Application Form for Candidates

Position you are applying for *

Personal Information

Name *

First

Last

Sex *

Male Female Non Binary

Age *

Marital Status *

Single Married Other

Number of Dependants *

Email *

Phone *

Province *

District of Residence *

Employment Details

Current Employer *

Current Position *

Current Position — Start Date *

Current Position — End Date *

Continue (present)

Current Salary (PKR) *

Expected Salary (PKR) *

Motivation & Career Movement

Reason to Apply to Amgomed *

Reason to Leave Last Organization *

Experience

Total Experience of Pharma/Healthcare *

Total Experience in Oncology *

Experience in functions of: *

Willingness to Travel Nationally

Yes No

Willingness to Relocate if Required

Yes No

Previous Employment Record

Organization

Designation

Start Date

End Date

Organization

Designation

Start Date

End Date

Academic Qualification

Degree & Subject

Institution

Year of Completion

Grade / % / GPA

Degree & Subject

Institution

Year of Completion

Grade / % / GPA

Degree & Subject

Institution

Year of Completion

Grade / % / GPA

Degree & Subject

Institution

Year of Completion

Grade / % / GPA

Training & Certification

Training / Certification

Institution

Start Date

End Date

Training / Certification

Institution

Start Date

End Date

Professional References

Full Name

Relationship

Current Designation and Company (if employed)

Phone

Email

Full Name

Relationship

Current Designation and Company (if employed)

Phone

Email

Full Name

Relationship

Current Designation and Company (if employed)

Phone

Email

Attachments

CV * PDF, DOC, DOCX · up to 8 MB

Cover Letter PDF, DOC, DOCX · up to 8 MB

Latest Passport Size Picture JPG, JPEG, PNG · up to 8 MB

Compliance & Declaration

Are you under any investigation (work related or otherwise)? *

Yes No

Except minor traffic violations, do you have any criminal record? *

Yes No

Have you ever been dismissed/terminated from your job? *

Yes No

Have you had any disability/serious illness in the past 5 years that may restrict your ability to perform the job you are applying for? *

Yes No

Declaration:

“I confirm that the information provided is accurate and truthful.” *

Application Form for Candidates

Personal Information

Employment Details

Motivation & Career Movement

Experience

Previous Employment Record

Academic Qualification

Training & Certification

Professional References

Attachments

Compliance & Declaration

Declaration:

Disclaimer by Applicants

Business Relationship