APPLICATION FORM (Cat-A) Reg No: ______________
(official use only)
Armed Forces Institute of
Radiology & Imaging
Eligibility Criteria:
A. Is your age according to the prescribed age limit for the desired post? Yes No
PASTE YOUR RECENT
B. Do you have requisite Qualification & Experience as mentioned in Yes No PASSPORT SIZE
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C. Is your Domicile according to the desired post as mentioned in Yes No PHOTOGRAPH
Advertisement? (with white
background)
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: 350/- from Designated Bank Branches.
*Note: Application form will not be entertained without original deposit slip (UTS Copy)
Bank Code Deposit Date
02. Name of Post Applied For: __________________________________ BPS: ____________
03. Desired Test City: Fill only one box (Mandatory).
01. Islamabad 02. Lahore 03. Peshawar
04. Karachi 05. Quetta
04. Province of Domicile: Fill only one box for Province of Domicile (Mandatory).
01. Islamabad/Punjab 02. Sindh (U) 03. Sindh (R) 04. KPK 05. Baluchistan
06. Fata/GB 07. Azad Kashmir
05. Personal Information: Use CAPITAL letters and leave spaces between words.
01. Name in Full:
02. Father’s Name:
03. Candidate CNIC #: -- --
04. Gender: Male Female 05. Have you any disability? Yes No
D D M M Y Y
06. Date of Birth: -- -- 07. Email: __________________________________
08. Postal Address: ______________________________________________________________________________________
__________________________City________________________________District___________________________________
09. Phone No: (Res.) ________________________________ (Mobile) _____________________________________________
10. Religion: Muslim Non-Muslim
11. Are you a Govt serving employee? Yes No
12. Are you retired from Pakistan Armed Forces? Yes No
06. Academic Information:
Note: 1. UTS 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.
3. Write exact degree name & major subject mentioned in certificate/ transcript.
Certificate/ Degree Degree Title Major Subject Year Obtained Total Marks/ Board/
Name Passing Marks/CGPA CGPA University
Middle
(8 Years)
Matric
(10 Years)
Intermediate
(12 Years)
Bachelor
(14 Years)
Bachelor (Hons)/
Master
(16 Years)
MS/MPhil
Diploma/certificate Title:
(Computer/Library
/Medical)
Duration_______
Diploma/certificate Title:
(Computer/Library
/Medical)
Duration_______
Other
07. Employment Record:
Sr. Organization/ Employer Name Job Title Duration
No From To
01
02
08. Total Job Experience: __________________ PASTE YOUR RECENT
PASSPORT SIZE
COLOR
PHOTOGRAPH
09. CNIC No: -- -- (with white
background)
10. Mobile No: (same as mentioned above) __________________________
11. Address as per Domicile: __________________________________
_____________________________________________________________
_________________________________________________________________
12. Pease tick against one post you want to apply for:
Sr. No Name of Post Applied for BPS Sr. No Name of Post Applied for BPS
1 Steno Typist 14 2 Statistical Assistant 14
3 Librarian Assistant 12 4 Data Entry Operator 12
5 UDC 11 6 Computer Tech 9
7 Information Technology Technician 11 8 Air Conditioner Mechanic 10
9 Equipment Mechanic 10 10 Electro Medical Technician 9
11 LDC 9 12 Store Men 9
13 Receptionist 7 14 Med Transcriptionist 9
15 Lift Operator 6 -- -- -- --
13. Undertaking by the applicant:
I _____________________________________ d/s/w of ______________________________ do hereby solemnly declare
that all the information provided by me in this application form and all the additional particulars/documents/ certificates
furnished alongwith it are true to the best of my knowledge and belief and nothing has been concealed. I also declare that
I have never been dismissed or removed from Govt service under any provincial, federal government autonomous and
semi-autonomous or state enterprise. If any wrong or incorrect is found later, I shall be liable to disciplinary action which
may result in cancellation of my candidature and even my employment.
Date: ________________________ Signature of the candidate: ___________________________________
Instructions:
Fill the application form properly with complete and correct information.
Do not leave any field blank, otherwise your application shall be rejected.
Incorrect, false or forged information may result in cancellation of your candidature at any stage.
Attach two recent passport size photograph (with white background) and attested copy of CNIC.
By hand submission of application form is not allowed.
Test fee is non-refundable and non-transferable.
Last Date for application submission is Monday, 8th April, 2019.
Application should reach UTS office latest by last date of submission of Application form.
UTS will not be responsible for late receiving of application through courier/ Pakistan post etc.
✂---------------------------------------------------------------------------------------------------------------------------------------------------------------------
Please Send Application Forms to:
Manager Operations (PID: AFIRI-1)
Universal Testing Services (UTS),
278-A, Main Nazim-Ud-Din Road, F-10/1,
Islamabad.
Help line051-2112240