This document is a registration form for the CCK OWN IT alumni gathering. It collects personal details like name, contact information, education, experience, references from academia, industry and CCK. It also asks how many previous CCK programs the applicant has attended. Additional details are requested for any non-blood relatives accompanying the applicant. The applicant provides their mother and father's names and submits the completed form.

1. 4/21/2018 CCK OWN IT - Registration Form
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CCK OWN IT - Registration Form
Please Stay Calm and Careful while ling Registration Form.
*Required
Name *
Please write correct and full name.
Muhammad Obaid
Email *
m.obaid@gmail.com
Contact Number *
0323-XXXXXXX
CNIC Number *
42203-XXXXXXX-6
Quali cation *
M. Phil (Pharmacolgy), Pharm-D

2. 4/21/2018 CCK OWN IT - Registration Form
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0 - 3 years
4 - 6 years
7 - 10 years
11 -15 years
16 - 20 years
20 years and above
Yes
No
More than 15 programs
10 or more than 10 programs
5 - 9 programs
Organization *
XX International (Pvt) Ltd.
Designation *
Manager Quality Control
Experience *
Have you previously attended any CCK program? *
If Yes, to above question, how many CCK programs have you
attended? *
Please make sure you may be asked for evidence.

3. 4/21/2018 CCK OWN IT - Registration Form
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References of a known person with contact details including name,
contact number and association/organization (from academia) *
Dr. Tariq (0335-XXXXXXX, Associate Professor, Dow University)
References of a known person with contact details including name,
contact number and association/organization (from industry) *
Mr. Saeed (0335-XXXXXXX, Quality Head, XX International)
References of a known person with contact details including name,
contact number and association/organization (from CCK) *
Please avoid names of Dr. Obaid Ali, Ms. Roohi Bano and Mr. Noor Nabi in this column.
Zubair (0342-XXXXXX, Manager Regulatory, XX Private Limited)
Number of people accompanying you (other than you) in the
Alumni gathering. *
2
Who will be accompanying you from your blood relations in the
Alumni gathering.
Blood Relations: Mother, father, Brother, Sister, Husband, Wife and Children
Mother, Father
Please mention only the names of blood relations accompanying
you in Alumni Gathering
Blood Relations: Mother, father, Brother, Sister, Husband, Wife and Children
Mr. Ali and Mrs. Ali

4. 4/21/2018 CCK OWN IT - Registration Form
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If you want to come with someone other than blood relation
mentioned above kindly provide following details : his/her name,
relationship with you, profession, CNIC number and reason for
bringing him/her.
Please provide complete details if you are opting for this question, incomplete answers will not be
entertained.
Nil
SUBMIT
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