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Application Form

The document is an application form for the position of Assistant at the Punjab Public Service Commission, submitted by Mudassir Qayyum. It includes personal details such as name, address, education, and application specifics like advertisement number and bank receipt information. The application was submitted on March 22, 2018, with a fee of Rs 600.

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0% found this document useful (0 votes)
3 views2 pages

Application Form

The document is an application form for the position of Assistant at the Punjab Public Service Commission, submitted by Mudassir Qayyum. It includes personal details such as name, address, education, and application specifics like advertisement number and bank receipt information. The application was submitted on March 22, 2018, with a fee of Rs 600.

Uploaded by

PakJob Seekers
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

PPSC-4

PUNJAB PUBLIC SERVICE COMMISSION

Application Number:

87009452
[Link] Applied For: ASSISTANT

[Link] Number: 06/2018

[Link] Number: 5E2018

[Link] Receipt Date: 22-03-2018

[Link]: Rs 600/-

[Link] Name/Receipt Number: NBP /1

6(i) Branch Name: JHAWARIAN DISTRICT SARGODHA , SARGODHA


[Link]'s Name: MUDASSIR QAYYUM
[Link]'s Name: ABDUL QAYYUM
[Link] Address: VILLAGE CHAK MUSA POST OFFICE JHAWARIAN TEHSIL SHAHPUR DISTRICT SARGODHA
[Link]: MALE [Link] NO: 3840421247069 11(i).CNIC Expiry Date: 30-11-2022
[Link]: MUSLIM [Link] Status: SINGLE 13(i). Spouse Name:
[Link]: 02-10-1992 [Link] ( on Closing Date): 25 Year(s) 5 Month(s) - 25 Day(s)

[Link] No: 92 [Link] Number: 03407616458 18.E-mail: onlynbhatti@[Link]


[Link]: SARGODHA 19(i).Domicile Issue Date: 30-08-2008
[Link] you Claim to be a Disabled Person? NO
a. If Yes, then Type of Disability: NO
b. If Blind, then Examination Mode: NO
c. Disable Certificate Ref. No. NA
d. Disable Certificate Issue Date: NA
21. Government Employee? NO
a. If Yes, then Type of Service NA
b. PPSC Employee NO
c. Date of Joining NA
d. Length of Service NA
e. Obtained NOC From Employer? NO
22. Retired / Released Armed Forces Person? NO
a. If Yes, then Length of Service 0 Year (s) 0 Month (s) 0 Day (s)
b. Convicted by Court Martial? NO
[Link] Dismissed from Government / Autonomous body ? NO
a. If Yes, Produce Original Certified Documents from Concerned Departments at
the Time of Interview , if Called for
24. Do you Claim Additional Marks as an Unemployed Child of a Punjab
Unemployed Child of a Punjab Government Servant who was Incapacitated or Died NO 24(i). Father / Mother CNIC No: 0
while in Service?
25(i). If Yes, Produce Detail at the Time of Interview, if Called
25. Ever been Convicted by a Court in Pakistan? NO
for
26(i) If Yes, Produce Detail at the Time of Interview, if Called
26. Are you Facing any Criminal Trial in any Court of Pakistan? NO
for
[Link] / PNC / OEC / 27(i). Registration 28. Medical Certificate Issue
PCATP / PBC NO : Expiry Date: Date:
29. Written Test / Examination / Interview Centre: SARGODHA 30. No. of Chances Availed for this Post: 0
31. Physical Standard (For Uniform Posts Only):
Height
Chest Normal Expanded
Vision Distant Vision Left: Distant Vision Right: Near Vision Left: Near Vision Right:
32. Academic Qualifications:

RESULT
BOARD / EXAMINATION OBTAINED TOTAL %AGE /
CERTIFICATE/DEGREE SUBJECTS DECLARED
UNIVERSITY SYSTEM MARKS MARKS GRADE
ON
B.I.S.E
MATRICULATION SCIENCE 01-08-2008 ANNUAL 633 850 74.47
SARGODHA
INTERMEDIATE P.B.T.E. ELECTRICAL 24-02-2012 ANNUAL 2402 3550 67.66
UNIVERSITY OF
BACHELOR ARTS 27-08-2014 ANNUAL 430 800 53.75
SARGODA

33. Service Record (if required)

POST HELD DEPARTMENT / OFFICE STARTING DATE ENDING DATE SCALE

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: 22-03-2018 Candidate's Signature: --------------------------------------------

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