4/17/2014

Application Form

Application Number:

69600048

PUNJAB PUBLIC SERVICE COMMISSION,LAHORE

1.Post Applied For:

ASSISTANT EXECUTIVE ENGINEER / SUB DIVISIONAL OFFICER / ASSISTANT DESIGN ENGINEER /
ASSISTANT DESIGN OFFICER / ASSISTANT DIRECTOR FLOOD MONITORING / ASSISTANT DIRECTOR
2.Advertisement Number:

11/2014

3.Case Number:

5E2014

4.Bank Receipt Date:

17-04-2014

5.Amount:

400

6.Bank :

NBP

7.Candidate's Name:

USMAN ALI

8.Father's Name:

ABDUL MAJEED

9.Postal Address:

HOUSE NO 239/A,KOCHA BHATIAN MADINA COLONY SAHIWAL

10.Gender:

MALE

11.CNIC NO:

12.Religion:

MUSLIM

13.Marital Status:

14.DOB:

08-04-1990

15.Age ( on Closing Date): 23 Year(s) 12 Month(s) - 27 Day(s)

16.Phone No:
19.Domicile:

404461585

3650273130431

17.Mobile Number:

SINGLE 13(i). Spouse Name:

03336910647 18.E-mail:

SAHIWAL

20.Do you claim to be a Disabled Person? NO 20(i).If yes, then type of disability:

NO

20(ii). If Blind, then Examination Mode:

21. Punjab Government Employee?

NO 21(i) If yes, then Length of service

Armed

NO 22(i). If yes, then Length of service

22(ii). Convicted by Court Martial?

23.Ever Dismissed from Government / Autonomous body ?

NO

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

21(ii). Obtained NOC From Employer?

22.Retired / Released
Forces Person?

ENGNR.USMAN121@GMAIL.COM

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

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

concerned departments at the time of interview , if called for

24. Do you Claim additional marks as an unemployed child of a Punjab Government Servant who was incapacitated
or died while in service?
25. Ever been Convicted by Court in Pakistan?

NO

NO

25(i). If yes, produce detail at the time of interview, if called for

26. Are you facing any Criminal Trial in any Court of Pakistan? NO

26(i) If yes, produce detail at the time of interview, if called for

27.PMDC / OEC / PCATP / PBC NO :

27(i). Registration Expiry Date:

28. Written Test / Examination / Interview Centre:

LAHORE

29. ACADEMIC QUALIFICATIONS:

CERTIFICATE/DEGREE

BOARD /
UNIVERSITY

SUBJECTS

RESULT
EXAMINATION OBTAINED
DECLARED
SYSTEM
MARKS
ON

MATRICULATION

B.I.S.E MULTAN

SCIENCE

10-08-2006

ANNUAL

INTERMEDIATE

B.I.S.E MULTAN

PRE
ENGINEERING

15-08-2008

B.SC. ENGG. (CIVIL)

UNIVERSITY OF
ENGINEERING &
TECHNOLOGY

13-08-2012

30. SERVICE RECORD / EXPERIENCE (if required)

http://www.ppsc.punjab.gov.pk/(S(l2ryql554flyuw55x2qb2q45))/UsersReg/ApplicationPrint.aspx

TOTAL
MARKS

%AGE /
GRADE

856

1050

81.52

ANNUAL

937

1100

85.18

SEMESTER

3.42

85.50

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4/17/2014

30. SERVICE RECORD / EXPERIENCE (if required)

POST HELD

Application Form

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 infromation 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: 17-04-2014

Candidate's Signature:

http://www.ppsc.punjab.gov.pk/(S(l2ryql554flyuw55x2qb2q45))/UsersReg/ApplicationPrint.aspx

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