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EPI Health Department of Sindh Karachi Form

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EPI Health Department of Sindh Karachi Form Reg. No. APPLICATION FORM To be Filled by NTS EPI HEALTH DEPARTMENT Picture 1 Paste your recent OF SINDH passport size color NTS photograph not older than 6 Months having Screening Test for the Post of blue background with gum Project ID: S-18-3393 Vaccinator (M/F) BPS-06 Eligibility Criteria: A. Is your age according to the prescribed age limit for the desired Post as on 15-02-2018? Yes No B. Is your Qualification according to the requirements of the post? Yes No C. Are you Domiciled in Karachi? Yes No If your reply is “Yes” to A, B & C above, only then please proceed further. Otherwise you are not eligible to apply. 01. Bank Online Deposit of Rs: 325/- from Designated Bank Branches. Bank Code Deposit Date *Note: Application Form will not be entertained without Original Deposit Slip (NTS Copy) Personal Information: Use CAPITAL letters and leave spaces between words. 02. Name in Full: 03. Father’s Name: 04. Candidate CNIC #: Write your own CNIC No. Or B Form No. 06. Date of Birth: D D M M Y Y 05. Gender: Male Female Write your Correct Date of Birth otherwise you will be rejected 07. Postal Address: All correspondence will be made on this address through courier service or ordinary postal service. City: District: 08. Phone No: (OFF) (RES.) (Mobile) City Code - Phone No DO NOT give your portable mobile number (which is converted from one network to another) so that SMS delivery is ensured. 09. Are you a Government Servant and applying through proper channel? In case of Yes, please attach NOC Yes No If Non Muslim, 10. Religion: Muslim Non Muslim Please Specify: 11. Do you possess certificate of vaccination from recognized institute? Yes No If Any. 12. Academic Information: (Please do not attach copies of your academic certificates at this stage.) Note: 1. NTS will not issue Roll No Slips to those who have not filled in their academic record properly. 2. Result awaiting candidates are not eligible. Certificate / Specialization / Year Degree / Sanad Title Board / University / Institute Degree Level Major Subject Passing Obtained Marks / CGPA Total Marks / CGPA Science Matric / Matric O-Level Equivalent Arts (10 Years) Other: ______________ Other: __________ F.A A-Level Intermediate / Equivalent F.Sc (12 Years) Other: ______________ Higher (If any) 15. Union Council / Town Applied For: Fill only 1 box situated as per your UC / Town, Multiple selection will lead to disqualification. 01. Baldia Town, District West List 02. Bin Qasim Town, District Malir List 03. Gadap Town, District Malir, East, West List West GULSHAN GHAZI-1 Malir IBRAHIM HAIDARY-1 Malir MEMON GOTH-1 West ITTEHAD TOWN-2 Malir REHRI-2 Malir DARSANU CHANNU-2 West ISLAM NAGAR-3 Malir CATTLE COLONY-3 Malir GADDAP-3 West NAYA ABADI-4 Malir QUAID ABAD-4 East GAJRU-4 West SAEED ABAD-5 Malir LANDHI-5 West SONGAL-5 West MUSLIM MUJAHID TOWN Malir GULSHAN HADID-6 West MUMAR ABAD-6 West MAHAJIR CAMP-7 Malir GHAGHR-7 West YOUSAF GOTH-7 West RASHEED ABAD-8 West MANGHO PEER-8 05. Gulshan-e-Iqbal Town, District East List 04. Gulberg Town, District East List East DEHLI MIRKAN TAIL-1 06. Jamshaid Town, District East List East AZIZ ABAD-1 East PEHALWAN GOTH-10 East AKHTAR COLONY-1 East KAREEM ABAD-2 East METRO VIL-11 East JAMSHED QUATERS-10 East AYESHA MANZIL-3 East GULZAR HAJRI-12 East GARDEN EAST-11 East ANCHOLLI-4 East SAFORA-13 East SOLDIER BAZAR-12 East NASEER ABAD-5 East FAISAL CANTT-14 East PAKISTAN QUATERS-13 East YASEEN ABAD-6 East CIVIC CENTER-2 East MANZOOR COLONY-2 East WATER PAMP-7 East PIB COLONY-3 East CHANESAR GOTH-4 East SHAFIQUE MIL-8 East ESSA NAGRI-4 East MEHMOOD ABAD-5 East GULSHAN (1) -5 East PECHS(1)-6 07. North Karachi Town, District Central List East GILLANI-6 East PECHS(2)-7 Central KALYANA-1 East DALMIA-7 East JAT LAND LINES-8 Central GULSHAN E MUSTAFA-10 East JAMALI COLONY-8 East JACOB LINES Central AJMAIR NAGRRI-11 East GULSHAN(2 0-9) Central GULSHAN E SAEED-12 09. Kemari Town, District West List Central SHAHNAWAZ-13 08. North Nazimabad Town, District Central List West BHUTTA VILLAGE-1 Central SIR SYED-2 Central PAPOSH NAGAR-1 West SULTAN ABAD-2 Central FATIMA JINNAH-3 Central BUFFER ZONE 1-10 West KEMARI-3 Central GODRAH-4 Central PAHAR GANJ-2 West BABA BHITT-4 Central HAKIM AHSAN-6 Central KHANDOH GOTH-3 West MACHAR COLONY-5 Central MADINA COLONY-8 Central HAIDARI-4 West MARI PUR-6 Central FAISAL-8 Central SAKHI HASSAN-5 West SHER SHAH-7 Central KHAMOSH GOTH-9 Central FAROOQ E AZAM-6 West GABO PAT-8 Central MUSTAFA ABAD-7 Central SHADMAN-8 Central BUFFER ZONE 2-9 10. Korangi Town, District Korangi List 11. Landhi Town, District Malir, Korangi List 12. Lyari Town, District South List Korangi BILAL COLONY-1 Malir MUZAFFAR ABAD-1 South AGRA TAJ-1 Korangi BATHAI COLONY-10 Korangi BARMI COLONY-10 South CHAKIWARA-10 Korangi NASIR COLONY-2 Korangi KORANGI-11 South ALAMA IQBAL COLONY-11 Korangi CHAKRA GOTH-3 Korangi SHIABAD-12 South DARYA ABAD-2 Korangi SILVER TOWN-4 Malir MUSLIM ABAD-2 South NAYA ABAD-3 Korangi 100 QUATERS-5 Malir DAWOOD CHORANGI-3 South KADHA MEMON-4 Korangi GULZAR COLONY-6 Malir MOMIN ABAD-4 South SHAH BAIG LINE-6 Korangi KORANGI(33)-7 Malir SHARAFI GOTH-5 South BAHAR COLONY-7 Korangi ZAMAN TOWN-8 Korangi BHUTTO NAGAR-6 South RANGI WARA-8 Korangi HASRAT MOHANI-9 Korangi LANDHII-8 South SINGO LINE Korangi AWAMI COLONY-9 13. Liaquatabad Town, District Central List 15. Orangi Town, District West List Central RIZVIA SOCIETY-1 14. Malir Town, District Malir, Korangi List West MOMIN ABAD-1 Central NAZIMABAD(1)-10 Malir MODEL COLONY-1 West GHABOOL COLONY-10 Central ABBASI SHAHEED-11 Malir KALA BOARD-2 West DATTA NAGAR-11 Central FIRDOS COLONY-2 Malir SAOOD ABAD-3 West MUJAHID ABAD-12 Central SUPER MARKET-3 Malir KHOKAR APAR-4 West BALOCH GOTH-13 Central DAK KHANA-4 Korangi JAFAR TAYYAR-5 West HARYANA COLONY-2 Central QASIM ABAD-5 Korangi GHAREBABAD-6 West HANIF ABAD-3 Central HINDANI COLONY-6 Korangi GHAZI BAROHI-7 West MUHAMMAD NAGAR-4 Central SHARIF ABAD-7 Korangi MALIR CANTT-8 West MADINA COLONY-5 Central COMMERCIAL AREA-7 West GHAZI ABAD-6 17. Shah Faisal Town, District Korangi List Central MUJAHID COLONY-9 West CHISHTI NAGAR-7 Korangi NATHA KHAN GOTH-1 West BILAL COLONY-8 16. Saddar Town, District South List Korangi SADDAT COLONY-2 West ISLAM CHOWK-9 South OLD HAJI CAMP-1 Korangi DRIG COLONY-3 South CALIFTON-10 Korangi RETA PLOT-4 18. Site Town, District West List South KHAKSHAN-11 Korangi MORIA KHAN-5 West PAK COLONY-1 South GARDEN-2 Korangi RAFA-AAM-6 West OLD GOLLI MAAR-2 South KHARRADAR-3 Korangi ALFALAH-7 West JAHANABAD-3 South NANAK WARA-5 Korangi DRIG ROAD/AIR PORT West METRO VIL-4 South GAZDRABAD-6 Korangi PEF-8 West BOWANNI CHALI-5 South MILLAT NAGAR-7 West FRONTIER COLONY-6 South SADDAR-8 West BANARAS COLONY-7 South CIVIL LINES-9 West QASBA COLONY-8 South KARACHI CANTT West ISLAMIA COLONY-9 South CCB-3 South CCB-4 South CCB-1 Undertaking By The Applicant: I_____________________________ d/s/w of _________________________do hereby solemnly declare and affirm that I have read and understood the instructions and conditions for appearing in Picture 2 the NTS Test, and I have filled-up the application form as per instructions given below. In case of Affix your recent any information contained herein is found at any stage to be missing, untrue, false or forged, my passport size color candidature can be cancelled at any stage (even after employment, if so revealed later), and I shall photograph not older than be liable to legal action. 6 Months having blue background with Stapler Date: _________ Thumb Impression ____________ Candidate’s Signature ________________ General Instructions / Information: Ø Please fill the Application Form properly with complete and correct information / answers. Ø Please DO NOT leave any field blank, otherwise your application may not be considered. Ø Incorrect, false or forged information may result in cancellation of your candidature at any stage, even after employment, and also proceeding of a legal action. Ø Attach your Two recent Passport Size Photographs, Copy of CNIC and Original Bank Deposit Slip (NTS Copy) Ø By Hand submission of Application Form is not allowed. Ø Mobile Phones or any Electronic Gadgets are not allowed in Test Center premises. Ø Use separate envelope and separate application form for each post you are applying for. Ø Last date for submission of application form is Thursday 15th February, 2018. Please Send Application Forms to: HELP LINE: NATIONAL TESTING SERVICE UAN : +92-51-844-444-1 Website : www.nts.org.pk EPI Sindh (Project) Plot 96, Street No. 4, Sector H-8/1, Islamabad. Keep Visiting NTS Website Building Standards in Educational and Professional Testing Building Standards in Educational and Professional Testing NTS COPY BANK COPY EPI HEALTH DEPARTMENT OF SINDH KARACHI EPI HEALTH DEPARTMENT OF SINDH KARACHI Branch Code: Date: Branch Code: Date: Branch Name: Branch Name: O N L I N E D E P O S I T S L I P O N L I N E D E P O S I T S L I P (* Please deposit fee in only one bank & tick the relevant bank) (* Please deposit fee in only one bank & tick the relevant bank) Allied Bank Limited Allied Bank Limited Formely: Allied Bank of Pakistan Limited Muslim Commercial Bank Formely: Allied Bank of Pakistan Limited Muslim Commercial Bank A/C Title: NTS-Pakistan-Collection A/C Title: NTS-Pakistan A/C Title: NTS-Pakistan-Collection A/C Title: NTS-Pakistan A/C No: 0010008325640018 A/C No: 0647943831005734 A/C No: 0010008325640018 A/C No: 0647943831005734 Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost A/C Title: National Testing Service-Pakistan A/C Title: NTS Pakistan A/C Title: National Testing Service-Pakistan A/C Title: NTS Pakistan A/C No: 0101820001 A/C No: 00427991771403 A/C No: 0101820001 A/C No: 00427991771403 Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost *Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit *Note: Slip (NTS Copy) along Application Form to NTS Office 1.
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