competitive examination (css) - 2016.pdf
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10/21/2015 Competitive Examination (CSS) 2016
http://online.fpsc.gov.pk/fpsc/css/user/job/application_printout.php?a=view&jid=272&userId_d=615465 1/7
Website: www.fpsc.gov.pkEmail: [email protected]
Fax: 05192133869203410UAN: 051111000248
Government of PakistanFEDERAL PUBLIC SERVICE COMMISSION
Aga Khan road, F5/1, Islamabad
ONLINE APPLICATION FOR COMPETITIVE EXAMINATION (CSS) 2016
Tracking ID615465
Date Applied21OCT15
Receiving Stamp T.R. removed for Rs.
Batch No. Diary No.
Roll No.
1) Name (In capital letters as per Matriculation Certificate): SAEED KHAN2) Father's Name: GUL MUHAMMAD3) Husband's Name (in case of married female candidates):3) Date of Birth (As per Matriculation Certificate): 170219914) CNIC Number: 16101288761295a) Religion: MUSLIM
5b) Whether Non Muslim desires to be examined in IslamicStudies or Comparative Study of Major Religions:
6a) Gender: MALE6b) Marital Status: SINGLE
7) Postal Address: MARDAN CHARSADDA ROAD SALEEM KHAN GHULAM SARWAR KHAN KILLI POSTOFFICE MANGA MARDAN
8) Permanent Address: MARDAN CHARSADDA ROAD SALEEM KHAN GHULAM SARWAR KHAN KILLI POSTOFFICE MANGA MARDAN
9) Particulars about Spouse/Fiancee: a) Nationality: b) Age:c) Education: d) Occupation:e) Designation:10) Examination Centre: PESHAWAR11a) Domicile: KHYBER PAKHTUNKHWA11b) District of Domicile: MARDAN12a) Email: [email protected] b) Ph.Office:c) Mobile: 03149605281 d) Ph.Res:13) Age Relaxation Claimed?: RELAXATION NOT CLAIMED (WITHIN AGE LIMITS)
Applicant's SignatureDate
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214) Education Record:S.No.
School/ College/University & Location
Medium ofInstruction From To Date of Result
Announcement Name of Exam PassedGrade/Div/CGPA
Board/ University Major Subjects DistinctionR/M/F
1 DISTRICT MARDAN URDU 08APR05 31MAY07 16JUL07 MATRIC SecondGOVT HIGH SCHOOLSARO SHAHMARDAN
MATHEMATICS,ISLAMIYAT,G.SCIENCE
R
2GOVT POSTGRADUATECOLLEGE MARDAN
URDU 01SEP08 29APR11 25JUL11 F.A Second
BOARD OFINTERMEDIATE ANDSECONDARYEDUCATIONMARDAN
STATISTICS,ECONOMICS,GEOGRAPHY
R
3 MARDAN ENGLISH 15OCT11 31MAY13 09SEP13 B.A SecondABDUL WALI KHANUNIVERSITYMARDAN
STATISTICS,ECONOMICS, R
4 CHARSADDA ENGLISH 10OCT13 15JUN15 08SEP15 MSC ECONOMICS 3.68BACHA KHANUNIVERSITYCHARSADDA
MICRO ECONOMICS,MACROECONOMICS,ECONOMETRIC
2NDPOSITION R
5
15) Extra Activities:S.No. From To Extra Curricular Activities/ Sports/ Hobbies
1
2
3
16) Disciplinary Action/ Conviction: NO
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317) Employment Record:S.No. Post and Office held Name of Organization From Date To Date Type of
Organization Nature BS
1
2
3
4
5
18) Languages (A=Excellent B=Good C=Fair):S.No. Name of Language Read Write Speak Certificate/ Diploma, if any
1 ENGLISH A A B
2 PUSHTO A A A
3 URDU A A A
4
19) Full particulars of Near Relations:S.No. Name of Relatives Relationship Post held/ Department Place of Duty
1
2
3
20)Optional Subjects (600 Marks):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 inhard copy of online form is also not allowed.
S.No. Subject Code Subject Marks
1 12 Economics 2002 22 Business Administration 1003 27 Islamic History & Culture 1004 44 Philosophy 1005 48 Sociology 100
10/21/2015 Competitive Examination (CSS) 2016
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421a) Whether Disabled?: NO21b) Assistance Required?: NO
22) Particulars about Parents:S.No. Parent Age Qualification Occupation/
Designation presentOccupation/Designation (at time ofyour birth)
ParentAlive orDead
AnnualIncome
Any other source of income/ supportingincome
1 FATHER 65 ILLITERATE ALIVE
2 MOTHER 48 ILLITERATE 2008
23) Brothers/ Sisters:S.No. B, S, SB, SS OR X Age Occupation Education
1
2
3
4
5
6
7
8
9
10
24) Detail of any previous attempt for Competitive Examination (CSS):S.No. Year Roll No. Examination Result Group
1
2
3
4
10/21/2015 Competitive Examination (CSS) 2016
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525) Occupational Groups:Order of Preference Occupational Groups/ Services
1 Commerce and Trade Group2 Pakistan Customs Service3 Pakistan Administrative Service4 Foreign Service of Pakistan5 Inland Revenue Service6 Information Group7 Pakistan Audit and Accounts Service8 Police Service of Pakistan9 Postal Group10 Railways (Commercial and Transportation) Group11 Military Lands & Cantonments Group12 Office Management Group
26a) Previous experience of Psychological Test: NO
10/21/2015 Competitive Examination (CSS) 2016
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627) Check List: Please confirm that the following documents have been attached with theapplication form:1. All documents attached with the form must be numbered in continuation with the page number of theapplication form in following sequence:
Yes / No
a Original Treasury Receipt for Rs.2200 Dated: 20OCT15, Fee deposited in NBP Branch Name State Bank of Pakistan Bank(Branch Code):City/District: PESHAWAR
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. (AnnexA)
i Certificate for Provincial/ Federal Tribal Areas candidates and those belonging to GilgitBaltistan. (AnnexB)
j Certificate from Kashmir Affairs Division for Azad Kashmir Nationals. (AnnexC)
k Certificate for Minorities. (AnnexD)
l Departmental Permission Certificate (AnnexE) (for Government Servants).
m In case of ExEmployees 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)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 anymaterial respect or omits any material information relevant to my previous examinations, service etc. my application is liable to be rejected and if appointed myappointment is liable to be terminated.
(ii) I hereby declare that I am not in possession of any domicile certificate other thatn District MARDAN as claimed/submitted alongwith the instant application form. I furtherdeclare 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 andif 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, inlaws 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
10/21/2015 Competitive Examination (CSS) 2016
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Roll No. /2016CSS
Name: SAEED KHAN
Address: MARDAN CHARSADDA ROAD SALEEM KHAN GHULAMSARWAR KHAN KILLI POST OFFICE MANGA MARDAN
District:
Roll No. /2016CSS
Name: SAEED KHAN
Address: MARDAN CHARSADDA ROAD SALEEM KHAN GHULAMSARWAR KHAN KILLI POST OFFICE MANGA MARDAN
District:
Roll No. /2016CSS
Name: SAEED KHAN
Address: MARDAN CHARSADDA ROAD SALEEM KHAN GHULAMSARWAR KHAN KILLI POST OFFICE MANGA MARDAN
District:
Roll No. /2016CSS
Name: SAEED KHAN
Address: MARDAN CHARSADDA ROAD SALEEM KHAN GHULAMSARWAR KHAN KILLI POST OFFICE MANGA MARDAN
District:
Roll No. /2016CSS
Name: SAEED KHAN
Address: MARDAN CHARSADDA ROAD SALEEM KHAN GHULAMSARWAR KHAN KILLI POST OFFICE MANGA MARDAN
District:
Roll No. /2016CSS
Name: SAEED KHAN
Address: MARDAN CHARSADDA ROAD SALEEM KHAN GHULAMSARWAR KHAN KILLI POST OFFICE MANGA MARDAN
District:
..............................................................................................
Acknowledgement Receipt
Received Application Form No. ________________________ of Competitive Examination, 2016 of Mr./Miss/Mrs. SAEED KHAN
Signature and Official Stamp (with date) F.P.S.C.