MTI-KHYBER TEACHING HOSPITAL
(Medical Teaching Institution)
HUMAN RESOURCE
Job Application Form
ISSUE #: 01 DOCUMENT #: HR-F-10 ISSUE DATE:
Affix your recent
passport size
photograph here
Application form for Employment
Post AppliedFor
Instruction: This application form, duly completed should be submitted to the Human Resources Department, MTI,
KTH, Peshawar on or before the due date alongwith:-
i. Attested photocopies of certificates, degrees, detail marks certificates, domicile andotherrelevant
documents.
ii. Personsalreadyinemployment shouldsubmittheirapplicationformsthroughproperchannel along with
NOC issued by the competentauthority.
iii. Incomplete application forms (without Bank Drafts) and those received after the due date will not
beentertained.
iv. Use additional sheets, ifrequired.
1. Name (in block letters)
2. Father’sName
3. Address and otherparticulars:
i. For correspondence (interview call)………………………………………………………
………………………………..………………………………………………….……………
Mobile Ph. No.
ii. Permanent Address:……………………………………………………………………………..
…………………………………………………..…………… Ph.No. iii.
E-Mail Address …………………………………………….iv. Gender.…………………………………….…
v. Nationality ………………vi. Religion…………………… vii.Domicile…………………………………….…………
vii. Marital Status ………………………………… ix. Date of Birth ……………………….....
ix. CNIC#
x. Next of kin (Name &Address):
Relationship: Contact #:
xi. Education: Commencing from the Matriculation or EquivalentExamination.
Exam. Division / Attempt
Certificate / Name of Board /
S No. With year Distinction (Regular/ % Marks Obtained
Degree University
ofpassing / GPA Supply)
1. /
2. /
3. /
4. /
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MTI-KHYBER TEACHING HOSPITAL
(Medical Teaching Institution)
HUMAN RESOURCE
Job Application Form
ISSUE #: 01 DOCUMENT #: HR-F-01 ISSUE DATE:
4. Formal Training or Diploma:
Period
S No. Name of Institution Type of Training Certificate or Diploma obtained
From --- To
5. Employment Record / Experience after Graduation/Diploma (in chronological
order,startingwithlatestemployment)
Employer’s
Reason For Total Length of
(Institution / Organization) Designation From To
Leaving Service
Name
• Were you ever dismissed or asked to leaveyourjob? Yes No
• Can we approach your present employer?(Ifany) Yes No
• Have any criminal charges being broughtagainst you? Yes No
If yes, please give thedetails:
6. Membership of Learned Societies and other Achievements in the University, Public or International
Affairs, ifany…………………………………………….
7. CountriesVisited:
S No. Name of Country Duration Year Purpose of Visit
8. Pleasegiveatleasttworeferencesinthespaceprovidedbelow:
Name Designation Present Address Contact #
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MTI-KHYBER TEACHING HOSPITAL
(Medical Teaching Institution)
HUMAN RESOURCE
Job Application Form
ISSUE #: 01 DOCUMENT #: HR-F-01 ISSUE DATE:
9. Nameandpositionofany relativeworkingwiththisinstitution:
Check list for applicant:
Please attach copies of the following documents:
1. One copy of Computerized National IdentityCard.
2. One color photograph.
3. Copies of educationaldocuments.
4. Copies of experienceCertificates.
5. Copies ofDMCs
6. Copy ofCV/Bio-Data.
7. Passport Photocopy if CNIC is notavailable
8. DomicileCertificate
9. Other (Pleasespecify)
Please Read This Statement Carefully
Iherebydeclarethatalltheentriesinthisapplicationform(documents),alltheadditional
particulars(ifany)furnishedalongwithitaretruetothebestofmyknowledgeandbelief.I
understandthatincompleteformwillbesufficientgroundtorejectmyjobapplicationform.
Name &Signature oftheCandidate Dated:
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