Provincial Services Academy - Khyber Pakhtunkhwa

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2ND MID-CAREER MANAGEMENT COURSE FOR TECHNICAL DEPARTMENTS (MCMC-TECH)

Registration Form

Personal Address Contact Service Positions Academic Nomination Final

A. Personal Information

1. Name *

2. Father's Name *

3. Gender *

4. Date of Birth *

5. Domicile Province *

District *

6. CNIC No. *

Enter exactly 13 digits without dashes.

7. Occupational Group / Cadre

8. Present Posting

a). Designation

b). Department

9. Marital Status *

10. Son(s)

Daughter(s)

11. Official Address

Recent Passport-size Photo *

12. Residential Address

Present Address

Permanent Address

13. Contact Details

Mobile 1 *

Mobile 2

Residence

Fax

Email *

Office

B. Government Service Information

14. Date of Joining Govt. Service

15. Date of Appointment to Present Post

16. Present Gross Pay (Rs.)

17. Date of Promotion to BS-18

18. Brief Job Description of Present Post

19. Positions Held since Promotion to BS-18 or Equivalent

Assignment

Grade

Department / Organization

From

C. Academic Record

20. Training Attended

Title

Institution

From

Duration

21. Membership of academic/literary/professional associations

Association Name

Membership Type

Nomination Information

22. Name of Nominating Government Department / Organization

23. Name / Designation of Authority who maintains PER of the Nominee

Final Information

Date *

Place

Signature of the Nominee *

Account Credentials

You will use your CNIC and the password below to log in to the participant portal.

Password *

Must be at least 8 characters long.

Confirm Password *