PART-I

CONFIDENTIAL

PUNJAB PUBLIC SERVICE COMMISSION

PROFORMA FOR THE SUBJECT SPECIALIST/EXAMINER
FOR PUNJAB PUBLIC SERVICE COMMISSION, LAHORE
1. PERSONAL DATA
FULL NAME:

_______________________________________

FATHERS/HUSBANDS NAME:

_______________________________________

DESIGNATION WITH BPS:

_______________________________________

DATE OF BIRTH:

_______________________________________

INSTITUTION/DEPARTMENT:

_______________________________________

2. ACADEMIC RECORD
QUALIFICATIONS

INSTITUTIONS

YEAR

DIV.

DURATION
FROM
TO

AREA OF STUDY

Qualifications awarded honorarily should not be mentioned.

Please enclose detailed curriculum vitae also.

3. EXPERIENCE/TEACHING ASSIGNMENTS
i)
ii)

(Standing with the present trace back your service record).

The person should be serving at least in BS.18 and should possess postgraduate degree and 10 years
teaching experience in the subject of specialty.
POST HELD/
DESIGNATION

FIELD OF
SPECIALISATION

INSTITUTION/
DEPARTMENT

DURATION
FROM
TO

4. RESEARCH WORK/THESIS WORK

5. PUBLICATION/BOOKS

6. EDUCATIONAL WORKSHOP/SEMINARS/CONFERENCE ATTENDED

-2Note:- Advisors in Health may supply information on the following Workshops, Education Planning &
Evaluation, Development & Administration of essay questions & multiple choice questions, evaluation of clinical
competence, objective structured clinical examination, teaching skills, research methodology, biostatistics & medical
writing, problem based learning & standardized patients & communications skills, Advisors in addition to the other
experience they have in the topic above must mention their involvement.

7. COUNTRIES VISITED

8. MAILING/POSTAL ADDRESS

Phone (Res.)

Office

Fax/Mobile

E.Mail

9. I WOULD LIKE TO ENLIST MY NAME AS:

a)

Subject Specialist of

____________________________________________

b)

Examiner in the Subject of __________________________________________

c)

Both as Subject Specialist & Examiner_________________________________

________________________
SIGNATURE WITH STAMP
* Attach separate sheet if desired
PART-II

CONFIDENTIAL

1.

I affirm that the information given by the officer is correct.

2.

Remarks/opinion keeping in view the general reputation conduct, integrity and suitability of the
officer as subject specialist/examiner for the Commission as below:
a)

Highly recommended

_______________________________

b)

Recommended

_______________________________

c)

Forwarded

_______________________________

__________________________

SIGNATURE WITH STAMP

HEAD OF INSTITUTION
FOR OFFICE USE ONLY
1.

Recommendations of the Member Incharge.

2.

Chairman

3.

Approval of the Full Commission