MTI-KHYBER TEACHING HOSPITAL

Medical Teaching Institute

HUMAN RESOURCE
Job Application Form

Personal Information
Application#: 0000003808
Apply Post For: Institutional Medical Officer
Name: Fazal Amin
Father Name: Khial Mast
Postal Address: House 33, B-block, wapda town, main GT-road, taru jabba,
Peshawar
Permanent Address: House 33, B-block, wapda town, main GT-road, taru jabba,
Peshawar
CNIC: 90406-0182035-3
Date Of Birth: 26/06/1997
Birth Place: Hangu
Disability: No
Disability Description:
Marriage: Married
Mobile Number: 03060091803
PMDC/PNC/PEC 757879-03-M
Registration No:
Email: fazalaminoman@gmail.com
Relogion: Islam
Domicile District: PESHAWAR
Nationality: Pakistan
Is Govt Servant?: No
Starting Service Date:
Next of Kin(Name): Abubakar
Next of Kin(Address): House 33, B-block, wapda town, main GT-road, taru jabba,
Peshawar
Next of Kin(Mobile): 0315 9277486
Next of Kin(Relation): Brother

Education
Start Obtain Total
Degree Title Date End Date Board/Uni Marks Marks Division Grade

MATRICULATION 14/05/2012 27/06/2014 FBISE ISLAMABAD 786 1050 First A

INTERMEDIATE 04/08/2014 30/07/2016 BISE Peshawar 774 1100 First A

MBBS FIRST PROFESSIONAL (PART 01/11/2016 23/11/2017 Khyber Medical 373 600 First A
1/A) University

MBBS FIRST PROFESSIONAL (PART 24/11/2017 04/12/2018 Khyber Medical 397 700 Second B
2/B) University
MBBS SECOND PROFESSIONAL 05/12/2018 17/02/2020 Khyber Medical 484 800 First A
Start University Obtain Total
Degree Title Date End Date Board/Uni Marks Marks Division Grade
MBBS THIRD PROFESSIONAL 18/02/2020 25/06/2021 Khyber Medical 655 1000 First A
University

MBBS FINAL PROFESSIONAL 26/06/2021 17/06/2022 Khyber Medical 1085 1600 First A
University

Experience
Job Nature Starting Ending
Title of Job Date Date Organization Responsibilities

House FullTime 01/08/2022 31/07/2023 Abbottabad As a House Officer at Abbottabad Medical Complex, Icompleted my house job and
Officer Medical Complex gained valuable experience invarious medical specialties. During this period, I
worked underthe guidance of experienced doctors, providing medical careto
patients and further enhancing my clinical skills.

Medical Contract 02/08/2023 22/07/2024 Afridi Medical Served as a Medical Officer at Afridi Medical Complex,where I provided
Officer Complex & comprehensive medical care to patients,including diagnosis, treatment, and quality
Teaching assurance.
Hospital

Medical FullTime 25/07/2024 31/10/2024 Medical •Enhanced patient satisfaction with thorough assessments, diagnosis and treatment
Officer Teaching plans•Streamlined documentation processes,ensuring accurate,and comprehensive
Institution medical records for improved care•Participated in professional development
Mardan Medical opportunities to stay current with advances in medicine
Complex

References
Refree Name Designation Organization Relation Mobile

Additional Details:
• Were you ever dismissed or asked to leave your job? Yes No
• Can we approach your present employer? (If any) Yes No
• Have any criminal charges being brought against you? Yes No

Check list for applicant:

Please attach copies of the following documents:
1. One copy of Computerized National Identity Card.
2. One color photograph.
3. Copies of educational documents.
4. Copies of experience Certificates.
5. Copies of DMCs
6. Copy of CV/Bio-Data.
7. Passport Photocopy if CNIC is not available
8. Domicile Certificate
9. Other (Please specify)
10. Please attach original bank challan

Instruction:
This application form, duly completed should be submitted to the Human Resources Department, MTI-KTH, University Rd, Rahat Abad,
Peshawar, Khyber Pakhtunkhwa on or before the due date along with: - -
i. Persons already in employment should submit their application forms through proper channel along with NOC issued by the competent
authority.
ii. Incomplete application forms (without Bank Drafts) and those received after the due date will not be entertained.
 iii. Applications must be accompanied with the processing fee and the form of crossed and valid bank draft amounting to Rs. 1000/- (Non-
refundable) in favor of Hospital Director KTH fund Account, or for online deposit, KTH fund account bearing No. PK15 KHYB 0121 0030
0311 6602, Bank of Khyber, KTH Branch, Code No: 0121, Peshawar.

Declaration:
I hereby declare that all the entries in this application form (documents), all the additional particulars (if any) furnished along with it are true
to the best of my knowledge and belief. I understand that incomplete form will be sufficient ground to reject my job application form.

Name & Signature of the Candidate Date

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