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U N I V E R S I T Y O F S A R G O D H AS U B - C A M P U S E S

( A J o i n t V e n t u r e P u b l i c P r i v a t e P a r t n e r s h i p )( A J o i n t V e n t u r e P u b l i c P r i v a t e P a r t n e r s h i p )( A J o i n t V e n t u r e P u b l i c P r i v a t e P a r t n e r s h i p )( A J o i n t V e n t u r e P u b l i c P r i v a t e P a r t n e r s h i p )

APPLICATION FORM (TEACHING POSTS)

POST APPLIED FOR _________________________________________

AT _________________________________________

Instructions:1. Kindly tick ( ) the relevant column below for applied at:-

Lahore Campus, Lahore

Gujranwala Campus, Gujranwala

Mandi Bahauddin Campus, Mandi Bahauddin

Faisalabad Women Campus, Faisalabad

Lyallpur Campus, Faisalabad

2. The application form duly completed and accompanied by a pay order as prescribed should be sent at given address not later than the due date.

Persons employed in Govt, Autonomous organizations, bodies should submit their application through proper channel otherwise application shall

not be entertained.

3. Please fill in each column clearly and completely. Use additional sheet/s. if necessary.

4. The application form should be duly completed, and signed by the applicant.

5. Attested copies of testimonials should be submitted with the application.

6. Canvassing in any form will disqualify the candidate.

1) Name (in block letters)

2) Fathers Name (in block letters)

3) Marital Status 4) - Date of Birth

5) Age (on closing date) 6) - Domicile

7) Address: - 1 For Corresponding

2 Residential Address

3 Permanent Address

8) Present Occupation 9) Contact No.

10) Pay Order No. (Attach in original)

Date Amount

11 a) Religion b) Nationality

c) National Identity Card No

12) ResearchGive particular of all post graduate research work done. Mention name of institution and professor under whom guidance

the research was completed.Your Research Work

Passport SizePhotograph

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13) Education & Experience: Give particulars of all examinations passed, degrees and technical qualifications obtained from Universi

experience on the prescribed performa. Commence with the Matriculation or equivalent examination. Please consult pattern first to

ACADEMIC QUALIFICATION

Sr. # Name/Fathers Name & Address Date of Birth Matric F.A/ F.Sc etc.B.A/B.Sc. / B.Sc

(Hons.)M.A/M.Sc. /

M.Sc (Hons.)Other Qualification

Mr / Ms. / Dr. _________________________S/o / D/o ___________________________Postal Address: __________________________________________________________________________________________Contact No. _________________________

10.01.1977 1992-I640/85075.29%BISESgd

1994-IIF.Sc

578/110052.54%

BISELhr

1997-IB.Sc

518/80064.75%

(Annual orSemester)

CGPA-2.90/4BZUMn.

(Gold Medal)

1999-IM.Sc

(Chemistry)821/120068.33%

(Annual orSemester)

CGPA-3.15/4BZUMn.

2013Ph.D

(Chemistry)Auckland

QAUI

2011M.Phil (Chemistry)

CGPA-3.09/4QAUI

04-PublicationsInternational=02National (local)=02

As Lecturer in OUniversity of Sa

As Visiting LectFaisalabad

STATEMENT OF QUALIFICATIONS OF THE CANDIDATE(S) FOR THE POST OF ___________UNIVERSITY OF SARGODHA / SUB-CAMPUS __________________

ACADEMIC QUALIFICATION

Sr. # Name/Fathers Name & Address Date of Birth Matric F.A/ F.Sc etc.B.A/B.Sc. / B.Sc

(Hons.)M.A/M.Sc. /

M.Sc (Hons.)Other Qualification

1.

It is hereby certified that all information given in this statement is correct in all aspect and according to educationa

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14) Other Formal Training or Education.

Name & Place Type of TrainingYears Attended

Certificate or Diploma ObtainedFrom To

15) List of research papers published in journals of national / international repute (attach copies).

Title Name of Journal Volume & No Date of Publication / Acceptance of Publication

16) Publications

List any significant publication other than those listed above

17) Employment RecordStarting with your present post. Put in reverse order every employment and any significant experience which you believe

will be helpful in evaluating your record.

Name of PostDepartment /Organization

Scale /GradePeriod Basic Pay Per Month

Descriptionof your workFrom To Starting Most Recent

18) Were you ever dismissed from service in the past, or were your service you ever terminated?If yes, under what Circumstances

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19) Did you ever sign an agreement to serve any organization for particular period? If yes

1. Has the condition of the bond been fulfilled?2. Intimate the date when the conditions are going to be fulfilled

20) Membership of learned societies and other activities in University, Public or International affairs

21) State any other relevant facts

22) References

23) Give minimum pay acceptable, if necessary

24) List of Testimonial attached

25) Certificate

It is hereby certified that all information given in this application form is correct and nothing relevant has beenconcealed.

Date Signature of Candidate