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FPSC FORM

FPSC FORM

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Published by: umesar001 on Sep 06, 2011
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11/14/2012

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For Office Use OnlyWebsite: www.fpsc.gov.pkE-mail : css@fpsc.gov.pkFax: 051-9203410 & 9213386
APPLICATION FORM FOR COMPETITIVE EXAMINATION (CSS) - 2011010101010
Receiving StampT.R. removed for Rs. ___________.PhotographBatch No.Diary No.Size 2” x 1.5”(must be paste herewith gum only)Roll No.1.2.(a)Name (In capital letters as per Matriculation Certificate)Father’s Name2. (b)Husband’s Name (in case of married female candidates)3. (a) Date of birth (As per Matric Certificate / CE Rules)--193.(b)Year Age on 31.12.2010MonthDay4. (a) Religion (Please
 
tick the relevant box)Muslim5. (a) Gender 6. Postal AddressNon Muslim4.(b)If Non Muslim whether desires to be examined inIslamiat ( for details see para-1(vi) of Appendix-I of CE Rules, 2011)SMDWYesNoMF5.(b)Marital Status7. Permanent Address8.Particulars about Spouse/Fiane:-Nationality________________ Age _____________ Occupation__________________________________ AbbottabadEducation ___________________________ Designation __________________________ Bahawalpur HyderabadMuzaffarabadSialkotDera Ghazi KhanIslamabadOkaraSukkur Khyber Pakhtoonkhwa(Tribal Area)Punjab (Tribal Area)Dera Ismail KhanKarachiPeshawar 9. Examination Centre: (Please
 
tick one)FaisalabadLahoreQuetta10. Domicile:(Please
 
tick one)GilgitLarkanaRawalpindiGujranwalaMultanSargodhaBalochistanSindh ( Rural )Azad Kashmir Balochistan(Recognized Tribes)Sindh ( Urban )Gilgit - BaltistanKhyber PakhtoonkhwaPunjab(including Islamabad)FATADistrict of Domicile11. Email __________________________Ph.Off__________________ Ph.Res ________________Mobile ______________ 12. C.N.I.C. #13. (a)Age Relaxation Claimed
 YES
-
NO
-13.(b)If yes indicate the categoryAzad Kashmir Gilgit - BaltistanGovernment Employee (In service)Scheduled CasteDisabled CandidateRecognized Tribes/ Tribal AreaBuddhist CommunityArmed forces (in service)
Signature of Applicant
 
-2-Education Record. List below all institutions where you have been educated and the examinations passed. If, you have secured a position in any examination write 1/2/3 in the relevantcolumn.For institutions in Pakistan give place/district under location. For institutions abroad mention the country only.
School/College/University &LocationMedium of InstructionEnglish /Urdu Years Name oExaminationPassedDate of resultAnnouncementdd/mm/yyFromToDivision(I/II) orGrade(A/B/C)or CPGABoard/ University(Examining Body)Major Subjects*Distinctions achieved/Academic Awards etc.
R/
M/F
In this column write “R” against the qualification (i.e. Bachelor’s Degree or higher) that make you eligible for appearing in the examination.In the case you are MBBS. Mark “M” and if you have graduated from foreign University, enter ‘F’.15S. NoFromExtra Activities YearToExtra Curricular Activities/ Sports/ Hobbies16. Disciplinary Action/Conviction: Was any disciplinary action, ever taken against you in any educational institution or department or were you ever debarred from government service or any examination/selection held byFPSC, or were you ever convicted for any crime other than a minor traffic offence (Put a cross in relevant box)?
NoYes
(Pl. attach a statement giving full details. It will be kept confidential)
 
Date(Exact dates must be filled in and nobox be left blank)ProvincialGovt.FederalGovt.S. NoPost and office heldName of OrganizationFrom To(Todate for inservice) Type of organizationPut a cross (X) in onerelevant ColumnPvt.Practice/Self EmployedArmedForcesun-employedSemiGovt.Nature Put a cross (X)in one relevant ColumnAd-hoc/ContactBasicScale(if any) Temporary1234518. Languages: Name the languages in which you have any proficiency (mother tongue first) and grade your ability as A,B or C under the three columns below:- (A=Excellent , B=Good, C=Fair)Name of LanguageAbilityReadWriteSpeakCertificate/Diploma, if any19. Full particulars of the near relations, if any i.e. father, mother, brothers, sisters, first uncles and first relations in law who are/were in Government service of Pakistan or elsewhere, specifying the posts held and whereposted.S. No.1.2.3.Name of RelativesRelationshipPost held / DepartmentPlace of dutyOfficiatingPermanentPrivate

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