Back Print this Form Registration No.

_________________
To be filled by NTS

Government of The Punjab, Punjab School Education

Department (Screening Test)

Application Form No: PSED-1130805-21

1. Test City: KHUSHAB 2. Desired Post: SSE (COMP SCIENCE)

Name : AQSA MARYUM Father's Name : GHULAM MUHAMMAD

38201-7553537-8 Date of Birth : 04/10/1994

C.N.I.C No. :
dd/mm/yyyy

Gender. : FEMALE Are You Married? YES

Applied on Husband
NO
Domicile?
Are you disable? NO

Religion: MUSLIM District of Domicile: KHUSHAB

Postal City: JAUHARABAD Phone (Mobile): 3057163145

Postal Address: HOUSE NO.175-A STREET NO.9 IFTIKHAR TOWN JAUHARABAD DISTRICT KHUSHAB

3. Academic Information:
Year Total Obtained Obtained
Certificate / Degree Level Degree Name Major Subjects University / Board
Passing Marks Marks %age

SSC/O-Level BISE
SSC SCIENCE 2009 1050 877 83.52
(10 Years) SARGODHA

HSSC/A-Level/DAE PRE BISE

F.SC 2011 1100 796 72.36
(12 Years) MEDICAL SARGODHA

Bachelor UNIVERSITY OF
B.COM COMMERCE 2013 1500 1044 69.6
(14 Years) SARGODHA

Bachelor/Master MA
COMPUTER
2015 4 2.4 60 PUCIT
(16 Years) SCIENCE
Additional Master
0 0 0
Degree
(16 Years)

Other
0 0 0
Certificate/Diploma

Are You Government, Semi-Government or Contract Employees and Applying Through Proper Channel? NO
Are You EX, Defence Forces Officer/Personnel?
 Undertaking By The Applicant:

I_____________________________ d/s/w of _________________________do hereby solemnly affirm

that I have read and understood the conditions for appearing in the NTS Test and that I have filled the
form as per instructions given above and in the event any information contained herein is found to be
untrue, I shall be liable to disciplinary action which may result in cancellation of my test.

Date: _________________ Signature of the Candidate: __________________

Provide 2 recent photograph,
to be pasted in photograph
column

Attach Original deposit slip (NTS copy), Two passport size "photographs" & Copy of CNIC

By hand submission of application form is not allowed. Mobile phones are not allowed in Test Center premises.

Help line: Send Application Form:

+92-51-844-444-1 (PSED Project) National Testing Service
Website. www.nts.org.pk Plot # 96, Street # 4, H-8/1, Islamabad

Deposit Id : PSED-1130805-21_ Deposit Date : ____________________ Deposit Id : PSED-1130805-21_ Deposit Date : ____________________

Branch Name : __________________________________________ Bank Code : _________________ Branch Name : __________________________________________ Bank Code : _________________

* Note: Desired Bank Stamp is required on the Deposit Slip & Send Original * Note for Bank Staff:
Deposit Slip (NTS Copy) along Application Form to NTS Office. Please enter Deposit Id for reconciliation at NTS end.
Application Form will not be entertained without Original Deposit Slip
(NTS Copy)

Project ID : P-17-2699 Project ID : P-17-2699

Applicant's Applicant's
Name : AQSA MARYUM Name : AQSA MARYUM
Father's Father's
Name : GHULAM MUHAMMAD Name : GHULAM MUHAMMAD
CNIC No. / CNIC No. /
B. Form No. : 38201-7553537-8 B. Form No. : 38201-7553537-8

Post : SSE (COMP SCIENCE) Post : SSE (COMP SCIENCE)

Test Fee: Rs. 410 + 65(16% GST) = 475 Test Fee: Rs. 410 + 65(16% GST) = 475

Amount 475/- Amount in Four Hundred & Seventy Five Rupees Only Amount 475/- Amount in Four Hundred & Seventy Five Rupees Only
Rs: Words: Rs. Rs: Words: Rs.
Non Refundable / Non Transferable Non Refundable / Non Transferable

__________ __________ __________ __________ __________ __________

Applicant Signature Cashier Officer Applicant Signature Cashier Officer