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PPSC­4

PUNJAB PUBLIC SERVICE COMMISSION
Application Number:

25900395
1.Post Applied For: SUBJECT SPECIALIST(PHYSICAL EDUCATION)

2.Department: LABOUR & HUMAN RESOURCE DEPARTMENT (PUNJAB WORKER'S WELFARE BOARD)

3.Advertisement Number: 33/2018

4.Case Number: 18M2018

5.Bank Receipt Date: 26­11­2018

6.Amount: Rs 600/­

7.Bank Name/Receipt No: NBP /4

7(a) Branch Name: MITHA TIWANA BRANCH , KHUSHAB

8.Candidate's Name: ADEEL RAZA SHAH
9.Father's Name: SYED WILAYAT HUSSAIN
10.Postal Address: HOUSE NO 17­R/3, SATELLITE TOWN NO 1 JAUHARABAD

11.Gender: MALE 12.Religion MUSLIM

13.CNIC NO: 3820155945831 13(a).CNIC Expiry Date: 22­04­2024

14.Marital Status: MARRIED 14(a). Spouse Name: SYEDA RAELAH RAZA

15.DOB: 06­07­1983 16.Age ( on Closing Date): 35 Year(s) 4 Month(s) ­ 20 Day(s)

17.Phone No: 454721472 18.Mobile Number: 03334906002

19.E­mail: adeel­raza@live.com

20.Domicile: KHUSHAB 20(a).Domicile Issue Date: 24­12­2010

21.Special Person? NO

(a).Type of Disability: NO (b).Examination Mode (If Blind): NO

(c).Disability Certificate Ref. No. NA (d).Disability Certificate Issue Date: NA

22.Government Employee? NO

(a).Type of Service NA (b).PPSC Employee NO

(c).Date of Joining NA (d).Length of Service NA

(e).Obtained NOC From Employer? NO

23.Retired / Released Armed Forces
NO
Person?

0 Year (s) 0 Month (s)
(a).Length of Service (b). Convicted by Court Martial? NO
0 Day (s)

24.Near relative working in PPSC? NO

(a).Name of Relative NA (b). Designation/Relation NA

25.Ever Dismissed / Removed from
NO 25(a).Dismissed / Removed ? ­
Government/Autonomous body ?

(c).If yes, produce Notification /
Detail of Charges from
(b).Reason of Removal/Dismissal ­
concerned Department at the
time of interview, if called for

26.Do you Claim Additional Marks as
an Unemployed Child of a Punjab
Unemployed Child  of a Punjab
NO 26(a).Father / Mother CNIC No: NIL
Government Servant who was
Incapacitated or Died while in
Service?

27.Ever been Convicted by a Court in 27(a).If Yes, Produce Detail at the
NO
Pakistan? Time of Interview, if Called for

28.Are you Facing any Criminal Trial in 28(a).If Yes, Produce Detail at the
NO
any Court of Pakistan? Time of Interview, if Called for

29.PMDC / PNC / OEC / PCATP / PBC
29(a).Registration Expiry Date:
NO :

30.Medical Certificate Issue Date:

31.W r i t t e n   T e s t   /   E x a m i n a t i o n   / 32.No. of Chances Availed for this
RAWALPINDI 0
Interview Centre: Post:

33.P hysical Standard (For Uniform
Posts Only):
(a).Height

(b).Chest Normal (c).Chest Expanded

(d).Distant Vision Left (e).Distant Vision Right

(f).Near Vision Left (g).Near Vision Right

34.Academic Qualifications:

BOARD / RESULT EXAMINATION OBTAINED TOTAL %AGE /


CERTIFICATE/DEGREE SUBJECTS
UNIVERSITY DECLARED ON SYSTEM MARKS MARKS GRADE
MATRICULATION B.I.S.E SARGODHA sciences 13­06­1999 ANNUAL 615 850 72.35
pre
INTERMEDIATE B.I.S.E SARGODHA 29­09­2001 ANNUAL 647 1100 58.82
engineering
UNIVERSITY OF
BACHELOR arts 12­08­2012 ANNUAL 402 860 46.74
SARGODA
M.A. PHYSICAL UNIVERSITY OF sports
16­11­2018 ANNUAL 722 1000 72.20
EDUCATION SARGODA sciences
UNIVERSITY OF
B.ED. education 11­08­2013 ANNUAL 421 800 52.63
SARGODA

35.Service Record (if required)

POST HELD DEPARTMENT / OFFICE STARTING DATE ENDING DATE SCALE


Jauhar College Of Education &
Vice Principal 01­10­2012 26­11­2018 0
Sports Sciences Jauh

DISCLAIMER: I certify that all information in the Application Form submitted by me is correct and in case any information 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: 26­11­2018 Candidate's Signature: ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­