Education

1. — —
Lahore
Yes No If "Yes" then attach Departmental Permission Letter
Duration
From To
Board/University
Obtained
Marks
Total Marks
Division/
Grade/
Percentage
Islam
Male Female Other
Yes No If "Yes" then attach certifcate
Yes No If "Yes" then attach certifcate
Position Applied For
Name
Father's Name
Date of Birth
CNIC
Domicile (District)
Contact No.
Gender
Qualification
Certifcate/Degree
B.A
Intermediate
Matriculation
Mailing Address
E-Mail
Already in Govt. Service
Disablity
Hafiz-e-Quran
Religion
Course/Training
Certifcate/Degree Board/University
Obtained
Marks
Total Marks
Duration
Division/
Grade/
Percentage
From To
Health Information & Service Delivery Unit
Primary & Secondary Healthcare Department
Photo
Job Application Form
Government of the Punjab

2. Sr. No
1
2
3
4
5
6
7
8
9
10
11
12
13
s
Page 2/2
Note: If you are applying more than 1 post, then please send a seprate application
Position Held
Period
From To Years Months Days
Total Experience
Employment History
Company Name
Documents
Copy of CNIC
In case of current employment mention 20-01-2016 as Period
Page 1/2
Verifiable Experience Letters with Dates, employer's contact no and address
Certifcate in case of Disable
Certifcate in case of Hafiz-e-Quran
Copy of Matriculation Certifcate
Copy of Intermediate Certifcate/Degree
Copy of Graduation Degree
Copy of Masters Degree
Copy of Domicile
Noc in case of Already in Govt. Service
Please ensure that as per check list following attested documents are attached
Check List
Computer hardware diploma certifcate for the Job at serial no. 12
Computer application certifcate for the job at serial no. 13
Any other document (higer qualifcation, diploma, training and certifcate etc.
The End
If candidate is no elligible for test / interview the please mention the reason
Signatures:
Date:
Declearation
I declare that, to the best of my knowledge, the information given is true and correct. I understand that inaccurate, misleading or untrue statements
or knowingly withheld information may result in termination of employment with this organisation. I understand that this application does not
constitute an offer of employment.
Date & Signatures
For Official Use Only:
Yes No
As per documents candidate is elligible for test/interview