9/5/2020 Application Form

PPSC-4

PUNJAB PUBLIC SERVICE COMMISSION Application Number:

40104906
1.Post Applied For: LECTURER ISLAMIAT - MALE

2.Department: PUNJAB HIGHER EDUCATION DEPARTMENT

3.Advertisement Number: 24/2020

4.Case Number: 43B2020

5.Bank Receipt Date: 05-09-2020

6.Amount: Rs 600/-

7.Bank Name/Receipt No: NBP /1

7(a) Branch Name: MAIN BRANCH D.G. KHAN , D.G.KHAN

8.Candidate's Name: ABDUL RAHIM KHOSA

9.Father's Name: GHULAM HASSAN KHOSA

10.Postal Address: C O HAFIZ ALLAH DAD TOBACCO FEROSH FAREEDI BAZAR D G KHAN

11.Gender: MALE 12.Religion MUSLIM

13.CNIC NO: 3210253964063 13(a).CNIC Expiry Date: 25-05-2026

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

16.Age ( on Closing Age: 35 year(s), 0 Month(s), 3

15.DOB: 06-09-1985
Date): Day(s)

17.Phone No: NA 18.Mobile Number: 03346703933

19.E-mail: [email protected]

20(a).Domicile Issue
20.Domicile: D.G.KHAN 07-11-2001
Date:

21.Special Person? NO

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

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

22.Government Employee? YES

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

3 Year(s) 1 Month (s) 4

(c).Date of Joining 01-08-2017 (d).Length of Service
Day (s)

(e).Obtained NOC From

YES
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 ?

(c).If yes, produce Notification /

Detail of Charges from
(b).Reason of Removal/Dismissal -
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

Pakistan? NO
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

29(a).Registration Expiry Date:
NO :

30.Medical Certificate Issue Date:

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

D.G.KHAN 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
B.I.S.E DERA GHAZI
MATRICULATION science 07-07-1999 ANNUAL 603 850 70.94
KHAN
B.I.S.E DERA GHAZI phy, chem,
INTERMEDIATE 18-01-2002 ANNUAL 524 1100 47.64
KHAN math
BAHAUDDIN ZAKARIYA economics,
BACHELOR 11-09-2004 ANNUAL 455 800 56.88
UNIVERSITY MULTAN islamic s
ALLAMA IQBAL OPEN islamic
M.A. ISLAMIC STUDIES 15-02-2013 ANNUAL 1370 2000 68.50
UNIVERSITY studies

35.Service Record (if required)

POST HELD DEPARTMENT / OFFICE STARTING DATE ENDING DATE SCALE

Ese (Science-Math) Education Department 01-08-2017 08-09-2020 14

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: 05-09-2020 Candidate's Signature: --------------------------------------------

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