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CH.

PERVAIZ ELAHI INSTITUTE OF


CARDIOLOGY, MULTAN

Diary No: __________


Date: _____________

APPLICATION FORM FOR RECRUITMENT FOR THE


POST OF _______________________________

PICTURE

Name: ______________________________________________
Father Name: _________________________________________
CNIC No: _______________________

Domicile: ________________________

Date of Birth ____________________

Age on 04-08-2016: ________________

Religion: _______________________

Email Address: ____________________

Quota
Employees
Women
Minorities
Disable
(please tick):
Are you Government Servant? Yes _________
No ____________
Disability:

Yes ______ No _______

Open
merit

Contact No.________________

Postal Address: _________________________________________________________


_____________________________________________________________________
_____________________________________________________________________
ACADEMIC QUALIFICATION

Certificate

Major
Subject

Passing
Year

Board / University /
Institution

Obtained
Marks /
CGPA /
Division

Total
Marks
/
CGPA

% age
marks

Matric
F.A / F. Sc
B.A / B. Sc
M.A / M. Sc
Other

PROFESSIONAL QUALIFICATION
Certificate / Diploma

Passing
Year

Board /
University /
Institution

Obtained
Marks /
CGPA /
Division

Total
Marks /
CGPA

% age
marks

EXPERIENCE
Name of Firm / Institute /
Company

Nature of Work

Period Served
From
To

Total
Experience

__________________
Signature of Candidate

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