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Shaukat Khanum Memorial Cancer Hospital &

Research Centre

Name:
Father Name
Date of Birth:
National ID Card #:
Telephone (Res.):
Mobile / Cell:
E-mail:

Address:
Person to be contacted in case of emergency:
Relationship:

Qualifications:
Institution

Professional/Internship Experience
Organization

(if any):

Skills

SKMCH-HRD-017

Shaukat Khanum Memorial Cancer Hospital &


Research Centre

Availability:
Dates:
Are there any specific days or time that you are available? If so, please tick in appropriate box:
9 am 1 pm
1 pm 5 pm
Is there any specific department/area you are interested in? Please specify:

Referees:
1

Name:

Name:

I understand that volunteering for SKMCH&RC does not automatically entitle me for a permanent job.
Signature: _________________________

Date: ____________________

Instructions:

Attach one copy of National ID card


Students who are under 18 years are required to attach copy of National ID card of their parents
Attach one passport size photograph
Internship/Volunteership request letter from institution (if applicable).
Applications should be submitted at least three weeks prior to the proposed starting date.

Please send duly filled application to the address given below:


Human Resources Department
Shaukat Khanum Memorial Cancer Hospital and Research Centre
7-A, Block R-3, Johar Town, Lahore, Pakistan
Telephone: 042-35905000 Ext: 3040, 3041, 3037
or email at: careers@shaukatkhanum.org.pk
For Concerned Department Use Only:
Department Name:
Date of Joining:

For HRD Use Only:


Signature:
Application accepted:

Comments (if any):

SKMCH-HRD-017

Shaukat Khanum Memorial Cancer Hospital &


Research Centre

TERMS AND CONDITIONS FOR


VOLUNTEERS/INTERNS

I shall take care of my own belongings and valuables, SKMCH&RC shall


not be responsible for any loss or damage.

I shall indemnify any loss or damage caused by me to hospital property.

I shall abide by the rules and regulation (if applicable) and disciplinary
policies and procedures at SKMCH&RC.

I shall adhere to the


volunteership/internship.

If I remain absent for more than two consecutive days without informing
my supervisor my volunteership/internship will be terminated.

Incase of any misconduct or in-disciplined behavior, SKMCH & RC


reserves the right to terminate the volunteership/internship at any time
without assigning any reason thereof.

SKMCH & RC shall not be held responsible for loss or damage caused to
me by any natural causes.

I shall not, during the continuance or after the termination of your


volunteership/internship, disclose any information obtained or acquired
concerning the affairs of the Hospital unless compelled to do so by a
Court of Law. If I disclose any such information, the Hospital reserves the
right to take legal action against me.

During my stay, SKMCH & RC shall not provide any medical coverage or
transport facility.

Certificate of volunteership/internship will be given to those candidates


who will complete their volunteership/internship satisfactorily.

No stipend will be paid to the volunteers/interns.

timings

that

will

apply

during

the

I, ________________, hereby accept and agree to abide by the terms and


conditions mentioned here-in-above.

Signature:

Witnesses:

Date:

1.
2.

SKMCH-HRD-017

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