2/11/2019 Application Form

PPSC-4

PUNJAB PUBLIC SERVICE COMMISSION Application Number:

33500004
1.Post Applied For: ASSISTANT ENGINEER / SDO (ELECTRICAL)
2.Department: AUQAF & RELIGIOUS AFFAIRS DEPARTMENT

3.Advertisement Number: 05/2019

4.Case Number: 12M2019

5.Bank Receipt Date: 11-02-2019

6.Amount: Rs 600/-

7.Bank Name/Receipt No: NBP /35

7(a) Branch Name: FAISAL TOWN LAHORE , LAHORE EAST

8.Candidate's Name: MUHAMMAD NAVEED

9.Father's Name: ABDUL SATTAR

10.Postal Address: MOHALLAH GULSHAN HABIB NEAR AL NOOR ISLAMIC PUBLIC BADER SHER BAHAWALPUR

11.Gender: MALE 12.Religion MUSLIM

13.CNIC NO: 3120240599811 13(a).CNIC Expiry Date: 04-12-2023

14.Marital Status: SINGLE 14(a). Spouse Name:

15.DOB: 12-09-1994 16.Age ( on Closing Date): 24 Year(s) 5 Month(s) - 13 Day(s)

17.Phone No: 3067427673 18.Mobile Number: 03067427673

19.E-mail: naveedkefi@gmail.com

20.Domicile: BAHAWALPUR 20(a).Domicile Issue Date: 23-08-2010

21.Special Person? NO

(a).Type of Disability: NO (b).Examination Mode (If Blind): NO

(c).Disability Certificate Ref. No. NA (d).Disability Certificate Issue Date: NA

22.Government Employee? NO

(a).Type of Service NA (b).PPSC Employee NO

(c).Date of Joining NA (d).Length of Service NA

(e).Obtained NOC From

NO
Employer?

23.Retired / Released Armed Forces

NO
Person?

0 Year (s) 0 Month (s)

(a).Length of Service (b). Convicted by Court Martial? NO
0 Day (s)

24.Near relative working in PPSC? NO

(a).Name of Relative NA (b). Designation/Relation NA

25.Ever Dismissed / Removed from

NO 25(a).Dismissed / Removed ? -
Government/Autonomous body ?

(b).Reason of Removal/Dismissal - (c).If yes, produce Notification /

Detail of Charges from

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2/11/2019 Application Form
concerned Department at the time
of interview, if called for

26.Do you Claim Additional Marks

as an Unemployed Child of a
Punjab Unemployed Child of a
NO 26(a).Father / Mother CNIC No: NIL
Punjab Government Servant who
was Incapacitated or Died while
in Service?

27.Ever been Convicted by a Court in 27(a).If Yes, Produce Detail at the

NO
Pakistan? Time of Interview, if Called for

28.Are you Facing any Criminal Trial 28(a).If Yes, Produce Detail at the
NO
in any Court of Pakistan? Time of Interview, if Called for

29.PMDC / PNC / OEC / PCATP / PBC

ELECT/57798 29(a).Registration Expiry Date: 31-12-2019
NO :

30.Medical Certificate Issue Date:

31.Written Test / Examination / 32.No. of Chances Availed for this

LAHORE 0
Interview Centre: Post:

33.Physical Standard (For Uniform

Posts Only):

(a).Height

(b).Chest Normal (c).Chest Expanded

(d).Distant Vision Left (e).Distant Vision Right

(f).Near Vision Left (g).Near Vision Right

34.Academic Qualifications:

RESULT
EXAMINATION OBTAINED TOTAL %AGE /
CERTIFICATE/DEGREE BOARD / UNIVERSITY SUBJECTS DECLARED
SYSTEM MARKS MARKS GRADE
ON
science,
MATRICULATION B.I.S.E BHAWALPUR 04-08-2010 ANNUAL 949 1050 90.38
phy, che
pre-
INTERMEDIATE B.I.S.E BHAWALPUR 08-09-2012 ANNUAL 900 1100 81.82
engineering
B.SC. ENGG. ISLAMIA UNIVERSITY electrical
17-11-2016 SEMESTER 3.81 4 95.25
(ELECTRICAL) BAHAWALPUR engg

35.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: 11-02-2019 Candidate's Signature: --------------------------------------------

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