_ FPSC _

10/28/13 ::: FPSC :::

online.fpsc.gov.pk/fpsc/css/user/job/applicationhistory.php?a=view&jid=270&userId_d=537842 1/5

Website: www.fpsc.gov.pkEmail: [email protected]: 051-111-000-248Fax: 051-9213386-9203410

FEDERAL PUBLIC SERVICECOMMISSION

Sector F-5/1, Aga KhanRoad,ISLAMABAD

ApplicationForm No

537842

Print Date:28-OCT-13

APPLICATION FORM FOR COMPETITIVE EXAMINATION (CSS) - 2014

For Official Use Only

To be filled by the Candidate

Receiving Stamp of FPSC Application Fee Paid: YESOriginal Treasury Receipt ofRs. 2200Treasury No. 17Treasury Receipt Date 28-OCT-13Bank NameNational Bank ofPakistan SATELLITE TOWNDistrict of Bank BranchRAWALPINDIBank Branch Code NBP 0399

Batch No. Diary No.

Personal Information1) Name: (In capital letters as perMatriculation Certificate):

SYED AHSAN ALI

2) (a) Father's Name: SYED SHAHID ALI 2) (b) Husband's Name (In case of marriedfemale candidates):

3) Date of Birth(As per Matric. Certificate/CE Rules)

10-02-1989

4) CNIC No: 37405-2880980-1

5) (a)Religion Muslimb)If Non-Muslim, whether desired to beexamined in Islamiat

6) (a)Gender Male b) Marital Status Single7) Postal Address HOUSE NO. 170/2, NEW ABBADI NO. 3 TENCH BHATTA, RAWALPINDI,8) Permanent Address HOUSE NO. 170/2, NEW ABBADI NO. 3 TENCH BHATTA, RAWALPINDI,9) Particulars about Spouse/Fiancee:-(a) Age:- b) Nationality (c) Education:- d) Occupation:10) Examination Centre: RAWALPINDI11) (a)Domicile: PUNJAB b) District of Domicile: RAWALPINDI12) (a)Email: [email protected] b)Phone Office: (c)Phone Residence: d)Mobile No.: 0334507388313) Age Relaxation Claimed: Not Claimed (Within Age limit)

Applicant's Signature

Date

14) Education Record

S.No.School/ College/

UniversityLocation

From Date To Date Examination PassedDate of Result

Announccement

Division/Grade/CGPA

Board/University Major Subjects

Distinctionsachieved/Academic

Awards ets.

R/ M/ F

1 RAWALPINDI 01-FEB-04 20-MAR-06 MATRICULATION 10-AUG-06 Div:First science,,

2 RAWALPINDI 20-AUG-06 10-JUL-08 FSC PRE

ENGINEERING 15-AUG-08 Div:First pre engineering,,

3 ISLAMABAD 25-AUG-08 23-JUN-12 BS ENGINEERING 23-JUN-12 CGP:3.01 electronics,, R

15) Extra Curricular Activities/Sports/Hobbies

S.No. From Date To Date Extra Curricular Activities/ Sports/ Hobbies

1

16) Disciplinary Action/ Conviction No

17) Employment Record

S.No. Post and office held Name of Organiztion From To Type Of Organization Basic Scale / Grade

1

18) Languages Information

S.No. Name of Language Read Write Speak Certificate/Diploma. If any

1 URDU Excellent Excellent Excellent

2 ENGLISH Good Good Good

10/28/13 ::: FPSC :::


19) Near Relations Information

S.No. Name of Relative Relationship Post held/ Department Place of duty

1 sabeen shahid sister project manager usaid islamabad

20) Optional Subjects (600 Marks)

Subjects (Code No) Subjects Marks

39 International LAW 100

42Psychology includingExperimental psychology

200

45 Punjabi 100

50 Arabic 200

21) Disability Claimed

Disability Claimed: Not Applicable Helper/Writer/Computer Required?

22) Particulars about Parents

S.No. Parent Age QualificationOccupation/

Designation Present

Occupation/Designation (at time

of your birth)Alive or Dead Annual Income

Other Source ofincome/ supporting

income

1 Mother 55 INTERMEDIATE HOUSEWIFE HOUSEWIFE Alive

2 Father 58 GRADUATION OPTICIANs OPTICIANS Alive 750000 none

23) Brothers/ Sisters Information

S.No. Name Relationship Age Occupation Education

1 syed burhan ali Brother 29 abroad Graduation

2 saboorah shahid Sister 25 HOUSEWIFE Master

3 syed ahsan ali Your-Self 24 student Graduation

4 sabeen shahid Sister 31 goverment Master

5 mehreen shahid Sister 20 student Matric

24) Detail of previous attempt for Competitive Examinations (CSS)

S.No. Year Roll No. Examination Result

1

25) Applicant's Selection of CSS Occupational Groups Priority wise.

Priority No CSS Occupational Group

1 Police Service of Pakistan

Pakistan Administrative Service (erstwhile District

10/28/13 ::: FPSC :::


2Pakistan Administrative Service (erstwhile DistrictManagement Group)

3 Foriegn Service of Pakistan

4 Office Management Group

5 Information Group

6 Pakistan Customs Service

7 Railway (Commercial and Transportation) Group

8 Pakistan Audit and Accounts Service

9 Military Lands & Cantoments Group

10 Inland Revenue Service

11 Commerce and Trade Group

12 Postal Group

26) (a) Previous Experience ofPsychological Test:

No(b) If Yes, Name of Test TakingOrganization:

27) Checklist1) Please confirm if the following documents have been attached with the application form

Yes No

a Original Treasury Receipt for Rs. 2200/-

bRecent 4 Photographs (attested on back side, mentioning nameand father's name)

c Attested copy of Computerized National Identity Card

dAttested copy of Matriculation Certificate showing date of birth,Provisional Certificated/Result Card/Marks Sheet is not acceptable

eAttested copy of Intermediate Certificate. ProvisionalCertificate/Result Card/Marks Sheet is not acceptable

f Attested copy of Degree(s)

g Attested copy of self Domicile Certificate

h Certificate for Buddhist and Scheduled Caste Candidates

iCertificate for Provinical/Federal Tribal Areas candidates and thosebelonging to Gilgit-Baltistan

j Certificate from Kashmir Affairs Division for Azad Kashmir Nationals

k Certificate for Minoritites

l Departmental Permission Certificate (for Government Servants)

mIn case of Ex-Employees of Armed Forces of Pakistan No ObjectionCertificate from relevant authority

nIn case of Disabled candidates, certificate of disability from thecompetent authority

oWhether you have signed the application? (First Page & sixthpage)

2) If additional documents are attached with application form, please attach a separate list:-

3)I have read and understood 'Rules for Competitive Examination' and 'Regulations for PhysicalExamination' before filling this application form and agree to abide by them.

28) Declaration:

I certify that the statements I have made in the application are ture to the best of myknowledge and belief. I understand that if any of the above statement is false in any materialrespect or omits any material information relevant to my previous examinations, service, etc. myapplication is liable to be rejected and if appoineted my appointment is liable to be terminated.

ii) I hereby declare that

I am not in possession of any domicile certificate other than District________________________ as claimed/submitted alongwith the instant application form. Ifurther declare that if I am found in possession of any domicile certificate other than the one

10/28/13 ::: FPSC :::


further declare that if I am found in possession of any domicile certificate other than the onementioned above, my candidature for instant examination may be cancelled/rejected and ifappointed, I will be liable to dismissal from service any time with costs or any other penalty.

iii) I hereby further declare that

a.I have never been involved in any criminal or civil case or prosecuted in any criminal/civil orquasi judicial proceedings involving moral turpitude. If so, please give detailed particulars of theincident with name of police station.

b.I have not been associated with any banned militant, ethnic or terrorist organization at anytime.

c.My parents, in-laws and any of my close relations have not been associated with any bannedterrorist, militant organization.

Applicant's Signature

Place

Date

Roll No.

Name: SYED AHSAN ALI

Address: HOUSE NO. 170/2, NEW ABBADI NO. 3 TENCHBHATTA, RAWALPINDI,

Roll No.



Roll No.



Roll No.



Roll No.



Roll No.



Roll No.



Roll No.



Roll No.



Print Application

10/28/13 ::: FPSC :::


_ FPSC _

Documents

Transcript of _ FPSC _

___ FPSC ___

Documents

Transcript of ___ FPSC ___

_ FPSC _

Transcript of _ FPSC _