Livestock & Dairy Development Department, Punjab

Please affix your Application Form for the Posts of passport size Veterinary Assistant / A. I. Technician photograph here

Please tick one Disabled Quota Minority Quota

Personal Information Name Father’s Name Date of Birth Religion CNIC No. Disability Domicile Present Address

Permanent Address

Telephone / Mobile No. Email Address

Educational / Technical Qualification Certificate / Degree, with Year of Board / University Marks Subjects passing Obtained Total %age

Work Experience, if any. (Please attach documentary evidence – experience certificate / pay slip, etc.) Name of Firm / Organization Post held / Work Period performed From To

Date of Interview: Thursday, November 30th , 2017

Place of Interview: Please select / tick one. (Please note that no separate call letter for interview shall be issued.) Sr. Place of Interview Tick No. 1. Office of the Director Livestock, Multan Division, House No. 888-G/I, East Gulgasht Colony, Chungi No. 6, Near Telephone Exchange, Bosan Road, Multan 2. Office of the Director Livestock, Bahawalpur Division, Near Civil Veterinary Hospital, Multani Gate, Bahawalpur 3. Office of the Director Livestock, Dera Ghazi Khan Division, Central Jail Road, Dera Ghazi Khan 4. Office of the Director Livestock, Sahiwal Division, Inside Civil Veterinary Hospital, Jogi Chowk, Sahiwal 5. Office of the Director Livestock, Faisalabad Division, Inside Commissioner Office, 2nd Floor - Anti Corruption Complex, Faisalabad 6. Office of the Director Livestock, Lahore Division, Lahore Livestock Complex, 16- Cooper Road, Lahore 7. Office of the Director Livestock, Sargodha Division, Livestock Complex, Sillanwali Road, Sargodha 8. Office of the Director Livestock, Rawalpindi Division, Shamasabad, Murree Road, Rawalpindi 9. Office of the Director Livestock, Gujranwala Division, Muafiwala Road Aroop, Gujranwala

List of documents, etc. attached 1. 2. 3. 4. 5. 6.

7. 8

What is your first preference? Tick your first preference. Tick below, in front of your (The other option will automatically be considered as your first preference second preference.) Veterinary Assistant A. I. Technician

Certified:  that the information submitted above is true and correct to the best of my knowledge and belief,  that I shall appear for interview on Date of Interview: Thursday, November 30th , 2017 at the place, selected above by me, on my own expense, and  that I have not submitted any other application form for these posts, except this one.

______Signature of the Candidate

Please write down your complete postal address in each box below