4/16/2015

Application Form

Application Number:

96402032

PUNJAB PUBLIC SERVICE COMMISSION,LAHORE

1.Post Applied For:

JUNIOR PATROL OFFICER

2.Advertisement Number:

10/2015

3.Case Number:

8B2015

4.Bank Receipt Date:

16-04-2015

5.Amount:

400

6.Bank :

NBP

7.Candidate's Name:

IMRAN JAN

8.Father's Name:

JAN MUHAMMAD

9.Postal Address:

PADHANA CHAK NO.45 PATTOKI DISTRICT KASUR PUNJAB PAKISTAN

10.Gender:

MALE

12.Religion:

MUSLIM

14.DOB:

10-06-1987

16.Phone No:
19.Domicile:

11.CNIC NO:

3510342148975
13.Marital Status: MARRIED

13(i). Spouse Name: SALMA ASAR

15.Age ( on Closing Date):

92

17.Mobile Number:

27 Year(s) 10 Month(s) - 10 Day(s)

03338122227 18.E-mail:

imranjan86@yahoo.com

KASUR

20.Do you claim to be a Disabled Person? NO 20(i).If yes, then type of disability:

NO

20(ii). If Blind, then Examination Mode:

NO

20(iii). Disable Certificate Ref. No.

21. Punjab Government Employee?

NO 21(i) If yes, then Length of service

0 Year(s) 0 Month (s) 0 Day (s)

21(ii). Obtained NOC From Employer?

22.Retired / Released
Forces Person?

Armed

NO 22(i). If yes, then Length of service

0 Year (s) 0 Month (s) 0 Day (s)

22(ii). Convicted by Court Martial?

23.Ever Dismissed from Government / Autonomous body ?

NO

NO

23(i). If yes, Produce original certified documents from

concerned departments at the time of interview , if called for

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

NO

24(i). Father / Mother CNIC No:

NO

25(i). If yes, produce detail at the time of interview, if called for

26. Are you facing any Criminal Trial in any Court of Pakistan? NO

26(i) If yes, produce detail at the time of interview, if called for

27.PMDC / OEC / PCATP / PBC NO :

27(i). Registration Expiry Date:

28. Written Test / Examination / Interview Centre:

LAHORE

29. PHYSICAL STANDARD (FOR UNIFORM POSTS ONLY):

HEIGHT
CHEST NORMAL
EXPANDED
DISTANT VISION LEFT
DISTANT VISION RIGHT
VISION

NEAR VISION LEFT

NEAR VISION RIGHT

30. ACADEMIC QUALIFICATIONS:

CERTIFICATE/DEGREE

BOARD /
UNIVERSITY

SUBJECTS

RESULT
DECLARED
ON

EXAMINATION
SYSTEM

OBTAINED
MARKS

TOTAL
MARKS

%AGE /
GRADE

MATRICULATION

B.I.S.E LAHORE

SCIENCE

15-06-2002

ANNUAL

561

850

66.00

INTERMEDIATE

B.I.S.E LAHORE

HUMANITIES

07-08-2004

ANNUAL

629

1100

57.18

http://www.ppsc.punjab.gov.pk/(S(ibjnlj4533brain5q2aw4fzu))/UsersReg/ApplicationPrint.aspx

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4/16/2015

Application Form

BACHELOR (2 YEARS)

PUNJAB
UNIVERSITY

COMMERCE

29-08-2006

ANNUAL

778

1500

51.87

31. SERVICE RECORD / EXPERIENCE (if required)

POST HELD

DEPARTMENT / OFFICE

STARTING DATE

ENDING DATE

SCALE

ACCOUNTS MANAGER

ACCOUNTS

27/07/2012

20/04/2015

ACCOUNTANT

ACCOUNTS

2/03/2008

31/01/2010

DISCLAIMER: I certify that all information in the Application Form submitted by me is correct and in case any infromation is
found to be incorrect, it will disqualify my candidature. I also certify that I have read all requirements / conditions of this post
along with the General Instructions in this regard.
Date: 16-04-2015

Candidate's Signature:

http://www.ppsc.punjab.gov.pk/(S(ibjnlj4533brain5q2aw4fzu))/UsersReg/ApplicationPrint.aspx

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