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FEDERAL MEDICAL Photograph


TEACHING INSTITUTE
PAKISTAN INSTITUTE OF MEDICAL SCIENCES
G-8/3, ISLAMABAD

APPLICATION FORM
Name of Post BPS
Name of Candidate
Father’s Name /
Husband Name
DAY Month YEAR
Date of Birth
Are you Government Employees : YES / NO
Domicile Provinc District
e
Pakistani
Nationality
Postal Address

Permanent Address
Telephone Number
CNIC No. - -
A CDEMIC RECORD / QUALIFICATION
Name of Degree Year of Grade / Marks Name of Board / University
Passed Passing Division Maximum Obtained
Matric
Intermediate
Diploma in General
Nursing
Diploma in Midwifery

B. Pharmacy/
D. Pharmacy
Other

Any other Qualification please attached separate sheet


E XPERIENCE IN DETAIL IN RELEVANT JOB
Designation Year Total Experience
Name of Department / Ministry / Institute/
From TO Year Months Days
Company etc
s

Total Experience
Job Relevant Experience (if yes, give detail in years) YES NO
Any other information/experience please attached separate sheet
Note:-
1. Please fill all items carefully in “BLOCK LETTERS”. However, in complete application will not be entertained.
2. An advance copy may be sent for initial processing.
3. Government employees will have to produce original NOC from authorized officer of employer at the time of interview

Date Signature of the Candidate

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