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Website:www.fpsc.gov.pkEmail:[email protected]: 051-9213386-9203410

FEDERAL PUBLIC SERVICE COMMISSIONSector F-5/1, Aga Khan Road,ISLAMABAD

Application Form No

489771

Print Date:05-MAR-13

APPLICATION FORMFOR RECRUITMENT TO BS-16 and ABOVE POSTS

For Official Use Only To be filled by the Candidate

Receiving Stamp of FPSC Application Fee Paid: YESOriginal Treasury Receipt of Rs. 300Treasury No. 4

Date 05-MAR-13Bank Name National Bank ofPakistan Main Branch Sukkur

Bank Branch Code 065District of Bank Branch SUKKUR

Batch No. Diary No.

Consolidated Advt.No.03/2013

Case No.(Category Code if applicable)F4-49/2013-R

Subject:

Name of Post Applied for: VICE PRINCIPAL - BPS(17)

Ministry/ Division/ Department: DEFENCE/F.G. ENGLISH MEDIUM (PUBLIC SCHOOLS), DTE. OF F.G. EDUCATIONALINSTITUTIONS (CANTTS/ GARRISONS)

1)Name: (Write in Capital Letters and spell as per your Matriculation Certificate):SYED ALI HAIDER

2)Father's/ Husband's Name (For female married candidates)

MUHAMMAD QAISER3) Nationality of Spouse (Wife/Husband)

4) Computerized (NADRA) National Identity Card (CNIC) No. of Applicant 45504-8731912-9

5) Date of Birth (Exact As per Matric. Certificate) 09-07-1987 b) Age on Closing Date

6) a) Gender Male b) Marital Status Single c) Religion Muslim

7) a) Self Domicile: SINDH URBAN b) District of Domicile: SUKKUR CITY

8) a) Test Centre SUKKUR b) Interview Centre KARACHI

9) a) Age Relaxation Not Claimed (Within Age limit) b) Relaxation Claimed: Nil

10)Present Postal Address: NUSRAT COLONY NO.5 NEAR RAILWAY LINE OLD SUKKUR , NUSRAT COLONY NO.5 NEARRAILWAY LINE OLD SUKKUR

11)Permanent Address: NUSRAT COLONY NO.5 NEAR RAILWAY LINE OLD SUKKUR, NUSRAT COLONY NO.5 NEARRAILWAY LINE OLD SUKKUR

12) Contact Nos.a) Office b) Residence

c) Cell No. 03337159818 d) Fax No.

E-Mail Address: [email protected]

13) ACADEMIC QUALIFICATIONS:

S.No. Qualification NameResultDeclaration

Date

Board/UniversityCGPA/Div/

GradeMajor Subjects

1 MATRICULATION 10-JUN-02 BISE Sukkur Grade:A MATHEMATICS,CHEMISTRY,PHYSICS

2 INTERMEDIATE 09-AUG-04 BISE Sukkur Grade:B MATHEMATICS,CHEMISTRY,PHYSICS

3 B.COM. 06-MAR-07 Shah Abdul Latif University, Khairpur

Div:Second BUSINESS COMMUNICATION,ECONOMICS ,COSTACCOUNTING

4 M.A.(ECONOMICS)

21-APR-09 Shah Abdul LatifUniversity, Khairpur

Div:Second Microeconomics,Macroeconomics,Development Economics

5 B.ED. 20-DEC-11 Shah Abdul Latif University, Khairpur

Div:First Philosophy & Psychology of Edu,Techniques in EducationalRese,ClassRoomManagement&Discipline

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14) COURSES/ TRAINING: (Certificate, Diploma, Post-Graduate Diploma, on job training etc.)

S.No. Name of Course Institution Location Grade Starting Date Ending Date Nature of Training Weeks

1 NULL

15) RESEARCH/ PUBLICATIONS/ PAPERS/ ARTICLES:

S. No. TitleJournal/Conferences

(in case of paper/article)Publisher

Publication DateDay Month Year

R

1 -- No

16) Do you fall in the Category of disabled candidates?

Disability Claim Helper

17) Do you possess relevant post ualification experience for the post as mentioned in the advertisement on the closing date?

S. No. Name Of Post BSOrganization/

Department

From

DD-MM-YYYY

To

DD-MM-YYYYStatus Nature Of ob

1 -- --




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18) List of Documents to be attached Yes / No

1 Correct Case No./ Name of post/ Department as per Advertisement

2 Original Treasury Challan with application form

3 Latest Three(3) Photographs Mentioning your name on backside

4 Copy of Computerized National Identity Card (CNIC)

5 Copy of Matric/ Secondary School Certificate (Proof of Age)

6 Copy of required Degrees/ Diplomas/ Certificates

7 Proof of Post-Qualification experience

8 Copy of self Domicile Certificate

9 Departmental Permission Certificate (For Govt. Servants)

10 In Case of Disabled Candidates, Certificate of Disability from the Competent Authority

19) Declaration(i):

I hereby solemnly declare that I am not in possession of any domicile certificate other than District SUKKUR CITYclaimed/ submitted alongwith this application form for the instant case. I further declare that if I am founding possession of any

domicile certificate other than the one mentioned above, I will be liable to dismissal from service with costs or any other penalty.

Declaration(ii):

I certify that the statements made by me in the answers to the foregoing questions 1-19 are ture, complete and correct to the bestof my knowledge and belief. Submission of fake/ forged documents and any misrepresentation or omission discovered even afterappointment may render my appointment liable to termination in addition to the action decided by the Commission. I have alsocarefully read the General Instructions to the candidates and I am bound by the terms and conditions contained therein.

20) The documents be arranged in the above said order, and all documents attached with theapplication form must be numbered in continuation with the page number of the Application Form

Applicant's Signature

Date

21) Important Note:-Please write your name and address in Capital letters. Any change of address should be reported to FPSC immediately. The Commission doesnot accept any responsibility in case of change in address not communicated to the Commission. Addressess 'Care of Post Box No.' etc. should

not be written as postal authority does not accept Registered letters at such addressess

F4-49/2013-R Roll No.

Name: SYED ALI HAIDER

Address: NUSRAT COLONY NO.5 NEARRAILWAY LINE OLD SUKKUR , NUSRATCOLONY NO.5 NEAR RAILWAY LINE OLDSUKKUR

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Print Application


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