5/29/2015

ApplicationForm

ApplicationNumber:

99630937

PUNJABPUBLICSERVICECOMMISSION,LAHORE

1.PostAppliedFor:TEHSIL/TOWNMUNICIPALOFFICER/TEHSIL/TOWNOFFICER(REGULATIONS)/CHIEF
OFFICER(HQ)/COUNCILOFFICER/ADMINISTRATIVEOFFICER
2.AdvertisementNumber:

18/2015

3.CaseNumber:

2G2015

4.BankReceiptDate:

2752015

5.Amount:

400

6.Bank:

NBP

7.Candidate'sName:

UMAIDKHAN

8.Father'sName:

HAMIDGHAFFARKHAN

9.PostalAddress:

HNO35,STREET4,BLKZ,SATELLITETOWN,JHANGSADDAR

10.Gender:

MALE

12.Religion:

MUSLIM

14.DOB:

21/01/1988

15.Age(onClosingDate):

16.PhoneNo:

477652967

17.MobileNumber:

19.Domicile:

JHANG

11.CNICNO:

3320296138087

13.MaritalStatus: MARRIED

13(i).SpouseName:

27Year(s)4Month(s)10Day(s)

03331697202 18.Email:

20.DoyouclaimtobeaDisabledPerson? NO 20(i).Ifyes,thentypeofdisability:

NO 21(i)Ifyes,thenLengthofservice

NO 22(i).Ifyes,thenLengthofservice

NO

NO

23(i). If yes, Produce original certified documents from

concerneddepartmentsatthetimeofinterview,ifcalledfor

24.DoyouClaimadditionalmarksasanunemployedchildofaPunjab
GovernmentServantwhowasincapacitatedordiedwhileinservice?
25.EverbeenConvictedbyCourtinPakistan?

NO
0Year(s)0Month(s)0Day(s)

22(ii).ConvictedbyCourtMartial?
23.EverDismissedfromGovernment/Autonomousbody?

NO
0Year(s)0Month(s)0Day(s)

21(ii).ObtainedNOCFromEmployer?
22.Retired / Released Armed
ForcesPerson?

umaid102.khan@gmail.com

NO

20(ii).IfBlind,thenExaminationMode:
20(iii).DisableCertificateRef.No.
21.PunjabGovernmentEmployee?

KAINATSADIQ

NO

24(i).Father/MotherCNICNo:

NO

25(i).Ifyes,producedetailatthetimeofinterview,ifcalledfor

26.AreyoufacinganyCriminalTrialinanyCourtofPakistan? NO

26(i)Ifyes,producedetailatthetimeofinterview,ifcalledfor

27.PMDC/OEC/PCATP/PBCNO: ELECT/37829
28.WrittenTest/Examination/InterviewCentre:
RAWALPINDI
29.PHYSICALSTANDARD(FORUNIFORMPOSTSONLY):
HEIGHT
CHEST NORMAL
EXPANDED

27(i).RegistrationExpiryDate:31122015

VISION

DISTANT
LEFT

VISION

DISTANT
RIGHT

VISION

NEAR
LEFT

VISION

NEAR
RIGHT

VISION

30.ACADEMICQUALIFICATIONS:
RESULT
EXAMINATION OBTAINED
DECLARED
SYSTEM
MARKS
ON

CERTIFICATE/DEGREE

BOARD/
UNIVERSITY

SUBJECTS

TOTAL
MARKS

%AGE/
GRADE

MATRICULATION

OLEVEL

SCIENCE

01062004

ANNUAL

723

850

85.06

INTERMEDIATE

ALEVEL

PRE
ENGINEERING

01062006

ANNUAL

935

1100

85.00

BACHELOR(4YEARS)

NATIONAL
UNIVERSITYOF
SINGAPORE

ELECTRICAL
ENGG

3062011

SEMESTER

3.8

76.00

31.SERVICERECORD/EXPERIENCE(ifrequired)
POSTHELD

DEPARTMENT/OFFICE

STARTINGDATE

http://www.ppsc.punjab.gov.pk/(S(qh2iu0mfjqxknl552szutr55))/UsersReg/ApplicationPrint.aspx

ENDINGDATE

SCALE
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5/29/2015

ApplicationForm

DISCLAIMER:IcertifythatallinformationintheApplicationFormsubmittedbymeiscorrectandincaseanyinfromationis
foundtobeincorrect,itwilldisqualifymycandidature.IalsocertifythatIhavereadallrequirements/conditionsofthispost
alongwiththeGeneralInstructionsinthisregard.
Date: 29052015

Candidate'sSignature:

http://www.ppsc.punjab.gov.pk/(S(qh2iu0mfjqxknl552szutr55))/UsersReg/ApplicationPrint.aspx

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