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11/11/2017 Competitive Examination (CSS) - 2018

Government of Pakistan
FEDERAL PUBLIC SERVICE COMMISSION
Aga Khan road, F-5/1, Islamabad
Website: www.fpsc.gov.pk Tracking ID
Email: examination@fpsc.gov.pk
740717
Fax: 051-9213386-9203410 ONLINE APPLICATION FOR
UAN: 051-111-000-248 Date Applied
COMPETITIVE EXAMINATION (CSS) - 2018
11-NOV-17

Receiving Stamp T.R. removed for Rs.

Batch No. Diary No.

Roll No.

1) Name (In capital letters as per Matriculation Certificate): MUHAMMAD FAHAD FAYYAZ
2) Father's Name: FAYYAZ AHMAD
3) Husband's Name (in case of married female candidates):
3) Date of Birth (As per Matriculation Certificate): 11-05-1994
4) CNIC Number: 35202-2006772-7
5a) Religion: MUSLIM
Whether Non Muslim desires to be examined in Islamic
5b)
Studies or Comparative Study of Major Religions:
6a) Gender: MALE
6b) Marital Status: SINGLE
7) Postal Address: HOUSE#5/A, ST#95, TAKIA LAHRI SHAH, ICHRAA, LAHORE
8) Permanent Address: HOUSE#5/A, ST#95, TAKIA LAHRI SHAH, ICHRAA, LAHORE
9) Particulars about Spouse/Fiancee:
a) Nationality: b) Age:
c) Education: d) Occupation:
e) Designation:
10) Examination Centre: LAHORE
11a) Domicile: PUNJAB
11b) District of Domicile: LAHORE
12a) E-mail: fahadfayyaz94@gmail.com b) Ph.Office:
c) Mobile: 0332-8718955 d) Ph.Res:
13) Age Relaxation Claimed?: RELAXATION NOT CLAIMED (WITHIN AGE LIMITS)

Applicant's Signature
Date

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14) Education Record:
S. School/ College/ Medium of Date of Result
Grade/ R/
N From To Announcement Name of Exam Passed Div/ Board/ University Major Subjects Distinction M/
University & Location Instruction
o. CGPA F
STANDARD MODEL MATHEMATICS,
1 SCHOOL LAHORE ENGLISH 15-APR-09 20-APR-11 02-AUG-13 MATRICULATION A BISE LAHORE PHYSICS, R
CHEMISTRY
MATHEMATICS,
FORMAN CHRISTIAN FSC PRE
2 COLLEGE,LAHORE ENGLISH 13-APR-11 10-APR-13 22-AUG-13 ENGINEERING A BISE LAHORE PHYSICS, R
CHEMISTRY
UNIVERSITY OF MICROELECTRONIC
S, CONTROL
BSC ELECTRONICS ENGINEERING AND
3 UET TAXILA ,TAXILA ENGLISH 19-SEP-13 14-SEP-17 16-OCT-17 ENGINEERING 2.58 TECHNOLOGY,TAXIL SYSTEM, R
A INDUSTRIAL
AUTOMATION

15) Extra Activities:


S. From To Extra Curricular Activities/ Sports/ Hobbies
No.

1 17-NOV-16 17-MAY-17 ENTREPRENUERSHIP

2 15-MAR-17 01-APR-17 CRICKET TOURNAMENT

16) Disciplinary Action/ Conviction: NO

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17) Employment Record:
S. Type of
Post and Office held Name of Organization From Date To Date Nature BS
No. Organization
1

18) Languages (A=Excellent B=Good C=Fair):


S. Name of Language Read Write Speak Certificate/ Diploma, if any
No.

1 ENGLISH A A A

2 URDU A A A

19) Full particulars of Near Relations:


S.
Name of Relatives Relationship Post held/ Department Place of Duty
No.

Optional Subjects (600 Marks):


20) Candidates will be responsible for any error in the selection of subjects marked by them as wrong selection/combination of subjects will lead to rejection under the Rules.
Combination of optional subjects once chosen at the time of submission of online application shall not be allowed to change subsequently. Change of optional subjects in
hard copy of online form is also not allowed.

S.
Subject Code Subject Marks
No.
1 15 International Relations 200
2 30 History of USA 100
3 31 Gender Studies 100
4 40 International Law 100
5 48 Sociology 100

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21a) Whether Disabled?: NO
21b) Assistance Required?: NO

22) Particulars about Parents:


Occupation/ Parent
S. Occupation/ Annual Any other source of income/ supporting
Parent Age Qualification Designation (at time of Alive or
No. Designation present Income income
your birth) Dead
1 FATHER 48 UNDERMATRIC SHOPKEEPER SALESMAN ALIVE 360000

2 MOTHER 45 INTERMEDIATE HOUSEWIFE ALIVE 0

23) Brothers/ Sisters:


S.
B, S, SB, SS OR X Age Occupation Education
No.

1 SISTER 22 STUDENT GRADUATION

2 SISTER 14 STUDENT MATRIC

10

24) Detail of any previous attempt for Competitive Examination (CSS):


S.
Year Roll No. Examination Result Group
No.
1

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25) Occupational Groups:
Order of Preference Occupational Groups/ Services
1 Pakistan Administrative Service
2 Military Lands & Cantonments Group
3 Pakistan Customs Service
4 Foreign Service of Pakistan
5 Office Management Group
6 Inland Revenue Service
7 Information Group
8 Police Service of Pakistan
9 Postal Group
10 Railways (Commercial and Transportation) Group
11 Pakistan Audit and Accounts Service
12 Commerce and Trade Group

26a) Previous experience of Psychological Test: NO

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27) Check List: Please confirm that the following documents have been attached with the
application form: Yes / No
1. All documents attached with the form must be numbered in continuation with the page number of the application
form in following sequence:-
Original Treasury Receipt for Rs.2200 Dated: 10-NOV-17, Fee deposited in NBP Branch Name National Bank of Pakistan New Garden Town
a
Bank(Branch Code): NBP 1537 City/District: LAHORE

b Recent 4 Photographs (attested on back side, mentioning name and father's name).

c Attested copy of Computerized National Identity Card.

d Attested copy of Matriculation Certificate showing date of birth. Provisional Certificate/ Result Card/ Marks Sheet is not acceptable.

e Attested copy of Intermediate Certificate. Provisional Certificate/ Result Card/ Marks Sheet is not acceptable.

f Attested copy of Degree(s).

g Attested copy of self Domicile Certificate.

h Certificate for Buddhist and Scheduled Caste Candidates. (Annex-A)

i Certificate for Provincial/ Federal Tribal Areas candidates and those belonging to Gilgit-Baltistan. (Annex-B)

j Certificate from Kashmir Affairs Division for Azad Kashmir Nationals. (Annex-C)

k Certificate for Minorities. (Annex-D)

l Departmental Permission Certificate (Annex-E) (for Government Servants).

m In case of Ex-Employees of Armed Forces of Pakistan No Objection Certificate from relevant authority.

n In case of Disabled candidates, certificate of disability from the competent authority.

o Whether you have signed the application (first and this page)?

2. If additional documents are attached with application form, please attach a separate list:-
28) Declaration:
I certify that the statements I have made in this application are true to the best of my knowledge and belief. I understand that if any of the above statements is false in any
(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 appointment
is liable to be terminated.
(ii) I hereby declare that I am not in possession of any domicile certificate other thatn District LAHORE as claimed/submitted alongwith the instant application form. I further
declare that if I am found in possession of any domicile certificate other than the one mentioned above, my candidature for instant examination may be cancelled/rejected
and if appointed, I will be liable to dismissal from service any time with costs or any other penalty.
(iii) I hereby further declare that:
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 detailed
particulars of the incident with name of police station.
b. I have not been associated with any banned militant, ethnic or terrorist organization at any time.
c. My parents, in-laws and any of my close relations have not been associated with any banned terrorist, militant organization.
d. 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:__________________________________ Signature of Applicant

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Roll No. /2018-CSS Roll No. /2018-CSS

Name: MUHAMMAD FAHAD FAYYAZ Name: MUHAMMAD FAHAD FAYYAZ

Address: HOUSE#5/A, ST#95, TAKIA LAHRI SHAH, ICHRAA, LAHORE Address: HOUSE#5/A, ST#95, TAKIA LAHRI SHAH, ICHRAA, LAHORE

District: District:

Roll No. /2018-CSS Roll No. /2018-CSS

Name: MUHAMMAD FAHAD FAYYAZ Name: MUHAMMAD FAHAD FAYYAZ

Address: HOUSE#5/A, ST#95, TAKIA LAHRI SHAH, ICHRAA, LAHORE Address: HOUSE#5/A, ST#95, TAKIA LAHRI SHAH, ICHRAA, LAHORE

District: District:

Roll No. /2018-CSS Roll No. /2018-CSS

Name: MUHAMMAD FAHAD FAYYAZ Name: MUHAMMAD FAHAD FAYYAZ

Address: HOUSE#5/A, ST#95, TAKIA LAHRI SHAH, ICHRAA, LAHORE Address: HOUSE#5/A, ST#95, TAKIA LAHRI SHAH, ICHRAA, LAHORE

District: District:

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

Acknowledgement Receipt

Received Application Form No. ________________________ of Competitive Examination, 2018 of


Mr./Miss/Mrs. MUHAMMAD FAHAD FAYYAZ

Signature and Official Stamp


(with date) F.P.S.C.

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