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Application Form for the Post of Teaching Assistant on Fixed Pay

SUBJECT AND AREA APPLIED FOR:

1. NAME: _____________________________________________________________________________ 2. Gender / Sex 3. CNIC # 4. Father’s Name ______________________________________________________________________________

5. Date of Birth 6. District / Domicile 7. Permanent Address:

H.No._____________ Street / Mohallah _________________________ Village ____________________________

Union Council __________________ Tehsil _______________________ District __________________________

Phone # with Code ____________________________ Mobile # __________________________________________

8. Postal Address _________________________________________________________________________________

_________________________________________________________________________________________________

9. Academic Qualification (Write in Descending Order) Degree / Certificate BOARD/ UNIVERSITY Marks obt./

Total marks

Grade/ Division

Year of Passing

Post Doc.

Ph.D

M.Phil

Master

Bachelor

HSSC

SSC

10. Teaching Experience:

Name of college / school / institution

Govt./ Semi-Govt. / Autonomous/ Private Institution

Total Period of Teaching

Attended From To Total Service

Note:- Attach Service Certificate duly signed by the Head of the Employer Institution.

11. Disability

Note:- Attach Disability Certificate duly signed by the Medical Superintendent Concerned. 12. Marital Status

- -

Male Female

Yes No

Married Un-Married Widow

Day Month Year

Name of Subject

Area

Hard Settled

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TERMS & CONDITIONS 13. These posts are temporary, college based non-transferrable and are only for a period of two

years (excluding long vacations) which will be counted from the date of taking over charge.

14. The Selectee will produce Medical Fitness Certificate from the Medical Superintendent of the DHQ Hospital, concerned before taking over charge.

15. The selectee will resume his/her duty within fifteen days after issuance of the appointment

order.

16. The services of the appointee will be terminated by the Director Higher Education on the basis of poor performance.

17. In case of availability of the permanent selectee of Public Service Commission / promote by

PSB, the appointment against these posts will stand terminated even before two years.

18. The selection will be made on the basis of ETEA Test and academic qualification in line with the prescribed formula.

Certificate 1. I do hereby certify that the above information / contents are correct. I shall be liable to

penalty under CrPC for any wrong information/fake document(s) produced by me / or attached herewith.

2. I have read all the terms & conditions and will abide by all these and any other issued by

the Higher Education Department, Govt. of Khyber Pakhtunkhwa.

Name of the Applicant:_________________________________

Signature:____________________________________________

Date:________________________________________________

NOTE:

Rs. 300/- must be deposited in any branch of HBL on the prescribed online deposit slip given on page 3 of this form and Original Receipt (ETEA copy) should be attached with the Application Form and should be submitted to the concerned District Head Quarter College / Coordinating Colleges of Higher Education Department Govt. of Khyber Pakhtunkhwa. Application Forms without Original Bank deposit slip (ETEA copy) shall not be entertained.

No Application Form will be accepted at ETEA office.

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EDUCATIONAL TESTING & EVALUATION AGENCY ONLINE DEPOSIT SLIP

Branch Code: _________________ Date: ____/_____/_______

Branch Name: _______________________________________________

Note: 1. Bank Stamp is required on the Deposit slip. 2. Please Send the Original Deposit slip along Application Form to the ETEA Office. (Application form without original Deposit slip will not be entertained.) 3. Freedom Account. No Service Charges

EDUCATIONAL TESTING & EVALUATION AGENCY ONLINE DEPOSIT SLIP

Branch Code: _________________ Date: ____/_____/_______

Branch Name: _______________________________________________

Note: 1. Please Stamp both copies of deposit slip. 2. The Bank Must Return “ETEA COPY” to the Candidate 3. Deposit Slip will not accepted without Candidate CNIC/B Form No. 4. Freedom Account. No Service Charges

BANK COPY

ETEA COPY

Applicant Signature Cashier Officer

Applicant’s Name:

Applicant Signature Cashier Officer

CNIC No/B-Form No:

Father’s Name:

Amount (In Rs):

Amount (In Words):

HABIB BANK Ltd.

Remote Branch: Arbab Road Br. Peshawar Cantt. (1161)

A/C Title: KP-ETEA A/C No: 1161-79008466-03 (Freedom Account)

HABIB BANK Ltd.

Remote Branch: Arbab Road Br. Peshawar Cantt. (1161)

A/C Title: KP-ETEA A/C No: 1161-79008466-03 (Freedom Account)

Applicant’s Name:

CNIC No/B-Form No:

Father’s Name:

Amount (In Rs):

Amount (In Words):