Application Form Reg. No.

To be Filled by NTS

Picture 1
SAIDU TEACHING HOSPITAL / Paste your recent

SAIDU MEDICAL COLLEGE, passport size color

photograph not older than

SAIDU SHARIF SWAT 6 Months having

blue background with gum

Project ID: N-19-4466 Screening Test Various Posts

Eligibility Criteria:
A. Is your age according to the prescribed age limit for the desired Post as on 28-03-2019? Yes No

B. Do you have relevant / prescribed Qualification / Experience as mentioned in Advertisement? Yes No

C. Do you belong to relevant District/Zone as per advertised criteria? Yes No

If your reply is “Yes” to A, B & C above, only then please proceed further. Otherwise you are not eligible to apply.

01. Bank Online Deposit of Rs: 460/- from Designated Bank Branches. Exemption of fee for Disabled Person only

Bank Code Are you a Disabled Person? Yes No

Deposit Date
*Note: Application Form will not be entertained without Original Deposit Slip (NTS Copy)

02. Desired Post: Fill Only One Box for Desired Post & Station. (Mandatory)
To apply for more than one posts, please use separate form. This form will be considered valid only for the first selected post in the sequence.

01. Computer Operator (BPS-16) 02. Junior Scale Stenographer (BPS-14)

03. Clinical Technician Pathology (BPS-12) 04. Electro Medical Tech (BPS-12)

Personal Information: Use CAPITAL letters and leave spaces between words.
03. Name in Full:

04. Father’s Name:

05. Candidate CNIC #:

Write your own CNIC No. Or B Form No.

07. Date of Birth: D D M M Y Y Y Y

06. Gender: Male Female Write your Correct Date of Birth
otherwise you will be rejected

08. Postal Address:

Only for Information: NTS will not issue Roll No Slips through courier/postal services. Candidate must required to take electronic print out of Roll No. (having picture of candidate) from NTS website for appearing in tests.

City: District:

09. Phone No: (OFF) (RES.) (Mobile)

City Code - Phone No DO NOT give your portable mobile number (which is converted
from one network to another) so that SMS delivery is ensured.

10. Email Address:

11. Are you a Government Servant and applying through proper channel? Yes No
NOC will be required later

12. Are you a Disabled Person? 13. Religion:

Proof will be required later
Yes No Muslim Non Muslim

14. Do you possess required diploma / certificate in relevant paramedical faculty from Khyber
Pakhtunkwa Medical Faculty or any recognized faculty registered with Medical faculty Yes No
Khyber Pakhtunkhwa Peshawar? Only for the Post of Clinical Technician Pathology
15. Academic Information:
Note: 1. NTS will not issue Roll No Slips to those who have not filled in their academic record properly.
2. Candidate should convert their grades into marks. (O Level / A Level or any other degree having grade).
3. Write exact degree name & major subject mention in certificate / transcript.
4. Result awaiting candidates are not eligible.

Certificate / Specialization / Year Obtained Marks Total Marks

Degree / Sanad Title Board / University / Institute
Degree Level Major Subject Passing / CGPA / CGPA

Matric / Matric O’ Level Science Arts

Equivalent
(10 Years) Other: ________________ Other: ____________

F.A F.Sc Poly Technique Institute

Intermediate / Electrical Engg.
D.A.E D.A.E Other: ________________________
(12 / 13 Years) Other: ____________
Other: ________________ _____________________________

Bachelor B.A B.Sc

(14 Years)
Other: ________________

Bachelor (Hons) M.Sc M.A Computer Science

/ Master / Information Technology
BCS (Hons) BIT (Hons)
Equivalent
(16 Years)
Other: ________________ Other: __________

MS M.Phil
MS / M.Phil
(18 Years)
Other: ________________
Duration in Months
Poly Technique Institute
Diploma / Diploma Information Technology
Other: ________________________
Certificate Certificate Other: ____________
_____________________________

16. Relevant Employment Record: (Please attach copies of your experience certificates)
Job Duration
Sr # Organization / Employer Name Job Title Write only Month & Year
From To

01

02

03
Years Months
17. Total Job Relevant Experience as on closing date of application:

18. Age Relaxation Claim: Proof to be provided before selection. (Only 1 will be admissible)
A. Are you Govt. Employee and have completed 2 years continuous service on the closing
date for receipt of applications? (10 years) Yes No

B. Are you a disabled person / **Divorced Woman / Widow? Yes No

(10 years)

C. Do you belong to backward areas of Khyber Pakhtunkhwa?

(Backward Areas as per Government of Khyber Pakhtunkhwa List available as Annexure on last page) (03 years) Yes No

19. Test City: Swat

 14. District of Domicile: Fill Only One Box (Mandatory) (Required for Information Only)

01. Abbottabad 02. Bannu 03. Battagram 04. Buner

05. Charsadda 06. Chitral 07. Dera Ismail Khan 08. Hangu

09. Haripur 10. Karak 11. Kohat 12. Kohistan

13. Lakki Marwat 14. Lower Dir 15. Malakand 16. Mansehra

17. Mardan 18. Nowshera 19. Peshawar 20. Shangla

21. Swabi 22. Swat 23. Tank 24. Tor Ghar

25. Upper Dir 26. Newly Merged Tribal Districts (Previously FATA)

15. Zone of Apply: Fill Only One Box (Mandatory) Required for Allocation / Enlistment. Fill your zone according to below provided list.
Bajaur Agency, Mohmand Agency, Khyber Agency, Kurram Agency, Orakzai Agency, North Waziristan Agency, South Waziristan
01. Zone 01 Agency and Frontier Regions attached to the Districts of Peshawar, Kohat, Bannu and Dera ismail Khan.

02. Zone 02 District Peshawar, District Charsadda, District Nowshera, District Swabi, District Mardan.

District Swat, District Buner, District Dir Upper, District Dir Lower, District Chitral, District Kohistan, District Shangla
Malakand Areas (Swat Ranizai and Sam Ranizai and backward areas of Hazara Division i.e.
03. Zone 03 (1) Ilaqa Upper Tanawal composed of Darband Area f Tehsil Haripur and Shergarh area of District Mansehra and
(2) Merged Areas composed of District Battagram including Hill Nilshang and Thakot, Allai Kaya Khabbal and Goadoon Area of
Swabi District.

04. Zone 04 District of Dera Ismail Khan, District Tank, District Bannu, District Lakki Marwat, District Kohat and District Karak.

05. Zone 05 District of Haripur, District Abbottabad and District Mansehra excluding their backward areas included in Zone-3.

Note: Backward areas information is available on next page.

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
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the NTS Test and I have filled-up the application form accordingly. In case of any information Affix your recent
passport size color
contained herein is found at any stage to be missing, untrue, false or forged, my candidature can be
photograph not older than
canceled at any stage (even after employment, if so revealed later), and I shall be liable to legal 6 Months having
action. blue background with Stapler

Date: _________ Thumb Impression: ___________ Signature of the Candidate: ___________

GENERAL INSTRUCTIONS / INFORMATION:

Ø Please fill the Application Form properly with complete and correct information / answers.
Ø Please DO NOT leave any field blank, otherwise your application may not be considered.
Ø Incorrect, false or forged information may result in cancellation of your candidature at any stage, even after employment,
and also proceeding of a legal action.
Ø Attach your Two recent Passport Size Photographs, Attested copies of CNIC, Academic / Relevant Experience Certificates
and Original Bank Deposit Slip (NTS Copy)
Ø By Hand submission of Application Form is not allowed.
Ø Mobile Phones or any Electronic Gadgets are not allowed in Test Center premises.
Ø Use separate envelop and separate application form for each post you are applying for.
Ø Last date for submission of application form is Thursday, 28th March, 2019.
Ø Application should reach NTS office latest by last date of submission of Application Form.
Ø NTS will not be responsible for late receiving of application through courier / Pakistan Post etc.

HELP LINE: Please Send Application Forms to:

UAN : +92-51-844-444-1 NATIONAL TESTING SERVICE (HQ)
Website : www.nts.org.pk SMC, Swat (Project)
Plot # 96, Street # 4, H-8/1, Islamabad.
Only for Information: NTS will not issue Roll No Slips through courier/postal services. Candidate must required to take
electronic print out of Roll No. (having picture of candidate) from NTS website for appearing in tests.

Backward Areas List

(I) Khyber Agency (ii) Kurram Agency (iii) Orakzai Agency (iv) Mohmand Agency
(v) North Waziristan Agency. (vi) South Waziristan Agency. (vii) Malakand Agency including protected areas (Swat Ranizai and
Sam-Ranizai) and Bajaur.
(viii) Tribal Areas attached to Peshawar, Kohat and Hazara Division (ix) Tribal Areas attached to D.I. Khan and Bannu Districts.
(x) Shirani Area. (xi) Merged Areas of Hazara and Mardan Division and upper Tanawal. (xii) Swat District
(xiii) Upper Dir District. (xiv) Lower Dir District. (xv) Chitral District. (xvi) Buner District.
(xvii) Kala Dhaka Area. (xviii) Kohistan District. (xix) Shangla District. (xx) Gadoon Area in Swabi District.
(xxi) Backward areas of Mansehra and District Battgram.
(xxii) Backward areas of Haripur District, i.e. Kalanjar Field Kanungo Circle of Tehsil Haripur and Amazai Field Kanungo Circle of Tehsil Ghazi.
 NTS COPY BANK COPY
SAIDU TEACHING HOSPITAL / SAIDU MEDICAL COLLEGE, SAIDU TEACHING HOSPITAL / SAIDU MEDICAL COLLEGE,
SAIDU SHARIF SWAT SAIDU SHARIF SWAT

Branch Code: Date: Branch Code: Date:

Branch Name: Branch Name:

(* Please deposit fee in only one bank & tick the relevant bank) (* Please deposit fee in only one bank & tick the relevant bank)

Allied Bank Limited Muslim Commercial Bank Allied Bank Limited Muslim Commercial Bank
Formely: Allied Bank of Pakistan Limited Formely: Allied Bank of Pakistan Limited

A/C Title: NTS-Pakistan-Collection A/C Title: NTS-Pakistan A/C Title: NTS-Pakistan-Collection A/C Title: NTS-Pakistan
A/C No: 0010008325640018 A/C No: 0647943831005734 A/C No: 0010008325640018 A/C No: 0647943831005734
Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost

A/C Title: A/C Title: NTS Pakistan A/C Title: A/C Title: NTS Pakistan
A/C No: 0101820001 A/C No: 00427991771403 A/C No: 0101820001 A/C No: 00427991771403
Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost

*Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit *Note:
Slip (NTS Copy) along Application Form to NTS Office 1. Please Stamp both copies of deposit Slip.
a 2. The Bank Must Return “NTS Copy” to the Candidate.
Application Form will not be entertained without Original Deposit Slip (NTS Copy)
3. Deposit Slip will not accepted without Candidate CNIC/ B Form No.
th th
Last date for fee submission: Thursday 28 March, 2019 Last date for fee submission: Thursday 28 March, 2019

N-19-4466 N-19-4466
Applicant’s Applicant’s
Name: Name:
Father Father
Name: Name:
CNIC No/ CNIC No/
B Form No: B Form No:

Post Name: Post Name:

GST INVOICE GST INVOICE

NTN # 2680612-6 NTN # 2680612-6
GST # 3277876121192 GST # 3277876121192
NTS fee: 400/- NTS fee: 400/-
Amount in Four Hundred & Sixty Rupees Only Amount in Four Hundred & Sixty Rupees Only
GST@ 15%: 60/- word: Rs. GST@ 15%: 60/- word: Rs.
Non Refundable/ Non Transferable Non Refundable/ Non Transferable
Total: 460/- Total: 460/-

Applicant Signature Cashier Officer Applicant Signature Cashier Officer

CANDIDATE COPY
SAIDU TEACHING HOSPITAL / SAIDU MEDICAL COLLEGE, SAIDU SHARIF SWAT

Branch Code: Branch Name: Date:

(* Please deposit fee in only one bank & tick the relevant bank)

Allied Bank Limited Muslim Commercial Bank

Formely: Allied Bank of Pakistan Limited

A/C Title: NTS-Pakistan-Collection A/C Title: NTS-Pakistan A/C Title: A/C Title: NTS Pakistan
A/C No: 0010008325640018 A/C No: 0647943831005734 A/C No: 0101820001 A/C No: 00427991771403
Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost

*Note: Desired Bank Stamp is required on the Deposit Slip & Send Original Deposit Slip (NTS Copy) along Application Form to NTS Office. Application Form will not be entertained
without Original Deposit Slip (NTS Copy)

th
Last date for fee submission: Thursday 28 March, 2019

N-19-4466
Applicant’s Father
Name: Name:
CNIC No/
Post Name:
B Form No:

GST INVOICE NTS fee: 400/-

Amount in Four Hundred & Sixty Rupees Only
NTN # 2680612-6 GST@ 15%: 60/- word: Rs. Non Refundable/ Non Transferable
GST # 3277876121192 Total: 460/-

Applicant Signature Cashier Officer