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10/29/2016

CompetitiveExamination(CSS)2017

Website:www.fpsc.gov.pk
Email:examination@fpsc.gov.pk
Fax:05192133869203410
UAN:051111000248

GovernmentofPakistan
FEDERALPUBLICSERVICECOMMISSION
AgaKhanroad,F5/1,Islamabad

ONLINEAPPLICATIONFOR
COMPETITIVEEXAMINATION(CSS)2017

ReceivingStamp

TrackingID
689129
DateApplied
29OCT16

T.R.removedforRs.

BatchNo.

DiaryNo.

RollNo.
1)
2)
3)
3)

Name(IncapitallettersasperMatriculationCertificate):
Father'sName:
Husband'sName(incaseofmarriedfemalecandidates):
DateofBirth(AsperMatriculationCertificate):

RAHMATULLAH
RAHMANULLAH

4)
5a)

1610153246071
MUSLIM

6a)

CNICNumber:
Religion:
WhetherNonMuslimdesirestobeexaminedinIslamic
StudiesorComparativeStudyofMajorReligions:
Gender:

6b)
7)
8)
9)

MaritalStatus:
PostalAddress:
PermanentAddress:
ParticularsaboutSpouse/Fiancee:

SINGLE
DISTRICANDTEHSILMARDANP/OKATAKHATVILLAGESADIQABAD
DISTRICTANDTEHSILMARDANP/OKATAKHATVILLAGESADIQABAD

a)
c)
e)

Nationality:
Education:
Designation:

10)
11a)
11b)
12a)

ExaminationCentre:
Domicile:
DistrictofDomicile:
Email:

KARACHI
KHYBERPAKHTUNKHWA
MARDAN
patriotic140@gmail.com

c)
13)

Mobile:
AgeRelaxationClaimed?:

03008324242
d)
Ph.Res:
RELAXATIONNOTCLAIMED(WITHINAGELIMITS)

5b)

09041990

MALE

b)
d)

Age:
Occupation:

b)

Ph.Office:

Applicant'sSignature
Date

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14) EducationRecord:
S. School/College/
Mediumof
N
University&Location Instruction
o.

From

To

DateofResult
Announcement

NameofExamPassed

Grade/
Div/ Board/University
CGPA

1 MARDAN

ENGLISH

12APR04 12APR06 24JUN06 SSC

BISEMARDAN

2 MARDAN

ENGLISH

01AUG06 01APR09 22AUG09 HSSC

BISEMARDAN

3 PESHAWAR

ENGLISH

10OCT09 16OCT13 29MAR14 BBAHONS

3.6

UNIVERSITYOF
PESHAWAR

MajorSubjects
BIOLOGY,
CHEMISTRY,
PHYSICAS
BIOLOGY,
CHEMISTRY,
PHYSICS
HRM,,

Distinction

R/
M/
F
R

4
5

15) ExtraActivities:
S.
No.

From

To

ExtraCurricularActivities/Sports/Hobbies

1
2
3

16) DisciplinaryAction/Conviction:

NO

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17) EmploymentRecord:
S.
PostandOfficeheld
No.

NameofOrganization

FromDate

ToDate

Typeof
Organization

Nature

BS

1
2
3
4
5

18) Languages(A=ExcellentB=GoodC=Fair):
S. NameofLanguage
No.

Read

Write

Speak

ARABIC

ENGLISH

PUSHTO

URDU

Certificate/Diploma,ifany

19) FullparticularsofNearRelations:
S.
NameofRelatives
No.

Relationship

Postheld/Department

PlaceofDuty

HABIBULLAH

BROTHER

SST/SCHOOL

PESHAWAR

IHSANULLAH

BROTHER

FRPPOLICE

PESHAWAR

OptionalSubjects(600Marks):
20) Candidateswillberesponsibleforanyerrorintheselectionofsubjectsmarkedbythemaswrongselection/combinationofsubjectswillleadtorejectionundertheRules.

Combinationofoptionalsubjectsoncechosenatthetimeofsubmissionofonlineapplicationshallnotbeallowedtochangesubsequently.Changeofoptionalsubjectsin
hardcopyofonlineformisalsonotallowed.

S.
SubjectCode Subject
No.
1
11
AccountancyandAuditing

Marks
200

22

BusinessAdministration

100

26

HistoryofPakistan&India

100

41

MuslimLaw&Jurisprudence

100

48

Sociology

100

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21a) WhetherDisabled?:
21b) AssistanceRequired?:

NO
NO

22) ParticularsaboutParents:
S.
Parent
No.

Age Qualification

Occupation/
Designationpresent

Occupation/
Designation(attimeof
yourbirth)

Parent
Aliveor
Dead

Annual
Income
144000

FATHER

61

ILLITERATE

RETIREDFRP
POLICE

FRPPOLICE

ALIVE

MOTHER

65

ILLITERATE

NO

NO

ALIVE

Anyothersourceofincome/supporting
income

23) Brothers/Sisters:
S.
B,S,SB,SSORX
No.

Age

Occupation

Education

BROTHER

21

NO

ILLITERATE

BROTHER

36

TEACHER

MASTER

BROTHER

41

FRPPOLICE

UNDERMATRIC

4
5
6
7
8
9
10

24) DetailofanypreviousattemptforCompetitiveExamination(CSS):
S.
No.

Year

RollNo.

Examination

Result

Group

1
2
3
4

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25) OccupationalGroups:
OrderofPreference OccupationalGroups/Services
1
PoliceServiceofPakistan
2

MilitaryLands&CantonmentsGroup

OfficeManagementGroup

PakistanAdministrativeService

PakistanCustomsService

CommerceandTradeGroup

PakistanAuditandAccountsService

ForeignServiceofPakistan

InlandRevenueService

10

InformationGroup

11

Railways(CommercialandTransportation)Group

12

PostalGroup

26a) PreviousexperienceofPsychologicalTest:

NO

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27)CheckList:Pleaseconfirmthatthefollowingdocumentshavebeenattachedwiththe
applicationform:

Yes/No

1.Alldocumentsattachedwiththeformmustbenumberedincontinuationwiththepagenumberofthe
applicationforminfollowingsequence:
a

OriginalTreasuryReceiptforRs.2200Dated:28OCT16,FeedepositedinNBPBranchNameNationalBankofPakistan,Karachi
UniversityBank(BranchCode):NBP0071City/District:KARACHIEAST(U)

Recent4Photographs(attestedonbackside,mentioningnameandfather'sname).

AttestedcopyofComputerizedNationalIdentityCard.

AttestedcopyofMatriculationCertificateshowingdateofbirth.ProvisionalCertificate/ResultCard/MarksSheetisnotacceptable.

AttestedcopyofIntermediateCertificate.ProvisionalCertificate/ResultCard/MarksSheetisnotacceptable.

AttestedcopyofDegree(s).

AttestedcopyofselfDomicileCertificate.

CertificateforBuddhistandScheduledCasteCandidates.(AnnexA)

CertificateforProvincial/FederalTribalAreascandidatesandthosebelongingtoGilgitBaltistan.(AnnexB)

CertificatefromKashmirAffairsDivisionforAzadKashmirNationals.(AnnexC)

CertificateforMinorities.(AnnexD)

DepartmentalPermissionCertificate(AnnexE)(forGovernmentServants).

m IncaseofExEmployeesofArmedForcesofPakistanNoObjectionCertificatefromrelevantauthority.

IncaseofDisabledcandidates,certificateofdisabilityfromthecompetentauthority.

Whetheryouhavesignedtheapplication(firstandthispage)?

2.Ifadditionaldocumentsareattachedwithapplicationform,pleaseattachaseparatelist:

28) Declaration:
IcertifythatthestatementsIhavemadeinthisapplicationaretruetothebestofmyknowledgeandbelief.Iunderstandthatifanyoftheabovestatementsisfalseinany
(i) material respect or omits any material information relevant to my previous examinations, service etc. my application is liable to be rejected and if appointed my
appointmentisliabletobeterminated.
(ii) IherebydeclarethatIamnotinpossessionofanydomicilecertificateotherthatnDistrictMARDANasclaimed/submittedalongwiththeinstantapplicationform.Ifurther
declarethatifIamfoundinpossessionofanydomicilecertificateotherthantheonementionedabove,mycandidatureforinstantexaminationmaybecancelled/rejectedand
ifappointed,Iwillbeliabletodismissalfromserviceanytimewithcostsoranyotherpenalty.
(iii) Iherebyfurtherdeclarethat:
a. I have never been involved in any criminal or civil case or prosecuted in any criminal/civil or quasi judicial proceedings involving moral turpitude. If so, please give
detailedparticularsoftheincidentwithnameofpolicestation.
b.
c.
d.

Ihavenotbeenassociatedwithanybannedmilitant,ethnicorterroristorganizationatanytime.
Myparents,inlawsandanyofmycloserelationshavenotbeenassociatedwithanybannedterrorist,militantorganization.
I have read and understood "Rules for Competitive Examination", and 'Regulations for Physical Examination' before filling this application form and agree to abide by
them.

Place:__________________________________

Date:__________________________________

SignatureofApplicant

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RollNo./2017CSS

RollNo./2017CSS

Name:

RAHMATULLAH

Name:

RAHMATULLAH

Address:

DISTRICANDTEHSILMARDANP/OKATAKHAT
VILLAGESADIQABAD

Address:

DISTRICANDTEHSILMARDANP/OKATAKHAT
VILLAGESADIQABAD

District:

District:

RollNo./2017CSS

RollNo./2017CSS

Name:

RAHMATULLAH

Name:

RAHMATULLAH

Address:

DISTRICANDTEHSILMARDANP/OKATAKHAT
VILLAGESADIQABAD

Address:

DISTRICANDTEHSILMARDANP/OKATAKHAT
VILLAGESADIQABAD

District:

District:

RollNo./2017CSS

RollNo./2017CSS

Name:

RAHMATULLAH

Name:

RAHMATULLAH

Address:

DISTRICANDTEHSILMARDANP/OKATAKHAT
VILLAGESADIQABAD

Address:

DISTRICANDTEHSILMARDANP/OKATAKHAT
VILLAGESADIQABAD

District:

District:

..............................................................................................

AcknowledgementReceipt
ReceivedApplicationFormNo.________________________ofCompetitiveExamination,2017of
Mr./Miss/Mrs.RAHMATULLAH

SignatureandOfficialStamp
(withdate)F.P.S.C.

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