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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

PUBLICATIONS/BOOKS 6.1 Cell No.G. 8. biostatistics & medical writing. Advisors in addition to the other experience they have in the topic above must mention their involvement. Education Planning & Evaluation.Advisors in Health may supply information on the following Workshop.Khan Note:. RESEARCH WORK Research Work Publication(s) Workshop Countries visited 5. Development & Administration of essay questions & multiple choice questions. evaluation of clinical competence. MAILING/POSTAL ADREES Phone (Res) Office Cell No. problem based learning & standardized patients & communications skills. EDUCATIONAL WORKSHOP/SEMINARS/CONFERENCES ATTENDED 7.2 Fax E-Mail Contd…P/3 . Lahore Rawalpindi Multan Bahawalpur D. (02) 4. objective structured clinical examination. teaching skills research methodology. PREFERENCE FOR INTERVIEW STATION: Please tick the interview station of your choice.

Remarks/opinion keeping in view the general reputation conduct. 2. RETIRED IN SERVICE b. 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. I affirm that the information given by the officer is correct. Chairman . TICK THE RELEVANT a. 2. Recommendations of the Member Incharge. 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. PUBLIC SECTOR PRIVATE SECTOR _________________________ SIGNATURE WITH STAMP PART-II CONFIDENTIAL 1. (03) 9.