Promotion Application Form

1. REQUEST FOR PROMOTION

Applied for(for consultant) Consultant Paediatrician

Applied for(for senior registrar)

2. Present Designation Medical Ocer

BIO DATA OF DOCTOR

3. Name of Doctor Safi Ullah Khan

4. Father Name Zafar Ullah Khan

5. District Of Domicile Mianwali

6. Computerized National Identity Card Number 3830259638741

7. Name of present Insituition/Hospital

8. Date of joining servce as regular MO/WMO Apr 14, 2017

9. Seniority No. as MO/WMO in notified Seniority List 7005

10. Certificate of working by head of institution Yes

11. No Enquiy Certificate From the Head of Institution Yes

12. Service Statement(Detail of postings covering the 1.Medical ocer

period of service without gap) kotlisattian

2.Consultant pediatrician
kotlisattian OPS

13. Following documents have been attested.

i. Matric/FSc/MBBS Yes

ii. Postgraduate Degree or Diploma Yes

iii. PMDC registration Yes

No Enquiry certificate from the

iv. Head of institution Yes

I undertake that information given above is correct and hereby request for selection as
Consultant Paediatrician in accordance with Rule/Regualtions.

House House 2/2 E G7/2 street 20 islamabad

Address

Email dr.safi.niazi@gmail.com

Cell No 03458909999
Signature of Candidate