Government of Pakistan

FEDERAL PUBLIC SERVICE COMMISSION

Website: www.fpsc.gov.pk
Aga Khan road, F-5/1, Islamabad Tracking ID
Email: [email protected]
810870
Fax: 051-9213386-9203410
UAN: 051-111-000-248
ONLINE APPLICATION FOR
COMPETITIVE EXAMINATION (CSS) - 2019 Date Applied
12-DEC-18

Important Note: Signed printout of this online application form along with all required documents must
be despatched so as to reach FPSC HQs Islamabad within ten (10) days of your online application
submission date. Otherwise your candidature will be rejected.

Receiving Stamp T.R. removed for Rs.

Batch
  Diary No.  
No.
 

Roll No.

1) Name (In capital letters as per Matriculation MUHAMMAD SAAD BIN UBAID
Certificate):
2) Father's Name: MUHAMMAD UBAID MASOOD

3) Husband's Name (in case of married female

candidates):
3) Date of Birth (As per Matriculation Certificate): 22-08-1995
4) CNIC Number: 33202-5403250-3
5a) Religion: MUSLIM
Whether Non Muslim desires to be examined in
5b) Islamic Studies or Comparative Study of Major
Religions:
6a) Gender: MALE
6b) Marital Status: SINGLE
7) Postal Address: 130-B ASKARI 5 KALMA CHOWK LAHORE
8) Permanent Address: 130-B ASKARI 5 KALMA CHOWK LAHORE
9) Particulars about Spouse/Fiancee:  
a) Nationality: b) Age:
c) Education: d) Occupation:
e) Designation:
10) Examination Centre: ISLAMABAD
11a) Domicile: PUNJAB
11b) District of Domicile: LAHORE
12a) E-mail: [email protected] b) Ph.Office:
c) Mobile: 0324-5509075 d) Ph.Res: 03245509074
13) Age Relaxation Claimed?: RELAXATION NOT CLAIMED (WITHIN AGE LIMITS)

Applicant's Signature
Date
 -2-
14) Education Record:
S. School/ College/ Medium Grade/ R/
of Date of Result Name of Exam Distinctio M/
N University & From To Announceme Div/ Board/ University Major Subjects
o. Location Instructi nt Passed CGPA n F
on
CONTROL,
BACHELOR OF ENGINEERING PRESIDEN
1 NUST ENGLISH 22-SEP-13 15-JUL-17 05-AUG-17 MECHATRONICS 3.99 NUST DESIGN, T GOLD R
ENGINEERING ENGINEERING MEDAL
MANAGEMENT
2

15) Extra Activities:

S. From To Extra Curricular Activities/ Sports/ Hobbies
No.
1 01-JUL-15 01-SEP-16 VICE PRESIDENT NERC

16) Disciplinary Action/ Conviction: NO

 -3-
17) Employment Record:
S. From Type of
Post and Office held Name of Organization To Date Nature BS
No. Date Organization
1 MECHATRONICS DESIGN ENGINEER NUSTPRIVATE 15-JUL-17 18-OCT-17 SEMI GOVT. TEMPORARY 17

18) Languages (A=Excellent B=Good C=Fair):

S. Name of Language Read Write Speak Certificate/ Diploma, if any
No.
1 ENGLISH A A A

2 PUNJABI B C C

3 URDU A A A

19) Full particulars of Near Relations:

S. Name of Relatives Relationship Post held/ Department Place of Duty
No.
1 MUHAMMAD UBAID MASOOD FATHER LT COL/ARMY PAKISTAN

Optional Subjects (600 Marks):

20) Candidates will be responsible for any error in the selection of subjects marked by them as wrong selection/combination of subjects will lead to
rejection under the Rules. Combination of optional subjects once chosen at the time of submission of online application shall not be allowed to
change subsequently. Change of optional subjects in hard copy of online form is also not allowed.

S. Subject
Subject Marks
No. Code
1 15 International Relations 200
2 30 History of USA 100
3 32 Environmental Sciences 100
4 40 International Law 100
5 48 Sociology 100
 -4-
21a) Whether Disabled?: NO
21b) Assistance Required?: NO

22) Particulars about Parents:

S. Occupation/ Occupation/ Parent Annual Any other source of income/
No. Parent Age Qualification Designation Designation (at Alive or Income supporting income
present time of your birth) Dead
CHIEF SECURITY
1 FATHER 49 GRADUATION OFFICER PUNJAB ARMY OFFICER ALIVE 1200000
UNIVERSITY

2 MOTHER 42 INTERMEDIATE HOUSE WIFE HOUSE WIFE ALIVE

23) Brothers/ Sisters:

S. B, S, SB, SS OR X Age Occupation Education
No.
1 SISTER 10 STUDENT UNDERMATRIC

2 SISTER 22 STUDENT INTERMEDIATE

3 BROTHER 18 STUDENT INTERMEDIATE

4 YOUR-SELF 23 GRADUATION

10

24) Detail of any previous attempt for Competitive Examination (CSS):

S. Year Roll No. Examination Result Group
No.

 
 -5-
25) Occupational Groups:
Order of
Occupational Groups/ Services
Preference
1 Pakistan Administrative Service
2 Police Service of Pakistan
3 Foreign Service of Pakistan
4 Pakistan Customs Service
5 Inland Revenue Service
6 Pakistan Audit and Accounts Service
7 Military Lands & Cantonments Group
8 Information Group
9 Commerce and Trade Group
10 Office Management Group
11 Railways (Commercial and Transportation) Group
12 Postal Group

Previous experience of Psychological

26a) NO
Test:
 -6-
27) Check List: Please confirm that the following documents have been attached
with the application form: Yes / No
1. All documents attached with the form must be numbered in continuation with the page number
of the application form in following sequence:-
a Original Treasury Receipt for Rs.2200 Dated: 12-DEC-18, Fee deposited in NBP Branch Name National Bank of Pakistan  
Bank(Branch Code): 2168 City/District: ISLAMABAD
b Recent 4 Photographs (attested on back side, mentioning name and father's name).  

c Attested copy of Computerized National Identity Card.  

d Attested copy of Matriculation Certificate showing date of birth. Provisional Certificate/ Result Card/ Marks Sheet is not  
acceptable.

e Attested copy of Intermediate Certificate. Provisional Certificate/ 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. (Annex-A)  

i Certificate for Provincial/ Federal Tribal Areas candidates and those belonging to Gilgit-Baltistan. (Annex-B)  

j Certificate from Kashmir Affairs Division for Azad Kashmir Nationals. (Annex-C)  

k Certificate for Minorities. (Annex-D)  

l Departmental Permission Certificate (Annex-E) (for Government Servants).  

m In case of Ex-Employees of Armed Forces of Pakistan No Objection Certificate from relevant authority.  

n In case of Disabled candidates, certificate of disability from the competent authority.  

o Whether you have signed the application (first and this page)?  

2. If additional documents are attached with application form, please attach a separate list:-
28) Declaration:
I certify that the statements I have made in this application are true to the best of my knowledge and belief. I understand that if any of the above
(i) statements is false in any material respect or omits any material information relevant to my previous examinations, service etc. my application is
liable to be rejected and if appointed my appointment is liable to be terminated.
(ii) I hereby declare that I am not in possession of any domicile certificate other thatn District LAHORE as claimed/submitted alongwith the instant
application form. I further declare that if I am found in possession of any domicile certificate other than the one mentioned above, my
candidature for instant examination may be cancelled/rejected and if appointed, 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 or quasi judicial proceedings involving moral
turpitude. If so, please give detailed particulars of the incident with name of police station.
b. I have not been associated with any banned militant, ethnic or terrorist organization at any time.
c. My parents, in-laws and any of my close relations have not been associated with any banned terrorist, militant organization.
d. I have read and understood "Rules for Competitive Examination", and 'Regulations for Physical Examination' before filling this application form
and agree to abide by them.

Place:__________________________________  

Date:__________________________________ Signature of Applicant

 -7-

Roll No.                                                                        /2019-CSS Roll No.                                                                        /2019-CSS

Name: MUHAMMAD SAAD BIN UBAID Name: MUHAMMAD SAAD BIN UBAID

 
Address: 130-B ASKARI 5 KALMA CHOWK LAHORE Address: 130-B ASKARI 5 KALMA CHOWK LAHORE

District: District:

Roll No.                                                                        /2019-CSS Roll No.                                                                        /2019-CSS

Name: MUHAMMAD SAAD BIN UBAID Name: MUHAMMAD SAAD BIN UBAID

 
Address: 130-B ASKARI 5 KALMA CHOWK LAHORE Address: 130-B ASKARI 5 KALMA CHOWK LAHORE

District: District:

Roll No.                                                                        /2019-CSS Roll No.                                                                        /2019-CSS

Name: MUHAMMAD SAAD BIN UBAID Name: MUHAMMAD SAAD BIN UBAID

 
Address: 130-B ASKARI 5 KALMA CHOWK LAHORE Address: 130-B ASKARI 5 KALMA CHOWK LAHORE

District: District:

..............................................................................................

Acknowledgement Receipt

Received Application Form No. ________________________ of Competitive Examination, 2019 of

Mr./Miss/Mrs. MUHAMMAD SAAD BIN UBAID

Signature and Official Stamp

(with date) F.P.S.C.