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Dr. Muhammad Ajmal National Institute of Psychology Center of Excellence Quaid-i-Azam University Passport Size Photograph Islamabad, Pakistan APPLICATION FORM (FOR THE POSTS OF ASSISTANT PROFESSOR AND ABOVE) INSTRUCTIONS i. For each post, fill separate form. ii. Carefully Read the attached eligibility criteria, qualification, and experience required for the post. iii. Ensure that all documents are attached as per checklist (attached). Put Annexure numbers accordingly. iv. Avoid attaching unnecessary documents. v. Attach separate sheet where needed. vi. Only fill in the information that is applicable to you, otherwise write N/A. vii. Filling in typed form is appreciated. A). POSITION Assistant Professor TTS Associate Professor TTS Professor TTS APPLIED FOR: (Tick ONLY one) Assistant Professor BPS Associate Professor BPS Professor BPS Research Fellow / Assistant Professor (Contract) B). PERSONAL DATA: Name: (in block letters) Father’s name: (in block letters) Date of Birth: Age: (D/M/Y) (D/M/Y) Nationality National Identity Card No. Domicile Mailing address: Official address (if any): Permanent Address: Email: Phone No. Fax No. Declaration: I Dr./Mr./Ms. hereby solemnly declare that all the entries/information provided by me for appointment is correct and true in all respects. If it is found fake or having incorrect information, at any point of time, the undersigned is liable for the penalty to be decided by the competent authority and my appointment may be cancelled. Date: ___________________________ Signature: _________________________________ Page 1 C). QUALIFICATION Terminal (final) Qualification: ______________________ Year of Completion:____________________ Name and Address of the Institution awarding this terminal degree: ___________________________________ Subject: _____________________ Main Field: _____________________ Subfield: ______________________ Thesis Title: ________________________________________________________________________________________________ ________________________________________________________________________________________________ PhD thesis was evaluated by (Name, Institution, and Place)*: i. Name: ___________________________Institution:____________________________Country: ____________ ii. Name: ___________________________Institution:____________________________Country: ____________ iii. Name: ___________________________Institution:____________________________Country: ____________ Academic Qualifications: (Start with the highest degree) Degree University / Board Subjects Year Division/Grade Post-Doctorate PhD M.Phil. / MS M.Sc./M.A./Hons. B.Sc./B.A. F.Sc./F.A. Matric Diploma (one year) Any Other Note. Degrees mentioned in Table or equivalent qualification as per HEC. Tick mark one applicable to you. D). PROFESSIONAL EXPERIENCE (Teaching/Research/ Professional Experience) Post PhD Experience (D/M/Y): ____________________ Pre PhD Experience (D/M/Y): ____________________ Total Exp. (D/M/Y): ____________________ Declaration: I Dr./Mr./Ms. hereby solemnly declare that all the entries/information provided by me for appointment is correct and true in all respects. If it is found fake or having incorrect information, at any point of time, the undersigned is liable for the penalty to be decided by the competent authority and my appointment may be cancelled. Date: ___________________________ Signature: _________________________________ * This information needs to be provided only by those candidates who have completed PhD Degree from Pakistan. Certificate by Registrar of the respective university needs to be attached with application form. Page 2 Post-PhD. Experience (Start with your most recent position) Period Total Institution Position Held From To D/M/Y Note. Applicable to those only who have done PhD. Pre-PhD. Experience (Start with your most recent position) Institution Position Held Period Total From To D/M/Y Post-doctoral Fellowships: (Duration of at least six months) Institution Department Period Total From To D/M/Y Declaration: I Dr./Mr./Ms. hereby solemnly declare that all the entries/information provided by me for appointment is correct and true in all respects. If it is found fake or having incorrect information, at any point of time, the undersigned is liable for the penalty to be decided by the competent authority and my appointment may be cancelled. Date: ___________________________ Signature: _________________________________ Page 3 Administrative Experience Institution Position Held Period Total From To D/M/Y E). PUBLICATIONS List of Publications in Journals Recognized by the HEC (Start with your most recent) Name of HEC Journal with ISSN (print) Vol. No. Category Name No./ISBN No./ other & Page Title of the W/X/Y/Z Sr. of contributions that come No. Publication/ Year And Impact No. Author under defined categories. others Published Factor Cont…. Journals recognized by HEC, for details you may visit “HEC Recognized Journals” on the website of the HEC Note. http://www.hec.gov.pk For Impact Factor (IF) of a particular Journal can be checked from http://www.isiknowledge.com Declaration: I Dr./Mr./Ms. hereby solemnly declare that all the entries/information provided by me for appointment is correct and true in all respects. If it is found fake or having incorrect information, at any point of time, the undersigned is liable for the penalty to be decided by the competent authority and my appointment may be cancelled. Date: ___________________________ Signature: _________________________________ Page 4
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