You are on page 1of 3

PART-I CONFIDENTIAL

PUNJAB PUBLIC SERVICE COMMISSION
PROFORMA FOR ADVISORS/EXAMINERS

1. PERSONAL DATA
PHOTO
FULL NAME: ________________________________________________

FATHERS’S/HUSBAND’S NAME: _______________________________

CNIC No.: _________________________________(Please also attach Copy of CNIC)

DESIGNATION WITH BPS: _____________________________________

DATE OF BIRTH: _____________________________________________

INSTITUTION/DEPARTMENT: _________________________________

2. ACADEMIC RECORD

QUALIFICATIONS INSITITTIONS YEAR DIV DURATION AREA
FROM TO OF
STUDY

*Qualifications awarded honorarily should not be mentioned.
*Please enclose detailed curriculum vitae also.

3. EXPERIENCE/TEACHING ASSIGNMENTS.

i) Standing with the present trace back your service record.
ii) The person should be serving at least in BS-18 and should possess postgraduate degree
and 10 years teaching experience in the subject of speciality.

POST HELD/ FIELD OF INSTITUTION/ DURATION
DESIGNATION SPECIALISATION DEPARTMENT FROM TO

P.T.O

Education Planning & Evaluation. Lahore Rawalpindi Multan Bahawalpur D. problem based learning & standardized patients & communications skills. Development & Administration of essay questions & multiple choice questions. evaluation of clinical competence. teaching skills research methodology. objective structured clinical examination.2 Fax E-Mail Contd…P/3 . biostatistics & medical writing. PUBLICATIONS/BOOKS 6. 8. MAILING/POSTAL ADREES Phone (Res) Office Cell No. PREFERENCE FOR INTERVIEW STATION: Please tick the interview station of your choice. (02) 4.1 Cell No.G.Khan Note:.Advisors in Health may supply information on the following Workshop. RESEARCH WORK Research Work Publication(s) Workshop Countries visited 5. Advisors in addition to the other experience they have in the topic above must mention their involvement. EDUCATIONAL WORKSHOP/SEMINARS/CONFERENCES ATTENDED 7.

RETIRED IN SERVICE b. Recommendations of the Member Incharge. 2. TICK THE RELEVANT a. (03) 9. I WOULD LIKE TO ENLIST MY NAME AS: a) Advisor in the subject/discipline of ______________________________ b) Examiner in the Subject of _____________________________________ c) Both as Advisor and Examiner__________________________________ 10. 2. Remarks/opinion keeping in view the general reputation conduct. integrity and suitability of the officer as an Advisor/Examiner for the Commission as below:- a) Highly recommended ____________________________________ b) Recommended ____________________________________ c) Forwarded ____________________________________ _________________________ SIGNATURE AND STAMP HEAD OF INSTITUTION _______________________________________________ FOR PPSC OFFICE USE ONLY 1. Chairman . I affirm that the information given by the officer is correct. PUBLIC SECTOR PRIVATE SECTOR _________________________ SIGNATURE WITH STAMP PART-II CONFIDENTIAL 1.