Reg. No.

APPLICATION FORM To be Filled by NTS

Picture 1
NTS DIRECTORATE TUBERCULOSIS Paste your recent
passport size color
CONTROL SINDH HYDERABAD, photograph not older than
6 Months having
HEALTH DEPARTMENT, GOVT OF SINDH blue background with gum

Project ID: S-19-3477 Screening test for various posts

Eligibility Criteria:
A. Is your Age according to the desired Job at the date of 15-03-2019? Yes No

B. Do you have required Qualification / Experience as per Advertised? Yes No

C. Are you Domiciled in Sindh? Yes No

If your reply is “Yes” to A, B & C above, only then please proceed further. Otherwise you are not eligible to apply.

01. Bank Online Deposit of Rs: 430/- from Designated Bank Branches. Exemption of fee for Disabled Person only

Bank Code Are you a Disabled Person? Yes No

Deposit Date
*Note: Application Form will not be entertained without Original Deposit Slip (NTS Copy)

02. Desired Post: Fill Only One Box for Desired Post. (Mandatory)
To apply for more than one posts, please use separate form. This form will be considered valid only for the first selected post in the sequence.

01. Accounts Assistant 02. Statistical Assistant 03. Junior Clerk

BPS-11 BPS-11 BPS-11

04. Field Assistant 05. Lab Technician 06. DOTS Facilitator

BPS-11 BPS-09 BPS-06

Treatment Facilitator Social Treatment Facilitator MDR Store Keeper

07. Support BPS-06 08. BPS-06
09. BPS-06

10. BCG Technician 11. TB Facilitator

BPS-06 BPS-06

Personal Information: Use CAPITAL letters and leave spaces between words.
03. Name in Full:

04. Father’s Name:

05. Candidate CNIC #:

Write your own CNIC No. Or B Form No.

07. Date of Birth: D D M M Y Y Y Y

06. Gender: Male Female Write your Correct Date of Birth
otherwise you will be rejected

08. Postal Address:

Only for Information: NTS will not issue Roll No Slips through courier/postal services. Candidate must required to take electronic print out of Roll No. (having picture of candidate) from NTS website for appearing in tests.

City: District:

09. Phone No: (OFF) (RES.) (Mobile)

City Code - Phone No DO NOT give your portable mobile number (which is converted
from one network to another) so that SMS delivery is ensured.

10. Are you a Govt. / Semi Govt. Servant and applying through proper channel? Yes No
In case of Yes, please attach NOC

11. Are you a Disabled Person? Yes No 12. Religion: Muslim Non Muslim
If yes, please attach Disability Certificate

13. Do you possess Computer Skill? Yes No

As required in Post criteria.

14. Do you possess Diploma in Laboratory Technology? Yes No

As required in Post criteria.
15. Academic Information: (Please do not attach copies of your academic certificates.)
Note: 1. NTS will not issue Roll No Slips to those who have not filled in their academic record properly.
2. Candidate should convert their grades into marks. (O Level / A Level or any other degree having grade).
3. Write exact degree name & major subject mention in certificate / transcript.
4. Result awaiting candidates are not eligible.

Certificate / Specialization / Year Obtained Marks Total Marks

Degree / Sanad Title Board / University / Institute
Degree Level Major Subject Passing / CGPA / CGPA

Matric / Matric O’ Level Science Arts

Equivalent
(10 Years) Other: __________________ Other: _________________

F.A F.Sc
Intermediate /
D.A.E D.A.E
(12 / 13 Years)
Other: __________________

B.A B.Sc Statistics

Bachelor
(14 Years)
B.Com BBA Medical Lab Technology-MLT

Other: __________________ Other: _________________

Bachelor (Hons) M.A M.Sc

/ Master
(16 Years) Other: __________________

MS M.Phil
MS / M.Phil
(18 Years)
Other: __________________

16. Relevant Employment Record: (Please do not attach copies of your experience certificates at this stage)
Job Duration
Sr # Organization / Employer Name Job Title Write only Month & Year
From To

01

02

03

Years Months
17. Total Job Experience as on closing date of application:

18. District of Domicile: Fill Only One Box (Mandatory)

01. Badin 02. Kambar & Shahdadkot 03. Matli 04. Sukkur

05. Dadu 06. Karachi 07. Mirpurkhas 08. Tando Allahyar

09. Ghotki 10. Kashmore 11. Naushahro Firoze 12. Tando M. Khan

13. Hyderabad 14. Khairpur 15. Sanghar 16. Tharparkar

17. Jacobabad 18. Larkana 19. Shaheed Benazirabad 20. Thatta

21. Jamshoro 22. Matiari 23. Shikarpur 24. Umerkot

25. Sujawal

19. Desired Test City: Fill Only One Box (Mandatory)

(Subject to a minimum of 200 candidates, other wise the candidates will be assigned next nearest test city)

01. Karachi 02. Hyderabad 03. Sukkur

Undertaking By The Applicant:
I_____________________________ d/s/w of _________________________do hereby solemnly
declare and affirm that I have read and understood the instructions and conditions for appearing in Picture 2
the NTS Test, and I have filled-up the application form as per instructions given below. In case of Affix your recent
any information contained herein is found at any stage to be missing, untrue, false or forged, my passport size color
candidature can be cancelled at any stage (even after employment, if so revealed later), and I shall photograph not older than
6 Months having
be liable to legal action.
blue background with Stapler

Date: _________ Thumb Impression ____________ Candidate’s Signature ________________

GENERAL INSTRUCTIONS / INFORMATION:

Ø Please fill the Application Form properly with complete and correct information / answers.
Ø Please DO NOT leave any field blank, otherwise your application may not be considered.
Ø Incorrect, false information may result in cancellation of your candidature at any stage, even after employment,
and also proceeding of a legal action.
Ø Attach your Two recent Passport Size Photographs, Copy of CNIC and Original Bank Deposit Slip (NTS Copy)
Ø Mobile Phones or any Electronic Gadgets are not allowed in Test Center premises.
Ø Use separate envelope and separate application form for each post you are applying for.
Ø Last date for submission of application form is Friday 15th March, 2019.

HELP LINE: Please Send Application Forms to:

UAN : +92-51-844-444-1 NATIONAL TESTING SERVICE (HQ)
Website : www.nts.org.pk Health Dept, Govt. of SIndh (Project)
Plot 96, Street # 4 H-8/1, Islamabad.

Only for Information: NTS will not issue Roll No Slips through courier/postal services. Candidate must required to take
electronic print out of Roll No. (having picture of candidate) from NTS website for appearing in tests.
 NTS COPY BANK COPY
DIRECTORATE TUBERCULOSIS CONTROL SINDH HYDERABAD, DIRECTORATE TUBERCULOSIS CONTROL SINDH HYDERABAD,
HEALTH DEPARTMENT, GOVT OF SINDH HEALTH DEPARTMENT, GOVT OF SINDH

Branch Code: Date: Branch Code: Date:

Branch Name: Branch Name:

(* Please deposit fee in only one bank & tick the relevant bank) (* Please deposit fee in only one bank & tick the relevant bank)

Allied Bank Limited Muslim Commercial Bank Allied Bank Limited Muslim Commercial Bank
Formely: Allied Bank of Pakistan Limited Formely: Allied Bank of Pakistan Limited

A/C Title: NTS-Pakistan-Collection A/C Title: NTS-Pakistan A/C Title: NTS-Pakistan-Collection A/C Title: NTS-Pakistan
A/C No: 0010008325640018 A/C No: 0647943831005734 A/C No: 0010008325640018 A/C No: 0647943831005734
Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost

A/C Title: A/C Title: NTS Pakistan A/C Title: A/C Title: NTS Pakistan
A/C No: 0101820001 A/C No: 00427991771403 A/C No: 0101820001 A/C No: 00427991771403
Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost

*Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit *Note:
Slip (NTS Copy) along Application Form to NTS Office 1. Please Stamp both copies of deposit Slip.
a 2. The Bank Must Return “NTS Copy” to the Candidate.
Application Form will not be entertained without Original Deposit Slip (NTS Copy)
3. Deposit Slip will not accepted without Candidate CNIC/ B Form No.
th th
Last date for fee submission: Friday 15 March, 2019 Last date for fee submission: Friday 15 March, 2019

S-19-3477 S-19-3477
Applicant’s Applicant’s
Name: Name:
Father Father
Name: Name:
CNIC No/ CNIC No/
B Form No: B Form No:

Post Name: Post Name:

GST INVOICE GST INVOICE

NTN # 2680612-6 NTN # 2680612-6
GST # 3277876121192 GST # 3277876121192
NTS fee: 380/- NTS fee: 380/-
Amount in Four Hundred & Thirty Rupees Amount in Four Hundred & Thirty Rupees
GST@ 13%: 50/- word: Rs. GST@ 13%: 50/- word: Rs.
Non Refundable/ Non Transferable Non Refundable/ Non Transferable
Total: 430/- Total: 430/-

Applicant Signature Cashier Officer Applicant Signature Cashier Officer

CANDIDATE COPY
DIRECTORATE TUBERCULOSIS CONTROL SINDH HYDERABAD,
HEALTH DEPARTMENT, GOVT OF SINDH

Branch Code: Branch Name: Date:

(* Please deposit fee in only one bank & tick the relevant bank)

Allied Bank Limited Muslim Commercial Bank

Formely: Allied Bank of Pakistan Limited

A/C Title: NTS-Pakistan-Collection A/C Title: NTS-Pakistan A/C Title: A/C Title: NTS Pakistan
A/C No: 0010008325640018 A/C No: 0647943831005734 A/C No: 0101820001 A/C No: 00427991771403
Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost

*Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip (NTS Copy) along Application Form to NTS Office. Application Form will not be entertained
without Original Deposit Slip (NTS Copy)

th
Last date for fee submission: Friday 15 March, 2019

S-19-3477
Applicant’s Father
Name: Name:
CNIC No/
Post Name:
B Form No:

GST INVOICE NTS fee: 380/-

Amount in Four Hundred & Thirty Rupees
NTN # 2680612-6 GST@ 13%: 50/- word: Rs. Non Refundable/ Non Transferable
GST # 3277876121192 Total: 430/-

Applicant Signature Cashier Officer