MEDICAL TEACHING INTITUTION

GAJJU KHAN MEDICAL COLLEGE/BACHA KHAN MEDICAL COMPLEX

Shahmansoor Swabi, KP Pakistan
Job Application Form

Attach
Job Applying Institute: GKMC BKMC 2 x Passport
Size
Advertisement Date ____________________ Photographs

Instructions:-
a) Hand-written applications will not be accepted.Please Typethe information in each row
andcolumn of this Proforma very carefully. (IN CAPITAL LETTERS).
b) If a row or a column is not relevant, write “not applicable” or NA.
c) Wherever necessary, use extra sheets for additional information
d) Incomplete Proforma/Application will not be entertained.
Post Applied for
Deposit Slip No.:___________________________ Rs: ________ Date:
Bank Name &Branch:
1. Applicant's Name:
2. Father/Husband Name:

3. Date of Birth: 4.Domicile:

(dd / mm / yyyy) (Distt. /Agency name)
5.Nationality: 6. CNIC / Passport No.:
7.Religion: 8. Blood Group:
9. Contact No.(Primary): 10. Contact No.(Secondary):
11. Email address:
10. Permanent Home Address:

11. Mailing Address:

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

S# Degree/Diploma/ Name of Institution Date of Transcript Marks(Obtained Grade/Div/
Certificate / University / Board Issued /Total) CGPA

4
5

6
 MEDICAL TEACHING INTITUTION
GAJJU KHAN MEDICAL COLLEGE/BACHA KHAN MEDICAL COMPLEX
Shahmansoor Swabi, KP Pakistan
Job Application Form

13. PROFESSIONAL COURSES / TRAINING etc. (If any):

S# Course/Training Institute Name From Date To Date Duration
Title
1

14. Professional Registration / Licenses (PMC, PNC, CPSP, PEC, Driving Licenseetc.)
S# Professional Body Registration Issue Date Expiry Date
Number

2
15. EXPERIENCE (Starting from Recent/current job):
Name of Total Reason for
S# Designation/ Post From Date To Date
Organization Relevant Leaving
Experience

16. Attach attested copies of the following Documents to this job application form:
N National CNIC Card Domicile
Educational Degrees and Transcripts Experience Certificates
Original BankDepositSlip Current CV/Bio Data
17. Degree and Experience Overlapping:
a) In case of Experience overlapped with the required degree or higher qualification HRDepartment
will consider Degree/Experience whichever is best for the applicant.
b) In case of Govt employee apply through proper channel.
 MEDICAL TEACHING INTITUTION
GAJJU KHAN MEDICAL COLLEGE/BACHA KHAN MEDICAL COMPLEX
Shahmansoor Swabi, KP Pakistan
Job Application Form

18. Applicant’s Declaration:

I,Mr. /Ms......................................................................................................................, herebysolemnly
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

___________________________________________________________________________________

For office use only

Application status after Scrutiny:

Eligible Not Eligible

Remarks (if any): _______________________________________________________________

Signature of scrutiny Committee: ______________________