8/18/2019 Application Form AWKUM-New
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APPLICATION FORM (Must be filled by the candidate)
Advertisement No:_________________________
POSITION APPLIED FOR :
Campus applied or:
__________________________________________________________
Field o Spe!iali"ation:
NAME: F#NAME:
Date o $irt%: &dd#mm#''''( A)e: &till t%e !losin) date o
appli!ation(
Domi!ile#Distri!t: CONTACT* Email:
Nationalit': Marital Status: CNIC No:
Position#Distin!tion at +niversit' Level &,old Medal- Silver
Medal and $ron"e Medal onl'(:Mailin) Address &For Test-
Intervie. Call(:
Permanent Address:
ACADEMIC RECORD:
*Attested Copy of all Documents along with certificate of
Distinction (if any) must be attached
EMPLO/MENT RECORD
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Abdul Wali Khan University Mardan
Attach Three
Attested
Photographs
SR *
DE,REE#CERTIFICATE
MAR2SO$TAINE
D
TOTAL
MAR2
S
PERCENTA,E# C,PA
Date o O3tainin
) De)ree
Division or
,rade$OARD#INSTIT+TIO
N# +NI4ERSIT/
05 Matri!ulation
65 Intermediate
15$a!%elors
75 Masters
85 M5P%il# MS
95 P%D
5An' Ot%er
;ualii!ation
8/18/2019 Application Form AWKUM-New
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S* Name oInstitution
T'pe o Trainin) Period Certii!ate or Diploma o3tainedFrom To
INSTR+CTIONS
(a) Please fill each row and column in this proforma "ery
carefully and no column be left blan#$
(b) %f a row or a column is not rele"ant write &'ot
Applicable or 'A$
(c) *here"er necessary use additional sheets for additional
information$
(d) All entries in this form preferably be typed$
(e) Attested photocopies of all documents must be attached
(f) In!omplete proorma .ill not 3e entertained$
DECLARATION
% hereby declare that all the entries in this proforma and all
the additional particulars (if any) furnished along with
it are true to the best of my #nowledge and belief$ % understand
that any misrepresentation of the facts in it shall
result in the rejection of my application and if an appointment
has been accepted dismissal from the ser"ice$
Dated : _____________ _________________ Si)nature o
appli!ant
SCR+TIN/ COMMITTEE(+,R ,++%!- ./- ,'01)
S5No Name Desi)nation Status Si)natures2$ !on"ener
3$ Member
4$ Member
Re!ommendations o t%e S!rutin' Committee&Ti!B t%e status(
Eli)i3le # Ineli)i3le(Reason for ineligibility ):
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