HUMAN RESOURCE DEPARTMENT
Medical Teaching Institute (MTI)
Khyber Teaching Hospital Peshawar
Fax #:091-9224423/ Ph #:091-9224306
Job Application Form
THE FORM MUST BE FILLED IN CAPITAL LETTERS
Post Applied for: Position: _______________________ Department: ______________________
Recent
CNIC Copy Photographs
Full Name (Mr. /Ms. /Mrs. /Dr.):____________________________________________________
Father/Husband Name:___________________________________________________________
Present Address: ________________________________________________________________
_____________________________________________________________________________
Permanent Address: _____________________________________________________________
______________________________________________________________________________
Telephone# (Residence) Mobile#:
- Cell # -
Email Address: _________________________________________________________________
Date of birth: Domicile: ______________Place of Birth: _______________
-
Nationality: ___________________ Religion: _____________ C.N.I.C #: ___________________
Marital Status: Single Married Widow
Next of kin (Name & Address): _____________________________________________________
__________________________________________________________________________
Relationship: _____________ Contact #:
Qualification (Starting from Latest qualification first)
Examination Name of Duration Year of Division Total Marks
Passed Institution/University of Course Passing / CGPA Marks Obtained
/Board
1|Page1
HUMAN RESOURCE DEPARTMENT
Medical Teaching Institute (MTI)
Khyber Teaching Hospital Peshawar
Fax #:091-9224423/ Ph #:091-9224306
Job Application Form
THE FORM MUST BE FILLED IN CAPITAL LETTERS
Research Papers
S. No Title of Research Paper/ Article Name of Journal with year, Vol. Authorship whether 1st, 2nd
No, Page No 3rd so on
Experience before Post Graduation (in chronological order, starting with latest employment)
Employer’s Name Designation Reason for From To/ Till Total Length of Service
Leaving date
Experience After Post Graduation (in chronological order, starting with latest employment)
Employer’s Name Designation Reason for From To/ Till Total Length of Service
Leaving date
Were you ever dismissed or asked to leave your job? Yes No
Can we approach your present employer? (If any) Yes No
2|Page2
HUMAN RESOURCE DEPARTMENT
Medical Teaching Institute (MTI)
Khyber Teaching Hospital Peshawar
Fax #:091-9224423/ Ph #:091-9224306
Job Application Form
THE FORM MUST BE FILLED IN CAPITAL LETTERS
Is there any criminal charges being brought against you? Yes No
If yes, please give the details:
____________________________________________________________________________________
Do you have any Physical Disability Yes: No:
If yes, please give the details:
____________________________________________________________________________________
Please give at least two references in the space provided below:
Name Designation Present Address Contact #
Check list for applicant:
Please attach attested copies of the following documents. All documents should be stapled in
sequence as mentioned.
1. One copy of Computerized National Identity Card.
2. Two colored photographs.
3. Copies of educational documents.
4. Copies of experience Certificates.
5. Copy of CV/Bio-Data.
6. Copies of Research Paper/ Article ship
7. Passport photocopies if CNIC is not available.
8. Other (Please specify) if any.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Please Read This Statement Carefully
I declare that the information given by me in the application form is true and are to the best of
my knowledge and are supported by documents and I understand that incomplete form will be
sufficient ground to reject my job application form.
Name: ________________________ Signature: __________________ Date: _______________
3|Page3
4|Page 4
