1683023305_ApplicationForm

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Pakistan Council of Scientific & Industrial Research (PCSIR)

(Head Office, Constitution Avenue, Sector G-5/2, Islamabad)


“Medical Equipment & Devices Innovation Centre (MEDICen)”
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APPLICATION FORM
Passport size
photograph
Application for the post of PPS:

1 .Name of Applicant:

2. Father ‘s Name:

3.CNIC No.: 4.Date of Birth: (dd/mm/yrs) 5.Age on closing date:

6. Religion: 7.Gender: 8.Domicile: 9.District:

10. Postal Address: 11.Permanent Address:

12.Contact No. (Line/ Mobile): 13. E-mail:


14.Academic Qualification as per required Criteria:
Sr.# Degree/Certificate Field of Study / Subject CGPA/ Grade/ Division / % age Name of the Board /University /Institute

15.Professional Certifications etc.:


Sr.# Course/Diploma /Certificate Field of Study Duration Institution

16.Relevant Experience:
Name of the Employer / Org./ Post held with pay Job profile/Salient contribution / Period
Sr.#
Dept. scale Work done From To Total

17. Additional Certificates/ Research Papers/ Technical Papers/ Patents etc.:


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18. Disabled Quota.:
By signing below and submitting this application form I------------------------------------------------- agree that the information
I have provided above is accurate to the best of myknowledge. I hereby undertake that incorrect information will lead
to disqualification of my candidature.
** Applications should be duly supported by attested photocopies of all Degrees/ Certificates/ Documents,
otherwise the applications will not be entertained.

Signature of the applicant______________________________


Date ______________________.

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