PPSC Form

PPSC4
PUNJAB PUBLIC SERVICE COMMISSION

Application Number:
87610995
1.Post Applied For: WOMEN MEDICAL OFFICER
2.Department: PRIMARY & SECONDARY HEALTHCARE DEPARTMENT
3.Advertisement Number: 15/2023
4.Case Number: 12D2023
5.Fee Deposit Date: 28092023
6.Amount: Rs. 600/

MUSLIM COMMERCIAL BANK /
7.Bank Name/PSID No:
40382309288384429
8.Candidate's Name: MARYAM BASHIR

9.Father's Name: BASHIR AHMAD KHERANI
HOUSE NO KK429, RAJA ILYAS TOWN, NEAR ALKOUSAR MOSQUE, HAROON CHOWK, KURREE
10.Postal Address:
ROAD, RAWALPINDI
11.Gender: FEMALE 12.Religion MUSLIM
13.CNIC NO: 3740530651386 13(a).CNIC Expiry Date: 17092032
14.Marital Status: SINGLE 14(a). Spouse Name:
16.A g e ( O n C l o s i n g Age: 29 year(s), 5 Month(s), 26

15.DOB: 07041994
Date): Day(s)
17.Phone No: 3335260794 18.Mobile Number: 03495153570
19.Email: mairakhan37405@gmail.com
20(a).D o m i c i l e I s s u e
20.Domicile: RAWALPINDI 18052012
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

75193701M 29(a).Registration Expiry Date: 24052025
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

RAWALPINDI 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:
RESULT
EXAMINATION OBTAINED TOTAL %AGE /
CERTIFICATE/DEGREE BOARD / UNIVERSITY SUBJECTS DECLARED
SYSTEM MARKS MARKS GRADE
ON
MATRICULATION B.I.S.E RAWALPINDI biology chemistry physics 04082010 ANNUAL 975 1050 92.86
INTERMEDIATE FEDERAL BOARD pre medical 27082013 ANNUAL 916 1100 83.27
MBBS FIRST FOUNDATION
anatomy physiology
PROFESSIONAL UNIVERSITY MEDICAL 29012018 ANNUAL 344 600 57.33
biochemistry
(PART1) COLLEGE
MBBS FIRST FOUNDATION
anatomy physiology
PROFESSIONAL UNIVERSITY MEDICAL 25022019 ANNUAL 332 600 55.33
biochemistry
(PART2) COLLEGE
FOUNDATION pharmacology and
MBBS SECOND
UNIVERSITY MEDICAL toxicology, pathology, 07052020 ANNUAL 493 900 54.78
PROFESSIONAL
COLLEGE microbiology
FOUNDATION
MBBS THIRD community medicine, ent,
UNIVERSITY MEDICAL 30062021 ANNUAL 633 900 70.33
PROFESSIONAL eye, forensic medicine
COLLEGE
FOUNDATION
MBBS FINAL medicine, surgery, gynae
UNIVERSITY MEDICAL 08042022 ANNUAL 1103 1800 61.28
PROFESSIONAL obs, paediatrics
COLLEGE
FOUNDATION
MBBS UNIVERSITY MEDICAL 2905/4800 03062022 ANNUAL 2905 4800 60.52
COLLEGE
35.Service Record (if required)
POST HELD DEPARTMENT / OFFICE STARTING DATE ENDING DATE SCALE

House Officer Fauji Foundation Hospital 19042022 20042023 0
36.Vaccination Status : Fully Vaccinated 36(a).Certificate Number: EP2039786464
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: 01102023 Candidate's Signature:

PPSC Form

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

PPSC Form

Uploaded by

Copyright:

Available Formats

PPSC­4

PUNJAB PUBLIC SERVICE COMMISSION

2.Department: PRIMARY & SECONDARY HEALTHCARE DEPARTMENT

3.Advertisement Number: 15/2023

4.Case Number: 12D2023

5.Fee Deposit Date: 28­09­2023

6.Amount: Rs. 600/­

8.Candidate's Name: MARYAM BASHIR

11.Gender: FEMALE 12.Religion MUSLIM

13.CNIC NO: 3740530651386 13(a).CNIC Expiry Date: 17­09­2032

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

16.A g e ( O n C l o s i n g Age: 29 year(s), 5 Month(s), 26

17.Phone No: 3335260794 18.Mobile Number: 03495153570

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

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

(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

(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

(c).If yes, produce Notification /

26.Do you claim additional marks as

27.Ever been Convicted by a Court in 27(a).If Yes, Produce Detail at the

29.PMDC / PNC / OEC / PCATP / PBC

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

(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

35.Service Record (if required)

POST HELD DEPARTMENT / OFFICE STARTING DATE ENDING DATE SCALE

36.Vaccination Status : Fully Vaccinated 36(a).Certificate Number: EP2039786464

36(b).Reason for Exemption

Date: 01­10­2023 Candidate's Signature: ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­

You might also like

PPSC4

5.Fee Deposit Date: 28092023

6.Amount: Rs. 600/

13.CNIC NO: 3740530651386 13(a).CNIC Expiry Date: 17092032

Date: 01102023 Candidate's Signature: