QUAID-I-AZAM UNIVERSITY Application Dossier for Appointment in the BPS System
TO BE FILLED BY THE APPLICANT IN BLOCK CAPITALS
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A: PERSONAL
Name: Click here to enter text. Father’s Name: Click here to enter text. Date of Birth: Click here to enter a date. Position: Choose an item. Faculty: Choose an item. University/Department: Click here to enter text. Official Address: Click here to enter text. Permanent Address: Click here to enter text. Email: Click here to enter text. Telephone (Res). Click here to enter text.Cell: Click here to enter text.
B: ACADEMIC QUALIFICATION
Degree	University	Subjects	Year
PhD	Click here to enter text.	Click here to enter text.
MPhil	Click here to enter text.	Click here to enter text.
MSc	Click here to enter text.	Click here to enter text.
C: TEACHING
a:	Courses Taught
Course Title	Credit Hours	PhD/MPhil/MSc
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b:	New Courses Developed
Course Title	Credit Hours	PhD/MPhil/MSc
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D: SERVICE RECORD (START WITH YOUR MOST RECENT POSITION)
1: Post-PhD Teaching/Research Experience: Click here to enter text. Years Click here to enter text. Months
Institution	Position Held	Period
From	To
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2: Pre-PhD Teaching/Research Experience: Click here to enter text. Years Click here to enter text. Months
Institution	Position Held	Period
From	To
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3: Postdoctoral fellowships: (Duration of at least six months)
Institution	Position Held	Period
From	To
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e: Research Supervision
a:	PhDs Produced
S. No.	Student’s Name	Thesis Title	Year
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PhD thesis currently under review of foreign referees: Click here to enter text. PhDs produced to date: Click here to enter text. PhDs under supervision: Click here to enter text. * A student recommended for the award of degree by the Advanced Studies & Research Board
b:	MPhil Produced
S. No.	Student’s Name	Thesis Title	Year
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MPhil produced to date: Click here to enter text. MPhil students currently under supervision: Click here to enter text.
f: highlights of professional achievements
a:	List of Publications
1a.	Papers published in HEC recognized journals

S. No.	Name of Author	Complete Name of Journal and Address with ISSN (Print) No.	Title of Publication	Vol. No. & Page No.	Category W/X/Y/Z	Year Published
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Attach separate sheets of the same format, if required.

1b.	Papers accepted in HEC recognized journals
S. No.	Name of Author	Complete Name of Journal and Address with ISSN (Print) No.	Title of Publication	Category W/X/Y/Z
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Attach acceptance letter from editor of the journal. Attach separate sheets of the same format, if required.
b:	Books authored (HEC Recognized)
S. No.	Title of the Book	Year, Publisher
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c:	Chapters in edited books (HEC Recognized)
S. No.	Title of the Book	Year, Publisher
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d:	Research Projects (in progress)
Project Title	Principal/Co-Principal Investigator	Amount	Sponsoring Agency	Duration
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e:	Research Projects (completed)
Project Title	Principal/Co-Principal Investigator	Amount	Sponsoring Agency	Duration
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f:	Industrial Projects Undertaken
Project Title	Principal/Co-Principal Investigator	Amount	Sponsoring Agency	Duration
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g:	Patents
Patent Name	Patent No/ Certificate No	Year of Patent Obtained	Patent Agency	Amount
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h:	Conferences Organized
Conference Title	Organizer	Location	Date	Sponsoring Agency
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i:	Conferences Participated
Conference Title	Organizer	Location	Date	Sponsoring Agency
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j:	Awards
S. No.	Title of the Award	Organization
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k:	Others (not covered above) (1000 words/two pages maximum)
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f: administrative services rendered
Position	Responsibilities	Period
From	To
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Declaration:	By signing below, I acknowledge that the above information is true to the best of my knowledge. Any misinformation would render me ineligible for the induction.

Dated: Click here to enter a date.	Signature of the Applicant Telephone No. Click here to enter text.

Departmental Permission Certificate for

person in Government Service

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(1)	(a)	Full Name of the advertised post: Choose an item.

(b)	Name of Department/Division/Ministry: Click here to enter text.

(2)	(i)	Name of candidate: Click here to enter text. Father’s Name: Click here to enter text.

(ii)	CNIC Number: Click here to enter text.

Designation: Click here to enter text. BPS: 18

Present department with complete address: Click here to enter text.

(3)	I have applied for the above post on the prescribed form separately. Departmental permission for submission of my application, may kindly be forwarded to the Registrar, Quaid-i-Azam University, Islamabad, closing date for receipt of application by the University is Click here to enter a date.

Dated: Click here to enter a date.	Signature of the Applicant

(4)	Forwarded: Mr./Miss/Mrs: Click here to enter text. is employed in this department / institution / organization / university since Click here to enter a date.. He/she holds a temporary / permanent / adhoc / contract post under the Federal / Provincial / Semi Government / Government / Autonomous / Corporation (strike out not applicable). His / her total continuous government service (Federal / Provincial is Click here to enter text. Years Click here to enter text. months Click here to enter text. days.

(5)	The candidate has availed extraordinary leave for Click here to enter text. Years Click here to enter text. Months Click here to enter text. days and/or has availed study leave for Click here to enter text. Years Click here to enter text. Months Click here to enter text. days.

(6)	There is nothing adverse in his / her performance evaluation report (PER) / annual confidential reports / records, antecedents / character, which may render him / her ineligible / unsuitable for the post applied for.

(7)	There is no disciplinary case pending against him / her in the Department / Organization, where he /she is serving.

(to be signed by head of the Department/Division/Ministry (Official stamp must be affixed)

Signature of the Official Name of the Official: Click here to enter text. Designation: Click here to enter text. Department: Click here to enter text. Address: Click here to enter text.