UNIVERSITY OF MIANWALI

University Road, Mianwali-42200, Pakistan

Application Form for Teaching Positions1

For Office Use Only
Diary #
Date
Post Applied for

Name of the Candidate Paste your most recent

(Use BLOCK LETTERS)
photograph here.

Father’s Name

CNIC #

Date of Birth Age on closing date ( / / )

YY/MM /DD
Domicile Gender (M/F)

Nationality _ Religion

Correspondence Address

Permanent Address

Email Landline (Res.) Cell

Bank’s Demand Draft Number: Date Amount

1
For BS-18 and above
1
 ACADEMIC QUALIFICATION

Degree/Certificate University/Board2 Subjects Division/CGPA Passing Year

Ph.D
M. Phil
MA/M.Sc./MBA
BS (Hons.)
BA/B.Sc.
Intermediate
Matriculation
Others

SERVICE RECORD (Start with your most recent position) (Please attach extra sheet(s) if required)

Post-PhD Teaching/Research Experience

Institution Position Held Period

From To

Pre-PhD Teaching/Research Experience

Institution Position Held Period

From To

2
Please mention the detail of affiliated College/Institute

2
Other Relevant Experience

Institution Position Held Period

From To

Postdoctoral Fellowships

Institution Position Held Period

From To

RESEARCH SUPERVISION (Please attach extra sheet(s) if required)

Details related to Ph.D scholar(s) supervised

Sr. No. Student’s Name Registration Number Thesis Title Year

1.
2.
3.

Details related to M. Phil scholar(s) supervised

Sr. No. Student’s Name Thesis Title Year

1.
2.
3.

3
RESEARCH PUBLICATIONS (Please attach extra sheet(s) if required)

Sr. Name of Complete Name of Title of Vol. No., Year of HEC ISI HEC
No. Author(s) Journal and Address Publication Issue No. Publication Category Impact Recognized
with ISSN (Print) No. & Page W/X/Y/Z Factor (Yes/No)
No.
1.
2.
3.

Book / Book Chapter written (if any)

Sr. Title Subject/Description Publisher (if any)

No.

1.

2.

3.

Lab Manual (if any)

Sr. Title/Topic Subject/Description Publisher (if any)

No.

1.

2.

3.

Patents acquired (if any)

Sr. Title/Topic Subject/Description Issuing Authority

No

1.

2.

3.

4
National/ International Conferences

Sr. Name of Author (s) Title of Paper National/International Venue Date

No.
1.
2.
3.

Membership/Fellowship of Professional Bodies

S. Name of the Organization Nature of Membership Offices Held

No.
1.
2.
3.
4.

Foreign Visits: Official / Personal (Starting from the most recent one)

S. Country Duration Purpose of Visit

No.
1. From To

2.
3.

• Are you applying on minority quota? Yes /No

If yes, please specify.

• Are you suffering from any physical disability? Yes /No

If yes, please specify. (attach certificate)

• Have you ever been convicted from any court of law? Yes /No
If yes, please specify.

• Is there any inquiry or disciplinary proceeding currently pending against you? Yes /No
If yes, please specify.

• Have you obtained NOC / Permission from your present employer to apply for this post? Yes /No
(If yes, please attach evidence).

5
 Professional References (at least two)

Name Designation Name of the Contact Number &

Organization Email ID

List of Documents Attached (attested copies):

(i) (vi) (xi)

(ii) (vii) (xii)
(iii) (viii) (xiii)
(iv) (ix) (xiv)
(v) (x) (xv)

Note: No TA/DA will be admissible for test/interview.

DECLARATION
I hereby solemnly declare that all the information given in this Application Form is true and correct to the best
of my knowledge and belief. Moreover, the documents (testimonials, degrees, diplomas, experience certificates
etc.) attached are valid and authentic.

I have read the instructions carefully and will be responsible if any discrepancy has been identified in the
information / document provided by me at any stage of my employment.

Date: Signature of the Applicant

6
 Departmental Permission Certificate
(To be submitted by the candidate, serving in Government, Semi-Government or Autonomous body)

a. Name:

CNIC Number:

b. Father’s Name:

c. Presently working as: BPS / Grade:

d. Office / Department:

e. Post applying for:

(Signature of the Candidate with date)

------------------------------------------------------------------------------------
To be filled by the Administrative Office:
• It is certified that the above named employee is working in this organization / institution on regular
/ contract / temporary/other basis since .

• The above named candidate has been granted permission to apply for the said post by the competent
authority of the parent organization.

• If the candidate is selected in University of Mianwali, he / she will be relieved of by the parent
organization within .(Please state the required time period in Months/Days).

• There is no audit para / inquiry pending dues against the applicant. There are no adverse remarks
against him / her in the last five years of his / her PERs /ACRs.

Ref#:

Dated:

Signature with Stamp of the Appointing

Authority or the Authorized Officer