Prime Ministers National Health Program, Ministry of National Health Services, Regulations & Coordination

This document is an application form for the position of Director in the Prime Ministers National Health Program. It requests personal information like name, father's name, CNIC, contact details, education history, employment history, and an undertaking. The applicant must attach a recent photograph, CNIC copy, and original bank deposit slip of Rs. 150 as application fee. The instructions specify the submission process and guidelines to fill the form correctly.

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Prime Ministers National Health Program, Ministry of National Health Services, Regulations & Coordination

Uploaded by

Usman Ghani

Available Formats

Download as PDF, TXT or read online on Scribd

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APPLICATION FORM

Prime Ministers National Health Program, Ministry Of National Health Services, ………..……
OTS REG #
Regulations & Coordination For Official Use
(191) Applying for: Director Technical (PPS-11) Only

Bank Online Deposit (*Note: Application Form will not be entertained without Original Deposit Slip.)
ALFALAH, HBL, ABL,
☐ (ANY ☐ (ANY ☐ (ANY BRANCH)
_______________ _______________
BRANCH) BRANCH) Branch Code Deposit Date Passport size
Note: Test Center in the desired city will be arranged for minimum of 200 applicants. Once selected a test center cannot be changed.
Recent Photograph
Test City: ☐ Islamabad ☐ Lahore ☐ Karachi ☐Multan ☐Quetta
(Tick only ☐ Peshawar ☐ Sukkur ☐ Muzaffarabad ☐ Hyderabad ☐ Faisalabad Affix with Gum
one) ☐ D.I. Khan ☐ Sahiwal ☐ Abbottabad ☐ Gujranwala ☐ Gilgit
Note: ALL DATA FIELDS ARE REQUIRED. FILL YOUR
APPLICATION FORM CAREFULLY.
Domicile District: -----------------------------------
Domicile ☐ Punjab ☐ Balochistan ☐ Sindh (U) ☐ Sindh (R)
Province: ☐ KPK ☐ Islamabad Capital Territory ☐ FATA
(Tick only
one) ☐ Azad Jammu and Kashmir ☐ Gilgit Baltistan ☐ Other

1. Personal Information (In Block Letters)

Name (in Full): __________________________________________________ Note: Tick Only One Circle in each Row.
Religion: ⃝ Muslim ⃝ Non-Muslim
Father’s Name: __________________________________________________ Are You Disable? ⃝ Yes ⃝ No
CNIC/B-Form: Gender: ⃝ Male ⃝ Female
Armed Forces: ⃝ Yes ⃝ No
Age: __________ Date of Birth (D-M-Y) ___ -____- _____ Marital Status:________ Only for personnel of Armed Forces of Pakistan
__________________________________________________ Deceased Servant: ⃝ Yes ⃝ No
Postal Address: Deceased Civil Servant wife, son or daughter
__________________________________________________ Government Servant: ⃝ Yes ⃝ No
(Do not give here Network with Two Years Continuous Experience
Phone #: ______________ Cell #: ________________ converted mobile Numbers) Scheduled Cast /Buddhist: ⃝ Yes ⃝ No

2. Academic Information (Note: In case of incomplete academic information, Your Application will be Declined.)
Certificate/Degree Degree Title Major Subjects Year of Marks Total Institution
Passing Obtained Marks Name
SSC (10 years)
HSSC / DAE / A-Level
(12 / 13 years)
Bachelor (14 years)
Bachelor (H) / Master
(16 years)
MS / M.Phil. (18 years)
PhD
Other (Diploma / Certificate)
3. Employment Information (Note: If you need more rows to write your information, you can add an additional page with Application Form.)
Organization Type Organization Name Designation Start Date End Date
(Government / Semi Government / (Name of the Organization / Dept.) (Your Designation / Position (Starting Date) (End Date)
Private) Title)
4. Undertaking by Applicant
I d/s/w of do hereby solemnly
affirm that I have read and understood the conditions for applying in the above mentioned Post and that I have
filled the form as per instructions given above and in the event any information contained herein is found to be
untrue, I shall be liable to disciplinary action which may result in cancellation of my candidature &test.

Signature & Date: ……………………………….………. Thumb Impression (Left Hand): ………………………………………

Document Check list:

Tick if Attached / selected:

☐ Photograph is Attached
☐ Original bank Deposit Slip is Attached on the back side of Application Form
☐ CNIC Copy is Attached on the back side of Application Form

Instructions:

 Application Fee (Service Charges) is nonrefundable / nontransferable. Bank Online Deposit of Rs. 150/- must be
attached with application form.
 In case of more than one apply use separate application form along with original deposit slip.
 Application must reach OTS office latest by last date of submission of application form.
 OTS will not be responsible for l ate receiving of application through courier / Pakistan post etc.
 Attach your recent photograph, CNIC copy, original bank deposit slip with this application form.
 Without Signature & Thumb impression, your application form will not be entertained.
 Without photograph your application form will not be entertained.
 In-complete forms will not be entertained. (All the fields are mandatory / Required)
 By hand sub mission n of Application form is n o t allowed.
 Mobile phones are n o t all ow e d in test center premises.
 Please visit OTS website a cc or din g to the test schedule to c heck your status.

Cut Address box given below and affix it with gum on the envelope.

Send Registration Form to:

Manager Operations, (PM MONHS,R&C)

Open Testing Service (OTS),
Office No 01, Central Avenue,Phase 6, Bahria Town, Islamabad
Help Line: 051 111 687 222 Email: [email protected], Website: www.ots.org.pk