Supervisor'S Data - Cpsp Form B Page 2
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1
2TEACHING ASSIGNMENTS
(STARTING FROM PRESENT POST)
POST HELD
INSTITUTION
DURATION WITH DATE
1-
FROM
TO
-
Please enclose the following:
1.
Curriculum Vitae
2.
Photocopy of valid PMDC Registration
3.
.
Photocopy of appointment letter of present position
4.
Recommendation letter by Principal/Head of the Institution
5.
Faculty list Please mention the names of the faculty members in each unit in the speciality and
number of trainees registered under each
_
6.
Photocopies of Fourmandatory workshops for supervisors
i.e.
a)
Educational Planning
&
Evaluation
b)
Assessment of Competence
c)
Supervisory Skills
d)
Research
Methodology,
Biostatistics
&
Medical Writing
Date:
SIGNATURE WITH STAMP
-
FOR OFFICE USE ONLY
7th
Ce ntra
l Street, Defen ce
Hous
ing Autho
ri ty, Phase II,
Karachi
-75 500
;
Tel. No. 920
7 100
-1
0
;
Fax: 9207120;
Telegram
:
Collphysurg,
Web:
.pk. E-m ail
:
rtmc@cpsp.edu
.pk
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