10/13/2020 Competitive Examination (CSS) - 2021

Government of Pakistan
FEDERAL PUBLIC SERVICE COMMISSION
Aga Khan road, F-5/1, Islamabad
Website: www.fpsc.gov.pk Tracking ID
Email: [email protected]
923498
Fax: 051-9213386-9203410 ONLINE APPLICATION FOR
UAN: 051-111-000-248
COMPETITIVE EXAMINATION (CSS) - 2021 Date Applied
13-OCT-20

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 No. Diary No.

Roll No.

1) Name (In capital letters as per Matriculation Certificate): MUHAMMAD SABBAR HASSAN
2) Father's Name: MUNAWAR HUSSAIN
3) Husband's Name (in case of married female candidates):
3) Date of Birth (As per Matriculation Certificate): 04-05-1996
4) CNIC Number: 31303-6061512-5
5a) Religion: MUSLIM
Whether Non Muslim desires to be examined in Islamic
5b)
Studies or Comparative Study of Major Religions:
6a) Gender: MALE
6b) Marital Status: SINGLE
7) Postal Address: R-75 BLOCK D GULSHAN-E-JAMAL, KARACHI
8) Permanent Address: AIR PORT ROAD NEAR SLAUGHTER HOUSE, RAHIM YAR KHAN
9) Particulars about Spouse/Fiancee:
a) Nationality: b) Age:
c) Education: d) Occupation:
e) Designation:
10) Examination Centre: KARACHI
11a) Domicile: PUNJAB
11b) District of Domicile: RAHIM YAR KHAN
12a) E-mail: [email protected] b) Ph.Office:
c) Mobile: 0332-2194356 d) Ph.Res:
13) Age Relaxation Claimed?: RELAXATION NOT CLAIMED (WITHIN AGE LIMITS)

Applicant's Signature
Date

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14) Education Record:
S. School/ College/ Medium of Date of Result
Grade/ R/
N From To Announcement Name of Exam Passed Div/ Board/ University Major Subjects Distinction M/
University & Location Instruction
o. CGPA F
NATIONAL
SECONDARY
GARRISON
1 ENGLISH 07-APR-08 12-MAR-12 25-JUL-12 SCHOOL A BISE BWP SCIENCE, , R
SECONDARY CERTIFICATE
SCHOOL, RYK
NICAAS COLLEGE,
2 ENGLISH 03-SEP-12 07-JUL-14 12-SEP-14 INTERMEDIATE A BISE BWP PRE-ENGINEERING, , R
RAHIM YAR KHAN
BASIC
BACHELOR OF ELECTRONICS,
BAHRIA
3 KARACHI ENGLISH 15-SEP-14 03-JUL-18 15-AUG-18 ELECTRICAL 3.27 LINEAR CONTROL R
UNIVERSITY
ENGINEERING SYSTEMS, POWER
ELECTRONICS
4

15) Extra Activities:

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

16) Disciplinary Action/ Conviction: NO

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17) Employment Record:
S. Post and Office held Name of Organization From Date To Date Type of Nature BS
No. Organization
INNOVATIVE ENERGY
1 ENGINEER SOLUTIONSPRIVATE 24-SEP-19 01-SEP-20 PRIVATE TEMPORARY

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

S. Name of Language Read Write Speak Certificate/ Diploma, if any
No.

19) Full particulars of Near Relations:

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

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 Code Subject Marks
No.
1 14 Political Science 200
2 22 Business Administration 100
3 30 History of USA 100
4 40 International Law 100
5 46 Psychology 100

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21a) Whether Disabled?: NO
21b) Assistance Required?: NO

22) Particulars about Parents:

S. Occupation/ Occupation/ Parent Annual Any other source of income/ supporting
No. Parent Age Qualification Designation present Designation (at time of Alive or Income income
your birth) Dead
1 FATHER 58 MASTER ADMIN OFFICER ALIVE

2 MOTHER 52 MASTER TEACHER ALIVE

23) Brothers/ Sisters:

S. B, S, SB, SS OR X Age Occupation Education
No.
1 YOUR-SELF 24 GRADUATION

2 BROTHER 20 INTERMEDIATE

3 BROTHER 26 MASTER

10

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

S. Year Roll No. Examination Result Group
No.

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25) Occupational Groups:
Order of Preference Occupational Groups/ Services
1 Pakistan Administrative Service
2 Foreign Service of Pakistan
3 Pakistan Customs Service
4 Police Service of Pakistan
5 Inland Revenue Service
6 Information Group
7 Pakistan Audit and Accounts Service
8 Office Management Group
9 Commerce and Trade Group
10 Military Lands & Cantonments Group
11 Railways (Commercial and Transportation) Group
12 Postal Group

26a) Previous experience of Psychological Test: NO

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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:-
a Original Treasury Receipt for Rs.2200 Dated: 13-OCT-20, Fee deposited in NBP Branch Name NBP / S. P . I . T Landhi Branch Karachi
Bank(Branch Code): 0103 City/District: MALIR

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

c Attested copy of Computerized National Identity Card.

d Attested copy of Matriculation Certificate showing date of birth. Provisional Certificate/ Result Card/ Marks Sheet is not 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 statements is false in any
(i) 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 RAHIM YAR KHAN 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:__________________________________ Signature of Applicant

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Roll No. /2021-CSS Roll No. /2021-CSS

Name: MUHAMMAD SABBAR HASSAN Name: MUHAMMAD SABBAR HASSAN

Address: R-75 BLOCK D GULSHAN-E-JAMAL, KARACHI Address: R-75 BLOCK D GULSHAN-E-JAMAL, KARACHI

District: District:

Roll No. /2021-CSS Roll No. /2021-CSS

Name: MUHAMMAD SABBAR HASSAN Name: MUHAMMAD SABBAR HASSAN

Address: R-75 BLOCK D GULSHAN-E-JAMAL, KARACHI Address: R-75 BLOCK D GULSHAN-E-JAMAL, KARACHI

District: District:

Roll No. /2021-CSS Roll No. /2021-CSS

Name: MUHAMMAD SABBAR HASSAN Name: MUHAMMAD SABBAR HASSAN

Address: R-75 BLOCK D GULSHAN-E-JAMAL, KARACHI Address: R-75 BLOCK D GULSHAN-E-JAMAL, KARACHI

District: District:

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

Acknowledgement Receipt

Received Application Form No. ________________________ of Competitive Examination, 2021 of

Mr./Miss/Mrs. MUHAMMAD SABBAR HASSAN

Signature and Official Stamp

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

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