DOC.
#HR/FRM-01
REVISION: 00
ISSUE DATE:
No:
APPLICATION FORM
For the post of
LIAQUAT UNIVERSITY
OF MEDICAL & HEALTH SCIENCES JAMSHORO
SINDH, PAKISTAN
APPLICATION PROCEDURE
1 HUMAN RESOURCES, LUMHS JAMSHORO
▪ Prescribed application forms are available in the office of the Director Human Resources LUMHS
Jamshoro, on payment of Rs.2500/- (Non refundable) for each post, through a Bank Challan, payable in
National Bank of Pakistan, LUMHS Branch, Jamshoro, or can be downloaded from the website
[Link] duly supported with Pay Order / Bank Draft of Rs.2500/- in favour of Vice-Chancellor,
LUMHS Jamshoro.
• Application form with full particulars must include three photographs, TWO SETS of attested
photocopies of all relevant Educational certificates, Experience certificates, Residential documents
(Domicile/ PRC of Sindh & CNIC) and Matriculation Pakka Certificate, Mark sheet and onwards including
valid registration certificate of respective council and copies of Research Publications, should reach the
Human Resources Department LUMHS JAMSHORO within due date.
• Separate application form for each subject/ discipline should be submitted. (Subject/ Discipline should
be clearly mentioned in the application form).
▪ The required documents are to be submitted at the time of submission of application form andno further
communication regarding short of documents will be made after due date. Application (s) on plain paper
and/ or only CV will not be entertained.
▪ Applicants who are already serving in Government/Semi-Government/ Autonomous Bodies
should apply through proper channel accompanied by N.O.C from the employer.
▪ Age limit is relaxable as per Government policy.
▪ Those candidates who are working in Government/ Semi-Government/ Autonomous/ Semi-
Autonomous bodies should apply through proper channel with Departmental Permission (NOC)and an
advance copy of the application form(s) must also be received in this office within due date.
▪ Only short listed candidates will be called for written test/ interview.
▪ University reserves the right to cancel all advertised post(s), partly or as a whole.
▪ Incomplete application(s), in any manner, shall not be entertained.
▪ Canvassing in any manner will disqualify the candidate.
▪ No T.A/ D.A will be paid for appearing in written test / interview.
▪ 02% Quota is reserved for Disabled Persons. (Disability Certificate should be submitted at the time of
submission of application form)
▪ 05% Quota is reserved for Minorities (Non-Muslims).
▪ 10% Quota is reserved for Women.
▪ The application form must be filled in carefully and legibly block letters must be used. No column of
the application form should be left blank. In case a column is not applicable, please right down “N/A”.
Extra sheets may be attached if the requisite information can not be fully incorporated in any of the
column of the application form. All replies must be supported with documentary proof.
2 HUMAN RESOURCES, LUMHS JAMSHORO
LIAQUAT UNIVERSITY
OF MEDICAL & HEALTH SCIENCES, JAMSHORO
APPLICATION FORM FOR THE POST OF
Newspaper ----------------------------------------------------- Advertisement No. & Date.
Fee Paid Rs. - - Challan/ Draft/Pay Order No. - Dated - -
1. NAME IN FULL (Block Letters):
2. FATHER’S NAME:
3. MAILING ADDRESS:
4. PERMANENT ADDRESS:
5. TELEPHONE NO. (Res.): (Off.) (Mobile)
6. DATE OF BIRTH (dd/mm/Year):
7. SEX (Tick) Male Female 8. MARITAL STATUS:
9. PLACE OF BIRTH: 10. DOMICILE/ PROVINCE:
11. RELIGION: 12. NATIONALITY:
13. Council Reg: No: Valid upto
14. COMPUTERIZED NATIONAL IDENTITY CARD #
15. DISABILITY: YES / NO 16. Email:
17. ACADEMIC BACKGROUND:
NAME OF YEAR OF GRADE/
QUALIFICATION/ DEGREE MAJOR SUBJECTS
COLLEGE/UNIVERSITY PASSING DIVISION
3 HUMAN RESOURCES, LUMHS JAMSHORO
18. EMPLOYMENT RECORD AND JOB EXPERIENCE (in Chronological order)
DEPARTMENT/ DURATION TOTAL
ORGANIZATION DESIGNATION / BPS PEROID REASON FOR LEAVING
FROM TO
4 HUMAN RESOURCES, LUMHS JAMSHORO
19. RESEARCH PUBLICATIONS/ PUBLISHED PAPERS (No case report/ review article)
AUTHOR DATE OF ISSUE OF
[Link] TITLE JOURNAL
(1ST/ 2ND/ 3 RD) JOURNAL
(Use Additional Sheets If Necessary)
16. REFERENCES:
List of Two reputed and responsible persons: Particularly qualify to supply definite information regarding your
character and ability. Please do not mention blood relation or close relation.
REFERENCE-I REFERENCE-II
Name: Name:
Position: Position:
Address: Address:
Tel. Tel.
5 HUMAN RESOURCES, LUMHS JAMSHORO
20. ATTESTED COPIES OF THE FOLLOWING TESTIMONIALS/ CERTIFICATES
ARE SUBMITTED WITH THE APPLICATION FORM
1. 12. _ _
2. 13. _ _
3. 14. _ _
4. 15. _ _
5. 16. _ _
6. 17. _ _
7. 18. _ _
8. 20. _ _
9. 21. _ _
10. _ 22. _ _
11. _ 23. _ _
17. DECLARATION.
I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION SUPPLIED
BY ME ON THIS APPLICATION FORM IS CORRECT. I UNDERTAKE THAT ANY FALSE STATEMENT OR
ANY REQUIRED INFORMATION WITHHELD FROM THIS APPLICATION FORM ANY PROVIDE GROUNDS
FOR THE WITHDRAWAL OF ANY OFFER OR DISMISSAL, IF APPOINTMENT HAS BEEN ACCEPTED.
Signature: ---------------------------- Dated: ----------------------------
Place:
6 HUMAN RESOURCES, LUMHS JAMSHORO
PLEASE WRITE YOUR MAILING ADDRESS IN THE FOLLOWING EIGHT PLACES.
ANY CHANGE OF ADDRESS SHOULD BE INTIMATED IMMEDIATELY.
Name: Name: _
Father’s Name: Father:
Address: _ Address:
_
_
Tel. _ Tel. _ _
Name: Name: _
Father’s Name: Father:
Address: _ Address:
_
_
Tel. _ Tel. _ _
Name: Name: _
Father’s Name: Father:
Address: _ Address:
_
_
Tel. _ Tel. _ _
Name: Name: _
Father’s Name: Father:
Address: _ Address:
_
_
Tel. _ Tel. _ _
7 HUMAN RESOURCES