Shaukat Khanum Memorial Cancer Hospital &

Research Centre
SKMCH-HRD-017
Volunteer/Non
Professional
Registration
Form
Name:
Paste Photo Here
Date of Birth:
Telephone (Res.):
Mobile / Cell:
E-mail:
!!ress:
Person to be "onta"te! in "ase of emer#en"$:
Relationship: Telephone %:
&'alifi"ations:
Institution egree Ma!or Su"!ects #ear
Professional/(nternship E)perien"e (if an$):
$rgani%ation &o" 'itle
ate
s
From 'o
*+ills :
Shaukat Khanum Memorial Cancer Hospital &
Research Centre
SKMCH-HRD-017
,ailabilit$:
Dates: -rom: To:
re there an$ spe"ifi" !a$s or time that $o' are a,ailable. (f so/ please ti"+ in appropriate bo):
Mon 'ue (e
)
'hu Fri
* am + , pm
, pm + - pm
(s there an$ spe"ifi" !epartment/area $o' are intereste! in. Please spe"if$:
Referees:
1 Name: Telephone: Relationship
2 Name: Telephone: Relationship
I understand that volunteering for SKMCH&RC does not automaticall entitle me for a !ermanent "o#$
*i#nat're:
Date:
(nstr'"tions:
tta"h one "op$ of National (D "ar!
*t'!ents 0ho are 'n!er 12 $ears are re3'ire! to atta"h "op$ of National (D "ar! of their parents
tta"h one passport si4e photo#raph
(nternship/5ol'nteership re3'est letter from instit'tion (if appli"able).
Please sen! !'l$ fille! appli"ation to the a!!ress #i,en belo0:
Human Resources Department
Shaukat Khanum Memorial Cancer Hospital and Research Centre
7-A, Block R-, !ohar "o#n, $ahore, %akistan
"elephone& '(2-)*()1'' +,t& 2()-
or email at: " a r e e r s 6 s h a' + a t + han' m .o r # .p+
-or Con"erne! Department 7se 8nl$:
Department Name: *i#nat're:
Date of 9oinin#: ,ailabilit$ Till:
-or HRD 7se 8nl$:
*i#nat're: Date
ppli"ation a""epte!: .es /o
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