UNIVERSITY OF HEALTH SCIENCES LAHORE
KHAYABAN-E-JAMIA PUNJAB LAHORE
Ph: No. (Off) 042-99231304-9 Fax No. 042-99230870
APPLICATION FORM VISITING FACULTY IN UHS Please affix 4
Photographs
Post/Subject Applied for:-______________Session :-___________(if Applicable) attested from
backside. (4x4)
Advertisement Reference:-_______________Dated:-___________
Applicant’s Personal Information
Full Name (First, Middle, Last)
1.
Father’s Name (First, Middle, Last)
2.
Date of Birth (DD/MM/YYYY) Age Gender
3. 4. 5.
Address
6.
Contact no. E-mail Address Domicile
7. 8. 9.
Marital Status CNIC No.
10. Single Married 11.
Educational Information
Institute/Board/ Passing Obtained No. of Grade/Division
Degree Subject
University Year Marks/Total Attempts with Percentage
Matric/O-Levels
Intermediate/A-
Levels
Bachelors
MBBS/BDS
Masters
Medical
Graduation
M.Phil
Ph.D.
FCPS
Any Other
Computer
Training/Diploma
Medals/Distinctions/Achievements/ (If any, please specify)
____________________________________________________________________________
____________________________________________________________________________
Research Papers/Publications with Impact Factor (Applicable for Academic Post)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Research Interest
____________________________________________________________________________
Experience (Precise answer with tenure and grade)
Administrative Experience
____________________________________________________________________________
____________________________________________________________________________
Office/Staff Experience
____________________________________________________________________________
____________________________________________________________________________
Instructional/Teaching Experience
____________________________________________________________________________
____________________________________________________________________________
Experience relevant to applied job/subject (if any)
____________________________________________________________________________
____________________________________________________________________________
If Currently in service (Public/Private)
____________________________________________________________________________
____________________________________________________________________________
I hereby affirm that all the information provided by me in this form is true to the best of my knowledge and
belief, and no material has been concealed or withheld herein.
___________________
Applicant’s Signature
Check List
Have you filled all filled all relevant columns.
Enclosed attested / certified copies of academic transcripts (including certified translation if
necessary)
Intermediate Certificate Matriculation Certificate
MBBS BDS M.Sc. Or equivalent
MD MS MDS Or equivalent
FCPS FRCS MRCP Or equivalent
M.Phil. Or equivalent
Enclosed certificate of experience from the employer.
Enclosed a letter of permission from the employer (for employees only).
Enclosed migration certificate (if graduated from a University other than the University of
Health Sciences, Lahore).
Enclosed a certificate of good moral character.
Enclosed an attested copy of the National Identity Card & Domicile Certificate.
Enclosed three attested copies of recent photographs.
NOTE:-
❖ Attested copies of testimonials, experience certificates, NOC be attached with job/admission application
form. Forms containing false or incomplete information shall not be accepted/entertained.
❖ No benefit would be given for any document not attached at the time of submitting application or produced
after the closing date.
❖ Applicants shall submit their original documents at the time of admission.
___________________
Applicant’s Signature
