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Confidential

LADY READING HOSPITAL


MEDICAL TEACHING INSTITUTION (LRH MTI), PESHAWAR
REFERENCE CHECK FORM

Applicant's Name:
Muhammad Abas Khan
Post Applied for:
Assistant Professor ER

Referee Information (Referee must be work related)

Name & Designation


Muhammad Bilal Type your text

Organization Name LRh


Type of Relationship/
Acquaintance Friend
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Years of Relationship 8

Telephone 03348982529

Email drbilalmarwat@gmail.com

Candidate Information (Under the supervision of the Referee)

Position Held Medical officer

Dates of Employment 14/03/2014

Organization Name
LRH

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Reason for Leaving: luntary rvice Completion Disciplinary Grounds

Please Mark the relevant Box Type your text


Appropriately:

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Professional Integrity Inadequate Poor
Good Type your text Excellent

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Professional Appearance Inadequate Poor Excellent
Good

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Communication Skills Inadequate Poor Excellent
Good

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Leadership & Motivation Inadequate Poor Excellent
Good

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Clinical Knowledge Inadequate Poor Excellent
Good
Technical Operative Skills (Only
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for Surgical Specialties) Inadequate Poor Excellent
Good
Problem Solving & decision
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making Skills Inadequate Poor Excellent
Good

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Ability to deal with pressure Inadequate Poor Excellent
Good

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Overall Performance Inadequate Poor Excellent
Good

Recommendation of candidate for this post: Type your text


Strongly without reservation
Could recommend as competent recommend
Would have some reservations
Could not recommend for this post
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Form Filled by:

Name
Muhammad Bilal
Signature & Stamp muhammad bial
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Date
04/05/2022

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