| Biographical Information |
Name at time of enrolment: |
| * Last Name |
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| * First Name |
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| Middle Name |
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| AKU Registration Number (if available) |
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Name presently being used (if different from above) |
| Full Name |
(Last First Middle) |
* Please check all programme(s) completed at AKU: (Year of Graduation)
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School of Nursing: |
| RN Diploma
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| Post RN BScN
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| BScN (Generic)
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| MScN
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Medical College: |
| MBBS
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| MSc Epi/Bio/HPM
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| Internship
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| Residency
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| Fellowship
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| PhD
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Institute for Educational Development: |
| MEd
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| Advance Diploma
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Centre of English Language: |
| Advance Diploma
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Contact Information |
* Email address
(separate with commas) |
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| Home Address |
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| City |
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| Province/State |
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| Postal/Zip Code |
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| Country |
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| Home Phone |
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| Mobile/Cell Phone |
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* Are you presently employed? |
Yes
No |
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Additional Academic Qualifications (including those in progress):
Most recent one first |
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| Qualification/Certification |
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| Institution |
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| Qualification/Certification |
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Do you currently serve as a volunteer for any institution, company or community-based organisation? If so, please list them below: |
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If you are presently not working at AKU, would you be interested in volunteering your expertise by imparting training or delivering lectures at AKU as visiting faculty? |
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If living overseas, reasons for migrating from Pakistan (check the most compelling reason) |
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Is your move temporary or permanent? |
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