PUNJAB PUBLIC SERVICE COMMISSION,LAHORE WEB GENERATED APPLICATION FORM

Application Number:

46600008

1.Post Applied For: 2.Advertisement Number: 4.Bank Receipt Date: 7.Candidate's Name: 8.Father's Name: 9.Postal Address: 10.SEX: 12.CNIC: 14.DOB: MALE

SENIOR SPECIALIST R&D 25/2012 22/12/2012 ADIL PERVAIZ NOOR HUSSAIN 46-LOWER MALL, MARKET COMMITTEE COMPLEX, CROP REPORTING SERVICE, LAHORE. 11.Religion: 13.NIC(OLD): on Advertised closing 38 Years 6 Months &27 Days 16.Phone No: 33449019354 MUSLIM 3.Case Number: 5.Amount: 300 26G2012

6.Bank : NBP

3440216969499 4/06/1974 15.Age (as Date):

17.Mobile Number: 033449019354 18.E-mail: 19.Domicile: LAHORE

ADIL_PERVAIZ2001@YAHOO.COM NO 21.2 Obtained Employer? NOC From NO NO

20.Do you claim to be a Disabled Person: NO

21. Punjab Government Employee

21.1 IF yes, Then Length of 0 Y0 M 0 D service

22.Retired / Released Armed Forces Person NO

22.1 IF yes, Then Length of 0 Y0 M 0 D service

22.2 Convicted Martial?

by Court

23.Ever Dismissed from Government / Autonomous body ? NO

23.1 IF yes, Produce original certified documents from concerned departments at the time of interview , if called NO

24. Do you Claim additional marks as an unemployed child of a Punjab Government Servant who was incapacitated or died while in service? 25. Ever been Convicted by Court in Pakistan NO 25.1 IF yes, produce detail at the time of interview, if called NO

26. Are you facing any Criminal Trial in any Court of Pakistan 27. Written Test / Examination / Interview Centre: LAHORE

26.1 IF yes, produce detail at the time of interview, if called

**************************** 29. ACADEMIC QUALIFICATIONS: CERTIFICATE/DEGREE BOARD / UNIVERSITY PUNJAB UNIVERSITY PUNJAB UNIVERSITY B.I.S.E GUJRANWALA B.I.S.E GUJRANWALA MATHEMATICS STATISTICS ECONOMICS MATHEMATICS STATISTICS ECONOMICS SCIENCE SUBJECTS RESULT EXAMINATION OBTAINED DECLARED SYSTEM MARKS ON 1/07/2001 ANNUAL 454 TOTAL MARKS 1000 %AGE / GRADE 45.40

M.A ECONOMICS

BACHELOR (2 YEARS)

26/08/1998

ANNUAL

428

800

53.50

INTERMEDIATE

15/03/1996

ANNUAL

519

1100

47.18

MATRICULATION

22/07/1992

ANNUAL

452

850

53.18

30. SERVICE RECORD / EXPERIENCE (if required) POST HELD STATISTICAL ASSISTANT STATISTICAL OFFICER SOCIAL EDUCATOR STATISTICAL OFFICER DEPARTMENT / OFFICE FEDERAL BUREAU OF STATISTICS CROP REPORTING SERVICE, AGRICULTURE DEPT, PUNJAB PUNJAB RURAL SUPPORT PROGRAMME CROP REPORTING SERVICE, AGRICULTURE DEPT, PUNJAB STARTING DATE 15/03/2001 24/11/2005 19/11/2009 07-07-2011 ENDING DATE 31/05/2003 30/06/2008 31/07/2011 31-12-2012 SCALE 11 17 0 17

DISCLAIMER I certify that all information provided by me in the above application form is correct and in case any infromation is found to be incorrect, it will disqualify my candidature. Date: 22-12-2012 Candidate's Signature: --------------------------------------------

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