Government of Pakistan

FEDERAL PUBLIC SERVICE COMMISSION

Website: www.fpsc.gov.pk
Aga Khan road, F-5/1, Islamabad
Email: [email protected]
Tracking ID
Fax: 051-9213386-9203410
UAN: 051-111-000-248
ONLINE APPLICATION FOR
1307521
COMPETITIVE EXAMINATION (CSS) - 2023
Date Applied
(Written Exam)
09-NOV-22

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. 12710

1) Name (In capital letters as per Matriculation ALAM ZEB KHAN

Certificate):
2) Father's Name: ZAKEEM KHAN
3) Husband's Name (in case of married female
candidates):
3) Date of Birth (As per Matriculation Certificate): 10-04-1996
4) CNIC Number: 21501-0220028-5
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
MUHALLA LATISABAD, HOUSE NO 23, MAIN STREET BHERA SYEDAAN, BHARA KHU,
7) Postal Address:
ISLAMABAD.

8) Permanent Address: KAZA MADAKHEL, TEHSIL DATAKHEL P/O DATAKHEL, DISTRICT NORTH
WAZIRISTAN, KPK
9) Particulars about Spouse/Fiancee:
a) Nationality: b) Age:
c) Education: d) Occupation:
e) Designation:
10) Examination Centre: ISLAMABAD
11a) Domicile: Ex-FATA
11b) District of Domicile: NORTH WAZIRISTAN AGENCY
12a) E-mail: [email protected] b) Ph.Office:
c) Mobile: 0313-5223243 d) Ph.Res:
13) Age Relaxation Claimed?: RELAXATION NOT CLAIMED (WITHIN AGE LIMITS)

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
QURTUBA PUBLIC
1 SCHOOL ENGLISH 01-FEB-11 01-MAR- 01-MAR- SSC A BISE PESHAWAR
HAYATABAD 13 13
PESHAWAR
PUNJAB COLLEGE
21-MAY-
2 BHARA KAHU 17 ENGLISH 10-AUG-13 13-AUG-15 HSSC B FBISE
15
MILES
NATIONAL
UNIVERSITY OF BS INTERNATIONAL
3 MODERN ENGLISH 01-FEB-16 01-FEB-20 15-FEB-20 RELATIONS 3.28 NUML, ISLAMABAD R
LANGUAGES,
ISLAMABAD
4

15) Extra Activities:

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

16) Disciplinary Action/ Conviction: NO

 -3-
17) Employment Record:
S. Post and Office held Name of Organization From To Date Type of Nature BS
No. Date Organization
1

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

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

2 PUSHTO A A A

3 URDU A A A

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
Subject Marks
No. Code
1 15 International Relations 200
2 30 History of USA 100
3 31 Gender Studies 100
4 40 International Law 100
5 52 Pushto 100
 -4-
21a) Whether Disabled?: NO
21b) Assistance Required?: NO

22) Particulars about Parents:

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

1 FATHER 65 GRADUATION LATE MEDICAL DOCTOR 2022 YES

2 MOTHER 64 ILLITERATE HOUSEWIFE HOUSEWIFE ALIVE 00 OO

23) Brothers/ Sisters:

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

10

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

S. Year Roll No. Examination Result Group
No.

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 Military Lands & Cantonments Group
7 Pakistan Audit and Accounts Service
8 Office Management Group
9 Information Group
10 Commerce and Trade 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:-
a Original Treasury Receipt for Rs.2200 Dated: 04-NOV-22, Fee deposited in NBP Branch Name National Bank of Pakistan
Bank(Branch Code): NBP 0341 City/District: ISLAMABAD

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
(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 NORTH WAZIRISTAN AGENCY 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 No. 12710 /2023- Roll No. 12710; /2023-
CSS CSS

Name: ALAM ZEB KHAN Name: ALAM ZEB KHAN

MUHALLA LATISABAD, HOUSE NO 23, MUHALLA LATISABAD, HOUSE NO 23,

Address: MAIN STREET BHERA SYEDAAN, BHARA Address: MAIN STREET BHERA SYEDAAN, BHARA
KHU, ISLAMABAD. KHU, ISLAMABAD.

District: District:

Roll No. 12710 /2023- Roll No. 12710 /2023-

CSS CSS

Name: ALAM ZEB KHAN Name: ALAM ZEB KHAN

MUHALLA LATISABAD, HOUSE NO 23, MUHALLA LATISABAD, HOUSE NO 23,

Address: MAIN STREET BHERA SYEDAAN, BHARA Address: MAIN STREET BHERA SYEDAAN, BHARA
KHU, ISLAMABAD. KHU, ISLAMABAD.

District: District:

Roll No. 12710 /2023- Roll No. 12710 /2023-

CSS CSS

Name: ALAM ZEB KHAN Name: ALAM ZEB KHAN

MUHALLA LATISABAD, HOUSE NO 23, MUHALLA LATISABAD, HOUSE NO 23,

Address: MAIN STREET BHERA SYEDAAN, BHARA Address: MAIN STREET BHERA SYEDAAN, BHARA
KHU, ISLAMABAD. KHU, ISLAMABAD.

District: District:

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

Acknowledgement Receipt

Received Application Form No. ________________________ of Competitive Examination, 2023

(Written Exam) of
Mr./Miss/Mrs. ALAM ZEB KHAN

Signature and Official Stamp

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