FEDERAL PUBLIC SERVICE COMMISSION

Aga Khan Road, Sector F-5/1, ISLAMABAD

Application Form No.
Website: www.fpsc.gov.pk APPLICATION FORM
E-mail: [email protected] FOR RECRUITMENT TO BS-16 & ABOVE POSTS
Fax: 051-9213386-9203410
To be filled by the candidate
For Official Use only Paste
Application Fee (Original Treasury Receipt) No….. ….….
Receiving Stamp FPSC HQ/Provincial/Regional Office Photograph
date……….……………….For Rs.……………………… for
Name of Bank Branch Code……………………………... (female candidates
also)
Tehsil/ District (Bank Branch Located)…………………..

For Official Use Only

Batch No. Diary No.

_____________________________________________________________________________________________________________________
Case No.
Consolidated Advt. No.
Category (If applicable) W
W W / 2 0 W W F.4- W W W / 2 0 W W -R Subject W
W
Name of Post Applied for:………………………………………………………… ………………………….……. B.S W W
W
Ministry/Division/Department …………………………………………………………………………………………………………………………………….
1) Name: (Write in capital letters with spelling as per Matriculation Certificate)

W W W W W W W W W W W
2) Father’s Name/Husband’s Name (For female married candidates)

W W W W W W W W W W W W W W W W W W
3) d d m m y y y y Exact age on d d m m y y
Date of Birth (exact as per Closing Date
Matric certificate) W W W W W W W W W W W W W W

4) Computerized (NADRA) National Identity Card (CNIC) No. of Applicant W W W W W - W W W W W W W - W

5) Encircle the relevant Code: a) Gender Male M b) Religion Muslim M
Female F Non-Muslim NM

6) Self Domicile: (Encircle the relevant Code of your domicile). W

District of Domicile: …………………………………
Khyber
Sindh Sindh Punjab Azad Gilgit Baltistan
Domicile Balochistan Pakhtunkhwa
(Rural) (Urban) (Including ICT) Kashmir (GB)
FATA
(KP)

Code 10 20 30 31 40 60 61 90

7) Encircle the relevant Code separately for Test and Interview Centre.
Test Centre D.I.Khan Gilgit Islamabad Karachi Lahore Multan Peshawar Quetta Sukkur

Code D G I K L M P Q S

Interview Centre Islamabad Karachi Lahore Peshawar Quetta

Code I K L P Q

8) Encircle the relevant Code in case of Age Relaxation:

Not Govt. Servant Armed Forces Gilgit Recognized Widow, son or daughter
Age Released/ Retired Scheduled Buddhist Azad Tribes of
claimed including Baltistan of a deceased civil
Relaxation Commissioned Caste Community Kashmir Tribal
(Within serving in (GB) servant who died
age limit) Armed Forces Officer/ Personnel Areas during service.

CODE 00 01 02 03 04 05 06 07 08
W
9) (a) Present Postal Address: (IN CAPITAL LETTERS): ________________________________________________________

W
____________________________________________________________________________________ District___________________

W
(b) Permanent/Alternate Address__________________________________________________________________________

W
____________________________________________________________________________________District___________________
10) Contact Nos:
Contact Phone
Nos. with City
Office W W W W W W W W W W
Code Residence W W W W W W W W W W
Please write
all Nos. Cell No. W W W W W W W W W W W Applicant’s Signature
Fax No. W W W W W W W W W W Date W
E-Mail Address W
 - 2 -

11). ACADEMIC QUALIFICATIONS:

Do you possess the minimum educational qualification as mentioned in the advertisement as on the closing Date? Yes No

Sr. Advertised Result Declaration Date

CGPA/ Div/
No. (Certificate issued only by the Controller of Board/ University Principal Subjects
Minimum

Obtained
%age of
Examination of Board/University will be
Qualification and

Grade

Marks
accepted)
higher
Day Month Year
1 Matriculation W W W W W W W W

2 Intermediate W W W W W W W W

3 W W W W W W W W W

4 W

12) COURSES/TRAINING (Certificate, Diploma, Post-Graduate Diploma, on job training etc.)

STARTING DATE ENDING DATE Nature of

GRADE

Weeks
Sr. NAME OF INSTITUTION & Day Month Year Day Month Year Training
No. COURSE LOCATION Intern On
ee Job

13) RESEARCH/PUBLICATIONS/PAPERS/ARTICLES:
Mark ‘R’ in the last column of the research report/paper/article/publication, if required in the advertisement.

Sl. Journal/Conferences Publication Date

No. Title (In case of paper/article)
Publisher
Day Month Year
R

3
4

14) Do you fall in the category of a disabled candidate? If yes, then encircle the relevant Code:

DISABILITY Visual impaired (Blind) Physically Impaired Hearing/Speech impaired

(deaf & dumb)
CODE V P H
If you need any assistance for attempting the
Computer

Computer

Computer
Recorder

Recorder

Recorder

question paper in the examination/ test, then

Braille
Writer

Writer

Writer
Audio

Audio

Audio

Mark the relevant Box

Code W C AR B W C AR W C AR
 15) EXPERIENCE: (i) Start from first employment in ascending order (ii) Do you possess relevant Post-Qualification experience for the post as mentioned in the advertisement. Experience (each) claimed here must be authenticated
by providing experience certificate/valid proof of that period with exact dates, job description/specification issued by the Competent Authority.

PERIOD STATUS NATURE OF JOB

Sl NAME OF THE BS ORGANIZATION/
No POST MINISTRY/DIVISION/ From To TOTAL PERIOD

Fed. Govt.

Semi Govt.
Armed Forces

Daily Wages
Prov. Govt.

Permanent
(Write to-date if you are still in service)

Temporary

Apprentice
DEPARTMENT MAIN DUTIES

Officiating

Part Time
Honorary
Contract
Private

Adhoc
PERFORMED

Day Month Year Day Month Year Year Month Day

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

4
-3-

10

Attach additional sheet if required on the same pattern.

Attach additional sheet if required on the same pattern.

 - 4 -

16) Check List:

Have you filled/attached attested copies of all required documents as per following sequence?
Yes / No

1. Correct Case No. / Name of post/Department as per Advertisement.

2. Original Treasury Challan with application form.
3. Latest Three (3) Photographs Mentioning your name on backside.
4. Copy of Computerized National Identity Card (CNIC).
5. Copy of Matric/Secondary School Certificate (Proof of Age).
6. Copy of required Degrees/Diplomas/Certificates.
7. Proof of Post-Qualification experience.
8. Copy of self Domicile Certificate.
9. Departmental Permission Certificate (For Govt. Servants)
10. In Case of Disabled Candidates, certificate of Disability from the Competent Authority.

17) Declaration (i): I hereby solemnly declare that I am not in possession of any domicile certificate other than District _______________________
claimed / submitted alongwith this application form for the instant case. I further declare that if I am found in possession of any
domicile certificate other than the one mentioned above, I will be liable to dismissal from service any time with costs or any other
penalty.

Declaration (ii): I certify that the statements made by me in the answers to the foregoing questions 1-17 are true, complete and correct to the best of my
knowledge and belief. Submission of fake/forged documents and any misrepresentation or omission discovered even after appointment
may render my appointment liable to termination in addition to the action decided by the Commission. I have also carefully read the
General Instructions to the candidates and I am bound by the terms and conditions contained therein.

Note:- Attested copies of all the documents should be attached in above order and numbered in continuation of page number of Application Form.

Applicant’s Signature
Date