MTI-KHYBER TEACHING HOSPITAL
Medical Teaching Institute
HUMAN RESOURCE
Job Application Form
Personal Information
Application#: 0000004336
Apply Post For: Facilities Supervisor
Name: Syed Mubeen Ur Rehman
Father Name: Syed Haji Juma Khan
Postal Address: Village Sheikhano Bari Band Post Office Mandani Tehsil Tangi
District Charsadda
Permanent Address: Village Sheikhano Bari Band Post office Mandani Tehsil Tangi
District Charsadda
CNIC: 17102-6707638-9
Date Of Birth: 04/04/1983
Birth Place: Mandani Charsadda
Disability: No
Disability Description:
Marriage: Married
Mobile Number: 0313-9257770
PMDC/PNC/PEC
Registration No:
Email: syedmubeenurrehman7788@gmail.com
Relogion: Islam
Domicile District: CHARSADDA
Nationality: Pakistani
Is Govt Servant?: No
Starting Service Date:
Next of Kin(Name): Syed Imdad Ullah
Next of Kin(Address): Village Sheikhano Bari Band Post Office Mandani Tehsil Tangi
District Charsadda
Next of Kin(Mobile): 0345-9878677
Next of Kin(Relation): Cousin
Education
Degree Title Start Date End Date Board/Uni Obtain Marks Total Marks Division Grade
MATRICULATION 19/06/1994 19/06/2004 BISE Peshawar 442 850 Second C
INTERMEDIATE 06/08/2004 06/08/2006 BISE Peshawar 570 1100 Second C
Experience
Job Nature Starting Ending
Title of Job Date Date Organization Responsibilities
Naib Contract 11/01/2022 FIP-SDU P&D 1. Carrying from one place to another within and outside the office premises the
Qasid Department Civil official files/papers/dak 2. General arrangement and tidiness of the office, furniture,
Job Nature Starting Ending Secretariate including dusting of office furniture, record etc
Title of Job Date Date Organization
Peshawar Responsibilities
References
Refree Name Designation Organization Relation Mobile
Mr Hamid Shah Assistant Director Admin FIP-SDU P&D Department Civil Secretariate Peshawar Closely Khnown 0333-9182622
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
___________________________________ ___________________________________
