Government of Pakistan

FEDERAL PUBLIC SERVICE COMMISSION

Website: www.fpsc.gov.pk
Aga Khan road, F-5/1, Islamabad Tracking ID
Email: [email protected]
1458630
Fax: 051-9213386-9203410
UAN: 051-111-000-248
ONLINE APPLICATION FOR
Date Applied
SPECIAL CSS CE (Written Exam)
04-AUG-23

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. 030135

Name (In capital letters as per Matriculation

1) INAMULLAH
Certificate):
2) Father's Name: ABDUL WAHAB
Husband's Name (in case of married female
3)
candidates):
3) Date of Birth (As per Matriculation Certificate): 01-01-1992
4) CNIC Number: 45501-1274307-7
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: OFFICE OF RESIDENT ENGR 132KV GRID STATION MODEL TOWN K BLOCK LAHORE
8) Permanent Address: SIMAIR HOUSE, NEAR CITY COURT PANO AKIL, DISTRICT SUKKUR SINDH PAK
9) Particulars about Spouse/Fiancee:
a) Nationality: b) Age:
c) Education: d) Occupation:
e) Designation:
10) Examination Centre: LAHORE
11a) Self Domicile: District of
SINDH RURAL b) SUKKUR
Domicile:
c) Date of Issuance of Domicile 26-06-2009
12a) E-mail: [email protected] b) Ph.Office:
c) Mobile: 0307-3621077 d) Ph.Res:

Applicant's Signature
(Please DO NOT Fold/Tear/Write anyting on the QR Code)
Date
 -2-
14) Education Record:
Medium
S. School/ College/ Date of Result Grade/ R/
of Name of Exam Distinctio
N University & From To Announceme Div/ Board/ University Major Subjects M/
Instructi nt Passed n
o. Location CGPA F
on
PHYSICS,
31-MAY-
1 SUKKUR SINDH ENGLISH 16-AUG-05 18-JUL-07 SSC A BISE SUKKUR CHEMISTRY , R
07
MATHEMATICS
PHYSICS,
29-MAY-
2 SUKKUR SINDH ENGLISH 16-AUG-07 22-JUL-09 HSSC A BISE SUKKUR SINDH MATHEMATICS , R
09
CHEMISTRY
3 JAMSHORO, SINDH ENGLISH 04-JAN-10 31-DEC-13 17-APR-14 BACHELOR OF First MUET JAMSHORO ELECTRICAL R
ENGINEERING (POWER) , ,

15) Extra Activities:

S.
From To Extra Curricular Activities/ Sports/ Hobbies
No.
1

16) Disciplinary Action/ Conviction: NO

 -3-
17) Employment Record:
S. From Type of
No. Post and Office held Name of Organization Date To Date Organization Nature BS

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

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

2 PUNJABI C C C

3 SINDHI A A A

4 URDU A B A

19) Full particulars of Near Relations:

S.
No. Name of Relatives Relationship Post held/ Department Place of Duty

1 IKRAMULLAH BROTHER HAV PAKISTAN ARMY MEDICAL CORP KARACHI

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 16 Physics 200
2 22 Business Administration 100
3 27 Islamic History & Culture 100
4 31 Gender Studies 100
5 51 Sindhi 100
 -4-
21a) Whether Disabled?: NO
21b) Assistance Required?: NO

22) Particulars about Parents:

Occupation/ Occupation/ Parent
S. Parent Age Qualification Designation Designation (at Alive or Annual Any other source of income/
No. present time of your birth) Dead Income supporting income

1 FATHER 68 ILLITERATE ALIVE

2 MOTHER 52 ILLITERATE ALIVE

23) Brothers/ Sisters:

S.
No. B, S, SB, SS OR X Age Occupation Education

1 BROTHER 27 STUDENT GRADUATION

2 BROTHER 28 ADVOCATE MASTER

3 BROTHER 33 ARMY PERSONNEL MASTER

10

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

S.
No. Year Roll No. Examination Result Group

1 2021 0 CSS FAIL

2 2022 0 CSS FAIL

4
 -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 Office Management Group
7 Commerce and Trade Group
8 Military Lands & Cantonments Group
9 Pakistan Audit and Accounts Service
10 Information 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:-
Original Treasury Receipt for Rs.2200 Dated: 04-AUG-23, Fee deposited in NBP Branch Name National Bank of Pakistan
a Bank(Branch Code): NBP-0372 City/District: LAHORE

b Recent 4 Photographs (attested on back side, mentioning name and father's name).

c Attested copy of Computerized National Identity Card.

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

(Please DO NOT Fold/Tear/Write anyting on the QR

Code)
Signature of Applicant
 -7-
Roll Roll
No. 030135 /Special-CSS No. 030135; /Special-CSS

Name: INAMULLAH Name: INAMULLAH

OFFICE OF RESIDENT ENGR 132KV GRID OFFICE OF RESIDENT ENGR 132KV GRID
Address: Address:
STATION MODEL TOWN K BLOCK LAHORE STATION MODEL TOWN K BLOCK LAHORE

District: District:

Roll No. 030135 /Special- Roll No. 030135 /Special-

CSS CSS

Name: INAMULLAH Name: INAMULLAH

OFFICE OF RESIDENT ENGR 132KV GRID OFFICE OF RESIDENT ENGR 132KV GRID
Address: Address:
STATION MODEL TOWN K BLOCK LAHORE STATION MODEL TOWN K BLOCK LAHORE

District: District:

Roll No. 030135 /Special- Roll No. 030135 /Special-

CSS CSS

Name: INAMULLAH Name: INAMULLAH

OFFICE OF RESIDENT ENGR 132KV GRID OFFICE OF RESIDENT ENGR 132KV GRID
Address: Address:
STATION MODEL TOWN K BLOCK LAHORE STATION MODEL TOWN K BLOCK LAHORE

District: District:

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

Acknowledgement Receipt

Received Application Form No. ________________________ of Special CSS CE(Written Exam) of

Mr./Miss/Mrs. INAMULLAH

Signature and Official Stamp

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