Scribd
Upload
1K views

4-Job Application Form For The Post of LHV

This document is an application form for the position of Lady Health Visitor in the IRMNCH & Nutrition Program Punjab. It requests personal information such as name, father/husband's name, CNIC number, date of birth, gender, marital status, religion, contact number, domicile, and postal address. It also requests academic qualifications including degrees/diplomas obtained along with year, total marks, marks obtained, grade/division, and board/university. Relevant experience in the field is also requested including name of department, name of post with position, period served from and till. The applicant must declare that the information provided is true and attach relevant documents including the application form, CNIC, domic

Uploaded by

Hajveri Photo State Sambrial
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
1K views

4-Job Application Form For The Post of LHV

This document is an application form for the position of Lady Health Visitor in the IRMNCH & Nutrition Program Punjab. It requests personal information such as name, father/husband's name, CNIC number, date of birth, gender, marital status, religion, contact number, domicile, and postal address. It also requests academic qualifications including degrees/diplomas obtained along with year, total marks, marks obtained, grade/division, and board/university. Relevant experience in the field is also requested including name of department, name of post with position, period served from and till. The applicant must declare that the information provided is true and attach relevant documents including the application form, CNIC, domic

Uploaded by

Hajveri Photo State Sambrial
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

IRMNCH & Nutrition Program Punjab

5-Montogomery Road, Lahore paste


Ph: 042-99205326, www.pshealth.gov.pk
picture
& NUTRITION PROGRAM Application Form for Lady Health Visitor
(should be
attested from
Name of Post Applied: _______________________________________________________________ front)

Applied in: (tick any 1) IRMNCH PMHI CMSRP

Strengthening of Urban Dispensaries & Filter Clinics

Applied against: (tick any 1) General Quota Disable Quota Minorities

Preference of Districts: (1) ________________________ (2) _______________________ (3) ________________________

PERSONAL INFORMATION FILL IN CAPITAL LETTERS

Applicant’s Name:

Father / Husband Name:


(tick on relevant)
CNIC No: Date of Birth:

Gender: Male Female Martial Status: Un-Married Married Religion: Muslim No-Muslim

Contact No: Domicile:

Postal Address:

ACADEMIC QUALIFICATION – Lady Health Visitor


Sr. Degree /Diplomas Passing Total Marks %age Grade/ Board / University
No. Year Marks Obtained Division

1 Matric

2 F.Sc

3 Diploma of LHV and Midwifery

4 Higher Qualification in relevant filed

POSITION IN BOARD / UNIVERSITY IN THE PRESCRIBED QUALIFICATION


In case of position tick the actual position availed in Board / University in prescribed qualification.

1st Position 2nd Position 3rd Position

Experience in the Relevant Field


Sr. Name of the Post Served Served Total Served Period
Name of Department
No. with Position From Till yyyy mm dd
1

3
EX-SERVICE MAN / HAFIZ-E-QURAN
Ex-Service Man

Yes No

Hafiz-E-Quran

Yes No

DOCUMENTS TO BE ATTACHED
Documents to be attached with the application (tick the relevant box)
1. Application Form 7. Educational Credentials (degree and Mark Sheets )
2. CNIC 8. Experience Certificate (Govt. Sector only if applicable)
3. Domicile 9. Hafiz-e-Quran Certificate (Attested from relevant Jamia)
4. 2 Passport Size Pictures (attested from back side) 10. Disable Certificate (Attested from PCRDP)
5. Valid PNC Registration
6. Chalan Form for PNC Registration (if applied for Renewal)

APPLICANT’S DECLARATION
I certify that the information I am about to provided is true and complete to the best of my knowledge. I am aware that
this self declaration statement is subject to review and verification and if such information has been falsified I may be
terminated from the job for fraud and / or perjury.

(dd/mm/yy)
Signature: _________________ Date:

You might also like