﻟﻤﺪﻳﻨﺔ‬ Zip / Postal Code ‫ اﻟﺒﺮﻳﺪ‬/ ‫اﻟﺮﻣﺰ اﻟﺒﺮﻳﺪي‬

LAHORE 54000

Professional Title as Shown on License License Type ‫ﻧﻮع اﻟﺮ ﺧﺼﺔ‬

‫اﻟﻤﺴﻤﻰ اﻟﻤﮫﻨﻲ ﻛﻤﺎ ھﻮ ﻣﺒﯿﻦ ﻓﻲ اﻟﺘﺮ ﺧﯿﺺ‬
Lifetime
PHARMACIST

License Status ‫ﺣﺎﻟﺔ اﻟﺘﺮ ﺧﯿﺺ‬ License Number ‫رﻗﻢ اﻟﺮ ﺧﺼﺔ‬
Permanent 20798-A/19

License Conferred/Issued Date Professional Title as Shown on License

​ ‫ﺗﺎرﻳﺦ ﻣﻨﺢ اﻟﺘﺮ ﺧﯿﺺ \ﺗﺎرﻳﺦ إﺻﺪار اﻟﺘﺮ ﺧﯿ‬
‫ﺺ‬ ‫اﻟﻤﺴﻤﻰ اﻟﻤﮫﻨﻲ ﻛﻤﺎ ھﻮ ﻣﺒﯿﻦ ﻓﻲ اﻟﺘﺮ ﺧﯿﺺ‬
14/03/2019 PHARMACIST

License Expiry Date ‫ﺗﺎرﻳﺦ اﻧﺘﮫﺎء ﺻﻼ ﺣﯿﺔ اﻟﺘﺮ ﺧﯿﺺ‬ Original Certificate ‫ﺷﮫﺎدة اﻷﺻﻠﻲ‬
187302_20191219233258505.pdf
14/03/2021

Letter of Authorization
LOA
187302_20191221085307037.jpg

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