Medical Teaching Institution

Mardan Medical Complex Mardan

_______________________________________________

JOB APPLICATION FORM Job Advertisement NO INF(P)3245/20

Advertisement Date 05/09/2020
(To be filled with Computer) 2x Photo

Post Applied for:_Medical officer BPS17 Bank Deposit Slip No. _____________

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TANVEER HAMID
1. Applicant's Name: ____________________________ HAMIDULLAH KHAN
2. Father/Husband: ______________________

12 / 05 /1995
3. Date of Birth: __________________________ SWAT
4. Domicile: ______________________________
(Distt./Agency name)
15602-2637627-7
5. CNIC No.____________________________ 6. Gender (Male/Female):__________________
MALE

drtanveerhamid@yahoo.com
7. Email address: ________________________________8. 03448997761
Contact No.___________________________

25
8. Age : _______Years 5
__________Months 10. Home Address: _______________________
Mohallah Sher Muhammad Sher , Tehsil & Village Kabal District Swat , KPK
_____________________________________________________________________________________

11. EDUCATIONAL QUALIFICATION (Starting from the recent one):

S# Qualification Start Date End Date No of Marks Institution

Attempts
Month Year Month Year
MBBS Marks as per Obtained Total % age
professional Marks Marks

1 Khyber Medical
st Sep 2013 Oct 2014 1st 393 600 65.5 College Peshawar
1 Professional
2 Khyber Medical
2nd Professional Oct 2014 Oct 2015 1 st
499 700 71.2 College Peshawar
3 Khyber Medical
Oct 2015 Nov 2016 1 st
551 800 68.8 College Peshawar
3rd Professional
4 Khyber Medical
Nov 2016 Nov 2017 1 st
714 1000 71.4 College Peshawar
4th Professional
5 Khyber Medical
Nov 2017 Jan 2019 1 st
1254 1600 78.3 College Peshawar
5th professional

30495-N
12. PMDC Registration No._______________ 31 / 12 / 2023
Validity _______________________
 Medical Teaching Institution
Mardan Medical Complex Mardan
_______________________________________________
13. EXPERIENCE (Starting from Recent/Current job):

S# Designation/ Post Name of Organization From To Total

Month Year Month Year Experience in years
Shah Medical Center, Saidu 4 months
1 General Practice Sharif Swat May. 2020 present
House officer Hayatabad Medical Complex 1 year
2 Peshawar May 2019 May 2020

14. Give Two Referee Names (Only Professional or Educational References are required):

Name: Dr InayatUllah Khan

_____________________ Name: Dr Kaleem
________________________
Designation: Registrar Saidu Group of Teaching Hospital , Swat
_____________________ Designation: Registrar Medical C ward HMC Peshawar
________________________
Senior Colleague and Teacher
Relationship: _____________________ Relationship: Senior Colleague
________________________
1.5 yrs
No. of Years of Acquaintance:_____________
6 years
No. of Years of Acquaintance:__________
03329285524
03339485130 Contact No. ___________________________
Contact No.________________________
Inayat_forever@yahoo.com
Email Address:_____________________ kalim83@yahoo.com
Email Address:__________________________

15. Attach attested copies of the following Documents to this job application form:
National CNIC Card Domicile
Educational Degrees and Transcripts Experience certificates
Original Bank Deposit Slip Current CV/Bio Data
PMDC Reg. Card

17. Degree and Experience Overlapping :

In case of Experience overlapped with the required degree or higher qualification HR will consider
Degree/Experience whichever is best for the applicant.
In case of Govt employee NOC may be attached to avoid experience overlap with degree duration.

Tanveer Hamid
18. Applicant's Declaration: I, Mr./Ms. ............................................................................ , hereby solemnly
Affirm that the information given above is true, correct and that nothing has been concealed.
I also understand that incomplete form or incorrect data filled by me shall lead to cancellation of my
application form.

Applicant's Signature & Date: _____________________