UNIVERSITY OF MIANWALI
University Road, Mianwali-42200, Pakistan
Application Form for Non-Teaching/Administrative Positions1
For Office Use Only
Diary #__________
Date____________
Post Applied for______________________________________________
Name of the Candidate________________________________________ Paste your most recent
(Use BLOCK LETTERS)
photograph here.
Father Name_________________________________________________
__ __
CNIC #
Date of Birth Age on closing date ( / / )
YY/MM /DD
Domicile Gender (M/F) __________________________
Nationality _ Religion _______________________________
Correspondence Address
Permanent Address
Email_____________________________________Landline (Res.) Cell
Bank’s Demand Draft Number: Date Amount
1
For BS-17 and above
1
ACADEMIC QUALIFICATION
Degree/Certificate University/Board2 Subjects Division/CGPA Year
Ph.D
M. Phil
MA/M.Sc./MBA
BS (Hons.)
BA/B.Sc.
Intermediate
Matriculation
Others
SERVICE RECORD (START WITH YOUR MOST RECENT POSITION)
Post-PhD Teaching/Research Experience
Institution Position Held Period
From To
Pre-PhD Teaching/Research Experience
Institution Position Held Period
From To
2
Please mention the detail of affiliated College/Institute
2
Postdoctoral Fellowships
Institution Position Held Period
From To
RESEARCH SUPERVISION
Details related to Ph.D scholar(s) supervised
S. No. Student’s Name Registration Number Thesis Title Year
1.
2.
3.
4.
5.
6.
7.
8.
9.
Details related to M. Phil scholar(s) supervised
S. No. Student’s Name Thesis Title Year
1.
2.
3.
4.
5.
6.
7.
8.
9.
3
RESEARCH PUBLICATIONS
S. Name of Complete Name of Title of Vol. No., Year of HEC ISI HEC
No. Author(s) Journal and Address Publication Issue No. Publication Category Impact Recognized
with ISSN (Print) No. & Page W/X/Y/Z Factor (Yes/No)
No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
National/ International Conferences
S. Name of Author (s) Title of Paper National/International Venue Date
No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
4
Membership/Fellowship of Professional Bodies
S. Name of the Organization Nature of Membership Offices Held
No.
1.
2.
3.
4.
Foreign Visits: Official / Personal (Starting from the recent one)
S. Country Duration Purpose of Visit
No.
1. From To
2.
3.
Are you applying on minority quota? Yes /No
If yes, please specify.
___________________________________________________________________________________
Are you suffering from any physical disability? Yes /No
If yes, please specify. (attach certificate)
___________________________________________________________________________________
Have you ever been convicted from any court of law? Yes /No
If yes, please specify.
___________________________________________________________________________________
Is there any inquiry or disciplinary proceeding currently pending against you? Yes /No
If yes, please specify.
___________________________________________________________________________________
Have you obtained NOC / Permission from your present employer to apply for this post? Yes /No
(If yes, please attach evidence).
Professional References (at least two)
Name Designation Name of the Contact Number &
Organization Email ID
5
List of Documents Attached (attested copies):
(i) (vi) (xi)
(ii) (vii) (xii)
(iii) (viii) (xiii)
(iv) (ix) (xiv)
(v) (x) (xv)
DECLARATION
I hereby solemnly declare that all the information given in this Application Form is true and correct to the best
of my knowledge and belief. Moreover, the documents (testimonials, degrees, diplomas, experience certificates
etc.) attached are valid and authentic.
I have read the instructions carefully and will be responsible if any discrepancy has been identified in the
information / document provided by me at any stage of my employment.
Date:_____________________________ Signature of the Applicant_______________________________
6
Departmental Permission Certificate
(To be submitted by the candidate, serving in Government, Semi-Government or Autonomous body)
a. Name:
CNIC Number: __________________________________________________________________
b. Father’s Name:
c. Presently working as: BPS / Grade:
d. Office / Department:
e. Post applying for:
(Signature of the Candidate with date)
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To be filled by the Administrative Office:
It is certified that the above named employee is working in this organization / institution on regular
/ contract / temporary/other basis since .
The above named candidate has been granted permission to apply for the said post by the competent
authority of the parent organization.
If the candidate is selected in University of Mianwali, he / she will be relieved of by the parent
organization within___________________.(Please state the required time period in Months/Days).
There is no audit para / inquiry pending dues against the applicant. There are no adverse remarks
against him / her in the last five years of his / her PERs /ACRs.
Ref#:
Dated:
__________________________________
Signature with Stamp of the Appointing
Authority or the Authorized Officer
