AL-NAJAM INTERNATIONAL Head Office: Capri Center 3rd Floor, Flat No. T-8 & T-9 Firdous Market, Gulberg-III, Lahore Telephone No. 042-5944422-25, U.A.N. No: 111333600 Mob: 0300-4747115, 0321-8423295, 0333-4320399 Email:
[email protected] Web: www.alnajam.com
POSITION APPLIED FOR: NAME: FATHER’S NAME:
HUSBAND’S NAME:
GRAND FATHER’S NAME:
CAST:
DATE OF BIRTH & PLACE: RELIGION:
SEX:
MARITAL STATUS:
AGES: 1)
NO. OF CHILDREN:
MIN. SALARY ACCEPTABLE: PASSPORT NO:
3)
SINGLE STATUS JOB ACCEPTABLE:
DATE & PLACE OF ISSUE: DATE OF EXPIRY:
I.D.CARD NO: NATIONALITY: LANGUAGES: EDUCATIONAL BACKGROUND S.NO NAME OF INSTITUTE DEGREE/DIPLOMA YEAR 1 2 3 4 5 6 7 EMPLOYMENT RECORD S.NO EMPLOYER’S NAME POSITION FROM TO 1 2 3 4 5 6 7 PRESENT ADDRESS: PH: PERMANENT ADDRESS: PH: Email:
2)
Mobile:
Date: Signature:
4) SMOKER:
FORMS ONLY FOR N.G.H.A. HOSPITALS National Guard Health Affairs, Saudi Arabia. Corporate Medical Recruitment Service AGENCY: Email: Contact Info: CURRICULUM VITAE Updated:
1.
BIOGRAPHICAL DATA
Name:
Gender:
Date of Birth: No. of Children: Address: Work Telephone: Facsimile: Email Address:
Marital Status: Religion:
( as written on Passport ) Nationality:
Home Telephone: Mobile Telephone: Email Address 2:
EDUCATION: Schooling (Undergraduate) *If applicable* From
To
Institution Course/Major
University (Graduate/Medical School) Date of Graduation
Institution
QUALIFICATIONS: QUALIFICATIONS ATTAINED (Degrees, Diplomas, Board Certifications) Qualification Attained: Certificate No.: Subspecialty: Exam No.: Date of Issue: Country: Institution: National Guard Health Affairs, Saudi Arabia. Corporate Medical Recruitment Service AGENCY: Email: Contact Info: Qualification Attained: Certificate No.: Subspecialty: Exam No.: Date of Issue: Country:
Institution: Qualification Attained: Subspecialty: Date of Issue: Institution:
Certificate No.: Exam No.: Country:
Qualification Attained: Subspecialty: Date of Issue: Institution:
Certificate No.: Exam No.: Country:
LICENSES Date of Issue
Date Expire Institution License No.
2.
RESIDENCY TRAINING/INTERNSHIP (CHRONOLOGICAL ORDER)
From
To
Institution Position & Job Nature
National Guard Health Affairs, Saudi Arabia. Corporate Medical Recruitment Service AGENCY: Email: Contact Info: 3. CLINICAL APPOINTMENTS (CHRONOLOGICAL ORDER) From
To
Institution Position & Job Nature
4.
ADMINISTRATIVE & ACADEMIC APPOINTMENTS (CHRONOLOGICAL ORDER)
From
To
5.
COMMITTEES
Institution Position & Job Nature
6.
SOCIETY MEMBERSHIPS
National Guard Health Affairs, Saudi Arabia. Corporate Medical Recruitment Service AGENCY: Email: Contact Info: 7. INVITED LECTURES (CHRONOLOGICAL ORDER)
8.
PUBLICATIONS (CHRONOLOGICAL ORDER, PLACING YOUR NAME IN BOLD PRINT)
9. ABSTRACTS, PRESENTATIONS (CHRONOLOGICAL ORDER, PLACING YOUR NAME IN BOLD PRINT)
10.
ONGOING RESEARCH (INCLUDE CURRENT GRANTS HELD)
11.
CONTINUING MEDICAL EDUCATION (CHRONOLOGICAL ORDER)
National Guard Health Affairs, Saudi Arabia. Corporate Medical Recruitment Service AGENCY: Email: Contact Info:
12.
AWARDS & PRIZES
13.
LANGUAGES
14.
REFERENCE
Name & Position 1. 2. 3.
Institution/Company
FORMS ONLY FOR K.F.M.C. HOSPITALS
E-mail Address
Contact No.
Return this form with a full RESUME to:
INSTRUCTIONS: Please submit this application furnishing all information in sufficient detail to enable King Fahd Medical City to determine your eligibility for appointment at KFMC hospitals and centers. Type, or print in ink. If additional space is required, please attach a separate sheet and refer to items being answered by number. THIS FORM MUST BE COMPLETED IN ITS ENTIRETY. السم باللغة العربية للناطقي با: ___________________________________________________ Name as in Medical School Diploma or Passport: 1. Last Name 2. First Name 3. Middle Name 4. Nationality 5. Date of Birth 6. Place of Birth 7. Address 8. E-Mail: 9. Telephone Number, Area Code & Ext No. Home: Work: Mobile: 10. P.O. Box 12. City / Country / Zip Code 13. Point of Origin / Nearest Airport 14. Emergency Contact
Name Relationship 15. Address Phone 16. Date you can start If you have relatives or friends currently employed at KFMC, you must provide their details: 17. Name 18. Department 19. Relationship 20. LICENSURE, CERTIFICATION, SPECIALTY BOARDS AND CLINICAL PRIVILEGES LIST ALL COUNTRIES WHERE YOU ARE OR HAVE EVER BEEN LICENSED (If not held now, explain on a separate sheet) LICENSE NO. CURRENT REGISTRATION (If "NO" explain on separate sheet EXPIRATION DATE YES NO NOT REQUIRED
21. HAVE YOU EVER HAD ANY LICENSE REVOKED, SUSPENDED, DENIED, RESTRICTED, LIMITED, LAPSED, PLACED IN A PROBATIONAL STATUS, OR VOLUNTARILY RELINQUISHED?
YES (If "YES", explain on separate sheet) NO 22. LIST ALL CERTIFICATES (Medical School Diploma, Specialty, and Subspecialty/Fellowship) CERTIFICATE DEGREE COUNTRY/UNIVERSITY NAME OF SPECIALTY DATE OF CERTIFICATION (Month/Year) DURATION OF TRAINING IN THE CERTIFYING COUNTRY Medical School Diploma Specialty Board Sub-specialty Board/Fellowship (1st) Sub-specialty Board/Fellowship (2nd) Others: 23A. DO YOU CURRENTLY HAVE OR HAVE YOU EVER HAD CLINICAL PRIVILEGES AT ANY HEALTH CARE INSTITUTION OR AGENCY?
YES (If "YES", complete item 23B)
NO 23B. NAME AND ADDRESS OF CURRENT OR MOST RECENT INSTITUTION, AGENCY OR ORGANIZATION WHERE HELD:
23C. HAVE ANY OF YOUR STAFF APPOINTMENTS OR CLINICAL PRIVILEGES EVER BEEN DENIED, REVOKED, SUSPENDED, REDUCED, LIMITED, NOT RENEWED, OR VOLUNTARILY RELINQUISHED? YES (If "YES", explain on separate sheet) NO 24. TYPE OF TRAINING FOR SPECIALTY/SUB-SPECIALTY RELATED TO CERTIFICATION TYPE COUNTRY DURATION (MONTH/YEAR) HOSPITAL/INSTITUTION UNIVERSITY FROM TO
25. TEACHING AND/OR RESEARCH ASSOCIATIONS AND APPOINTMENTS WITH MEDICAL SCHOOLS INSTITUTION ADDRESS/LOCATION FROM TO
POSITION
DURATION
26. PROFESSIONAL EXPERIENCE AFTER COMPLETION OF TRAINING & CERTIFICATION EMPLOYER ADDRESS/LOCATION POSITION (Where applicable, specify whether General Practitioner or Specialist) DATE EMPLOYED FROM TO
27. LIST ALL PROFESSIONAL PUBLICATIONS, SCIENTIFIC PAPERS, ABSTRACTS, CHAPTERS, HONORS & AWARDS, RESEARCH GRANTS (If additional space is required, attach separate sheet)
28. VERIFICATION REFERENCES: List SIX individuals, preferably in your specialty, who are not related to you by blood or marriage and who have been in a position to judge your professional qualifications during the past five years. VERIFICATION REFERENCES NAME MAILING ADDRESS E-MAIL ADDRESS TEL. # FAX # A. TRAINING SUPERVISORS
B. PRACTICE SUPERVISORS/ PEERS ITEM
CHECK THE APPROPRIATE SPACE, IF "YES" EXPLAIN IN A SEPARATE SHEET OF PAPER YES NO
29. ARE YOU NOW, OR HAVE YOU EVER BEEN, INVOLVED IN ADMINISTRATIVE, PROFESSIONAL OR JUDICIAL PROCEEDINGS IN WHICH MALPRACTICE ON YOUR PART IS OR WAS ALLEGED? (If "YES" give details including name of action or proceedings, date filed, court or reviewing agency, and the status or disposition of case concerning allegations, together with your explanation of the circumstances involved.) 30. Within the last five years have you been discharged from any position for any reason? 31. Within the last five years have you resigned or retired from a position after being notified you would be disciplined or discharged, or after questions about your clinical competence were raised? 32. SIGNATURE OF APPLICANT NOTE: A false statement on any part of your application may be grounds for not hiring you, or for terminating you after you begin work. CERTIFICATION: I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL OF MY STATEMENTS ARE TRUE, CORRECT, COMPLETE, AND MADE IN GOOD FAITH. SIGNATURE OF APPLICANT DATE (Month, Day, Year) 33
33.
AUTHORIZATION FOR RELEASE OF INFORMATION
In order for King Fahd Medical City (KFMC) to assess and verify my educational background, professional qualifications and suitability for employment, I: Authorize KFMC to make inquiries concerning such information about myself to my previous employer(s), current employer, educational institutions, professional liability insurance carriers, national practitioner data bank, Medical Associations, Medical Boards, other professional organizations and/or persons, agencies, organizations or institutions listed by me as references, and to any other appropriate sources to whom KFMC may be referred by those contacted or deemed appropriate; Authorize KFMC to make inquiries with my licensing Authorities. Release from liability all those who provide information to KFMC in good faith and without malice in response to such inquiries; Authorize release of such information and copies of related records and/or documents to KFMC officials; and Authorize KFMC to disclose to such persons, employers, institutions, boards or agencies identifying and other information about me to enable KFMC to make such inquiries. Background Checks: King Fahd Medical City have provisions that require background checks on persons who provide care for others or have access to people who receive care. By signing below you consent to such a background check and further certify that heretofore you have not been convicted of, nor have charges pending against you for a serious crime. SIGNATURE OF APPLICANT DATE (Month, Day, Year) 33 KFMC Medical Credentialing, Promotion and Privileging Committee Final Decision Candidate Approved For Hire
Candidate Disapproved For Hire MCPPC’s Representative Name: ________________________________
Signature: _____________________________ Date: ____ /____/________
----------------------------------------------------------------To, The General Manager Postal Life Insurance Karachi. Sub:
EXPLANATION
Ref:
You Office Letter No. Admin-5-1/2005 dated 29-08-2008
In response to you kind letter it is respectfully submitted that I do perform my duties assigned to me by my Ass: Director (Field). These is only one type writer moiling in the office which I share with steno typist as and when needed. I am not suppose to sit on the type writer moiling all day long but as LDC I also dispose file work. This is for your kind information sir. Your Obediently Dated: 05-09-2008 Sheeraz Haider LDC R/o AD(F) P.I.T Hyderabad
----------------------------------------------------------------PERSONAL BIO DATA House No. 212 Block / B Unit No. 04 Latifabad, Hyderabad, Sindh Name Father’s Name CNIC No Date of Birth Nationality Marital Status Contact No Post Code
Muhammad Javeed Khan Muhammad Younuf Khan 41304-5358607-7 11-08-1973 Pakistani Single 92-346-3865909 71000
WORK HISTORY As a Salesman in Kings Foods (Hilal Confectionary) Pvt. Ltd for two years. As a DSF in (Tripple-Em ) Supper Crisp (Pvt.) Ltd For One year As a Sales DSF in S.C Johnson & Son (Pvt.) Ltd Present
Handled all distribution internal and external sales department and retail sales and whole sale growths. Directed sales and marketing operations within the distribution sales team. Responsible for conducting through analysis of consumer survey data and devising successful marketing strategies based on survey results. Coordinated marketing and sales efforts as well as development of new products. Successful product launches in market on distribution behalf. ACHIEVEMENT Successful venture into key Hyderabad, city market developed linking salesman, retailers, whole sales and distribution network strong background in sales marketing merchandising and product development. EDUCATION Bachelor of Arts. University of Sindh Jamshoro Pakistan ----------------------------------------------------------------Curriculum Vitae GHULAM HUSSAIN Address: Bungalow No. A/246 Sindh University Housing Society Phase-I Jamshoro, Hyderabad Phone No. 022-3875958 Mobile No. 0346-3753834, 0344-3575101 Personal Capabilities To work in an organization where I can fully utilize my Knowledge to achieve the highest efficiency and strive to promote the status of Organizations and to improve myself. Experience • 3 Months Customers Services Citi Bank N.A • 1 Year Team Leader Citi Bank N.A Credit Card Hyderabad December 2005. up to 2006 • Team Leader Askari Commercial Bank Credit Card Hyderabad 2006 up to continue. Trainings • 2 Months Citi Bank N.A Credit Card Shara-e- Faisal at Karachi. • 3 Months Askari Bank Consumer Products Credit Card & Customer Services A.W.T. Plaza 4th Floor Karachi Personal Information Father Name Date of Birth NIC No. Domicile Marital Status Religion Nationality
: : : : :
Nawaz Ali : 15-11-1980 41504-0362481-7 District Larkana Single Islam : Pakistani
Qualification • •
B.A (Hons.) University of Sindh Jamshoro 1st Class M.A (Hons.) University of Sindh Jamshoro (Waiting for result). Computer Skills
•
Ms Office,
• • •
D.I.T. Diploma Information in Technology Use of Internet Email address:
[email protected] Communication Skills
• • •
English Sindhi Urdu Hobbies
• • •
Reading Newspapers / Books Watching News on Television Playing Cricket Reference
•
Can be furnished if required.
Curriculum Vitae Siraj ul Haque Chandio Address: House No. A-9, Naseem Nagar, Phase-I, Qasimabad, Hyderabad. Mobile No. 0345-3633642
Personal Capabilities To work in an organization where I can fully utilize my Knowledge to achieve the highest efficiency and strive to promote the status of organization and to improve myself. Personal Information Father Name Date of Birth NIC No. Domicile Marital Status Religion Nationality
: : : : :
Misbah ul Haque Chandio : 13-03-1982 43202-4283520-3 District Larkana Married Islam : Pakistani
Qualification • B.A (Political Science) (Part-II) Studying From University of Sindh, Jamshoro. • Intermediate with “C” Grande in year 2004 From Board of Intermediate & Secondary Education, Hyderabad. • Matriculation (Science) with “B” Grade in year 1997 From Board of Intermediate & Secondary Education, Larkana.
Computer Skills • • • • • •
Ms-Office Installation of Windows DOS Word Star 4 • Banner Lotus 123 DBase-III Communication Skills
• English • Sindhi • Urdu • Siraiki -----------------------------------------------------------------
NAME Omesh Kumar S/o Tehal Ram CLASS 1st Year M.B.B.S ROLL NO 331 GROUP “F” TOPIC Boundareis of Cubital Fossa TO Respected Dr. Waseem Shaikh BOUNDARIES OF CUBITAL FOSSA LATERALLY The mass of extensor muscles of forearm, most specifically the branchioradialis.
MEDIALLY The mass of flexor muscles of the forearm, most specifically the pronator ters. BASE An imaginary line connecting the medial and lateral epicondyles of humorous. FLOOR It is formed laterally by supinator muscle and medially by branchialis muscle. The roof of the fossa is formed by skin and facia and is reinforced by the bacipital oaponeurosis A BCQ ON CUBITAL FOSSA Question:About the Cubita Fossa a) b) c) d) side.
Floor is formed by supinator muscle medially and brachialis laterally. The infratrochlelor lymph nodes lies in its upper part. Bicipital aponeurosis reinforces its floor. The surgeon will cut pronator teres when entering the fossa from medial
The Correct Answer is “D” -----------------------------------------------------------------