Reg . No. ______________ REGISTRATION FORM Picture 1 Ministry of Science & Technology Paste your recent passport size color photograph with gum Screening Test to be conducted by NUST 01. Bank Online Deposit of Rs.1000/- from Designated Bank Bank Code Deposit Date *Note: Application From will not be entertained without Original Deposit Slip 02. Desired Post: Fill the Box for Desired Post. (Mandatory) To apply for more than one posts, please use separate form with separate fee. One form will be considered valid only for one post. Organization: _________________________ Post: _______________________________ 03. Desired Test City: 01. ISs Islamabad 02.ISsd Lahore 03.ISsd Karachi 04.ISsd Quetta 01. ISs Punjab/Federal 02. KPK 03. Balochistan 04. Sindh(Urban) 05. ISs Sindh(Rural) 06. AJK 07. Gilgit Baltistan 08. FATA 04. Province of Domicile Personal Information: Use CAPITAL letters and leave spaces between words. 05. Name in Full: 06. Father’s Name: 07. Candidate CNIC: 08. Gender: 10. Postal Address: Male Female 09. Date of Birth: (dd-mm-yy) - - 1 9 All correspondence will be made on the address through courier service or ordinary postal service ____________________________________ City: ________________ 11. Phone No (Off): ________________________ (Res). _______________ 12. Are you a Government Servant and applying through proper channel? In case of yes, please attach NOC along with hard copy 13. Are you a Disabled Person? 14. Religion: In case of yes, please attach disability certificate along with hard copy MUSLIM NON- MUSLIM YES District: ____________________ Mobile.____________________ (Mandatory) YES NO NO If Non Muslim, Please Specify your Religion: _____________________ 15. Academic Information 1. 2. 3. 4. Admit Card will not be issued to those who have not filled their academic record properly Candidate should convert their grades into marks (O Level /A Level or any other degree having grades). Write exact degree name and major subjects mentioned in certificate/transcript. Result awaiting candidates are not eligible. Certificate/ Degree Name Degree Title Specialization/M ajor Subjects Year Passing Obtained Marks/ CGPA Total Marks/ CGPA Board/ University/ Institute Matric (10 years) Intermediate (12 years) Bachelor (14 years) Bachelor(Hons)/ Master (16 years) MS/M.Phil. (18 years) PhD Relevant Diploma/ Certificate Science 16. Which Education Group you belong to: Arts 17. Employment Record: (This portion be filled in reverse order i.e. latest employment filled on top. only experience in relevant Job/Field will be accepted) Job Duration Sr # Organization / Employee Name Job Title Write only Month & Year From To 01 02 03 04 05 Days Months Years 18. Total Job Experience as on closing date of application 19. Age Relaxation Claim: Only 1 will be admissible as mentioned in advertisement. Note. The information provided for the age relaxation claim will be verified and certificate shall be required at the time of interview. A. Do you belong to scheduled Castes, Buddhists Community, Recognized Tribes of Tribal Areas, Azad Kashmir and Northern areas?(For all posts under the federal government .)(03 years) Yes No B. Are you Released OR retired Officer / Personnel of Armed Forces of Pakistan? (15 years Or the Number of years actually served. whichever is less) B1. Actual No. Of years in armed forces of Pakistan? _______________Years C. Are you government Employee and have completed 2 years continuous service on the closing date for receipt of applications? (10 years up to the age of 55 years) Yes Yes No No 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 the screening test .and I have filled-up the application form as per instructions given below. In case of any information contained herein is found at any stage to be missing, untrue, false or forged, my candidature can be cancelled at any stage (even after employment, if so revealed later), and I shall be liable to legal action. Date: ______________ Picture 2 Paste your recent passport size color photograph with gum Candidate’s Signature: _______________ General Instructions/Information: Please fill the Application Form properly with complete and correct information/answers Please DO NOT leave any field blank otherwise your application may not be considered Incorrect, false or forged information may result in cancellation of your candidature at any stage, even after employment and you may be liable to a legal action Attach your Two recent Passport Size Photographs Attested copy of CNIC and Original Bank Deposit Slip(NUST Copy) By hand submission of application form is not allowed Mobile phones or any electronic gadgets are not allowed in Test Center Premises Use separate envelope and separate application form for each post you are applying for Application should reach to respective organization within 15 days of publication of the advertisement Organization will not be responsible for late receiving of application through courier /Pakistan Post etc. BankBan Bank Copy Date: _______________ NUST Copy Date: _______________ Candidate Copy Date: _______________ National University of Sciences & Technology, Islamabad National University of Sciences & Technology, Islamabad National University of National University of Sciences & Sciences & Technology, Technology, Islamabad Sector H-12, Islamabad Ministry of Science & Technology (MOST) Ministry of Science & Technology (MOST) Ministry of Science & Technology (MOST) Branch Code: _______________ Branch Code: _______________ Branch Code: _______________ Branch Name: _______________ Branch Name: _______________ Branch Name: _______________ Habib Bank Limited Habib Bank Limited Habib Bank Limited A/C Title NUST A/C Title NUST A/C Title NUST A/C No 2292-70000004-01 A/C No 2292-70000004-01 A/C No 2292-70000004-01 CNIC: ____________________ CNIC: ____________________ CNIC: ____________________ Applicant Name: ____________________ Applicant Name: ____________________ Applicant Name: ____________________ Father Name: Father Name: Father Name: ____________________ ____________________ ____________________ Post Applied For: ____________________ Post Applied For: ____________________ Post Applied For: ____________________ Organization: Organization: Organization: ____________________ ____________________ ____________________ Description Amount Test Fee RS. 1000/Total RS. 1000/In Words: Rupees One Thousand Only Description Amount Test Fee RS. 1000/Total RS. 1000/In Words: Rupees One Thousand Only Description Amount Test Fee RS. 1000/Total RS. 1000/In Words: Rupees One Thousand Only Payable at all branches of Habib Bank Ltd. Payable at all branches of Habib Bank Ltd. Payable at all branches of Habib Bank Ltd. Note: Fee Transfer through ATM/Internet banking is not allowed Note: Fee Transfer through ATM/Internet banking is not allowed Note: Fee Transfer through ATM/Internet banking is not allowed National U Sciences & Sector H-12 List of Organizations S No. Organization Name Postal Address Contact Person Designation Telephone Number(s) 1 Pakistan Council for Science & Technology (PCST) Constitution Avenue, Sector G5/2, Islamabad Deputy Director (Admin) 051-9201988 2 Pakistan Council of Research in Water resources (PCRWR) Near Edhi House, Sector H-8/1, Islamabad Secretary 051-9101279 3 Pakistan Council of Research Engineering Technology (PCRET) Plot No. 25, H-9, Islamabad Deputy Director (Admin) 051-9257701 4 Pakistan Standards & Quality Control Authority (PSQCA) Block-77, Pak Secretariat Saddar, Karachi Secretary 021-99207047 5 National Institute of Oceanography (NIO) Block-1, Street 47, Clifton, Karachi Admin Officer 021-99251172 021-99251173 021-99251174 6 National Institute of Electronic (NIE) Sector H-9, Islamabad Deputy Director (Personnel) 051-9265014 7 Council for Works and Housing Research (CWHR) F-40, Hub River Road, SITE, Karachi Deputy Director (Admin) 021-99238921 8 Pakistan National Accreditation Council (PNAC) Ministry of Science & Technology Building, Ground Floor, 1Constitution Avenue, G-5/2, Islamabad Deputy Director (Admin) 051-9222311 9 Pakistan Council of Scientific & Industrial Research (PCSIR) 1-Constitution Avenue Sector G5/2, Islamabad. Secretary 051-9225395-99
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