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:  _________________________________
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