PPSC­4

PUNJAB PUBLIC SERVICE COMMISSION

Application Number:

38402521
1.Post Applied For: FOOD GRAINS SUPERVISOR (SARGODHA)

2.Department: FOOD DEPARTMENT

3.Advertisement Number: 22/2022

4.Case Number: 30J2022

5.Fee Deposit Date: 25­09­2022

6.Amount: Rs. 600/­

TELENOR MICROFINANCE BANK
7.Bank Name/PSID No:
/ 40382209256846237

8.Candidate's Name: USAMA SHAMSHAD

9.Father's Name: SHAMSHAD ALI

10.Postal Address: HOUSE NO 272 MOHALLAH HAFIZ ISLAM DIN KALLUR KOT DISTT BHAKKAR

11.Gender: MALE 12.Religion MUSLIM

13(a).C N I C E x p i r y
13.CNIC NO: 3810343983645 11­02­2032
Date:

14.Marital Status: SINGLE 14(a). Spouse Name:

16.A g e ( O n C l o s i n g Age: 19 year(s), 3 Month(s), 1

15.DOB: 15­09­2003
Date): Day(s)

17.Phone No: 3060489842 18.Mobile Number: 03060489842

19.E­mail: usamashamshad43983645@gmail.com

20(a).Domicile Issue
20.Domicile: BHAKKAR 24­01­2022
Date:

21.Special Person? NO

(a).Type of Disability: NA (b).Examination Mode: NA

(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?

(a).Length of Service NA (b). Convicted by Court Martial? NA

24.Near relative working in PPSC? NO

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

25.E v e r D i s m i s s e d / R e m o v e d / 25(a).D i s m i s s e d / R e m o v e d /
Discharged from Government / Discharged ?
Autonomous body ? NO NA

(c).If yes, produce Notification /

(b).Reason of Removal / Dismissal / Detail of Charges from
NA
Discharge concerned Department at the
time of interview, if called for

26.Do you claim additional marks as

an unemployed child of a Punjab
Government servant who was NO 26(a).Father / Mother CNIC No: NA
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

NA 29(a).Registration Expiry Date: NA
NO :

30.Medical Certificate Issue Date: NA

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

SARGODHA 0
Interview Centre: Post:
33.Physical Standard:

(a).Height NA

(b).Chest Normal NA (c).Chest Expanded NA

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

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

34.Academic Qualifications:

BOARD / RESULT EXAMINATION OBTAINED TOTAL %AGE /

CERTIFICATE/DEGREE SUBJECTS
UNIVERSITY DECLARED ON SYSTEM MARKS MARKS GRADE
B.I.S.E bio, phy,
MATRICULATION 16­10­2021 ANNUAL 524 1100 47.64
SARGODHA chm

35.Service Record (if required)

POST HELD DEPARTMENT / OFFICE STARTING DATE ENDING DATE SCALE

36.Vaccination Status : Fully Vaccinated 36(a).Certificate Number: PG7423782407

36(b).Reason for Exemption

NA
from Vaccination:

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: 25­09­2022 Candidate's Signature: ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­