Competitive Examination (CSS) - 2017 PDF

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
http://online.fpsc.gov.pk/fpsc/css/user/job/application_printout.php?a=view&jid=273&userId_d=689129
1/7
10/29/2016
2
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
2/7
10/29/2016
3
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
3/7
10/29/2016
4
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
4/7
10/29/2016
5
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
5/7
10/29/2016
6
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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10/29/2016
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RollNo./2017CSS
RollNo./2017CSS
Name:
RAHMATULLAH
Name:
RAHMATULLAH
Address:
DISTRICANDTEHSILMARDANP/OKATAKHAT
VILLAGESADIQABAD
Address:
VILLAGESADIQABAD
District:
District:
RollNo./2017CSS
RollNo./2017CSS
Name:
RAHMATULLAH
Name:
RAHMATULLAH
Address:
VILLAGESADIQABAD
Address:
VILLAGESADIQABAD
District:
District:
RollNo./2017CSS
RollNo./2017CSS
Name:
RAHMATULLAH
Name:
RAHMATULLAH
Address:
VILLAGESADIQABAD
Address:
VILLAGESADIQABAD
District:
District:
..............................................................................................
AcknowledgementReceipt
ReceivedApplicationFormNo.________________________ofCompetitiveExamination,2017of
Mr./Miss/Mrs.RAHMATULLAH
SignatureandOfficialStamp
(withdate)F.P.S.C.
7/7

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10/29/2016

12APR04 12APR06 24JUN06 SSC

01AUG06 01APR09 22AUG09 HSSC

10OCT09 16OCT13 29MAR14 BBAHONS

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