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Serial No. ………….. FEDERAL PUBLIC SERVICE COMMISSION, ISLAMABAD APPLICATION FORM FOR COMBINED COMPETITIVE EXAMINATION-2011 FOR RECRUITMENT TO THE POST OF ASSISTANT COMMISSIONER (BS-17), SECTION OFFICER (BS-17), PROJECT MANAGER (BS-17) AND DEVELOPMENT OFFICER (BS-16) IN GILGIT-BALTISTAN SECRETARIAT. For office use only FPSC T.R Receiving Stamp Receiving Stamp of FPSC Headquarters Receiving Stamp of FPSC Provincial / Regional Office Batch No. ________________ Di ary No. ________________ Roll No. _____________ ____________________________________ 1. (a). Full Name (in capi tal lett ers) _____ __________ (b). Fathe r’s Name _______ __________ (c). Husband’s Name (Female Candidates only) _____________________________________ ___________________ 2. National Identity Card No. __________________________ 3. (a). Present Address ________________________ (b). Permanent Address __________________________ (c). Telephone No. Office _____________ ________ Residence: (with City Code) Mobile _____________ E-mail 4. Nationality Self Father’s Spouse 5. (a). Sex (put a cross (x) in the relev ant box) Male Female (b). Marital Status: (put a cross (x) in the relevant box) Single Married  (c). Religion (pl. put a cross (x) in the relevant box) Muslim Non-Muslim 6. Date of Birth: Day Month Year 7. Government Servant: Yes No 8. Self Domicile 9. Examination Centre: Islamabad Gilgit Skardu Karachi* (Please put a cross (x) against only one Centre which you prefer) 10. Rel axa tio n i n Age Limits : (P lea se mark onl y on e, p ut a cr oss (x) in the rel evan t box) (i). Relaxation not claimed (within age limits) (ii). Overage Relaxation of Age Limit claimed on the following grounds (as provided in the rules) Government Servant Scheduled Caste/Buddhist Community Gilgit-Baltistan 11. (a ) Whet her (b). If yes, do you need: OR Disabled?  PLEASE PASTE HERE ONE ATTESTED RECENT PHOTOGRAPH DO NOT USE PINS STAPLES OR TAPE I G S K 00 01 Y N Helper Writer (c). Computer (For visually im aire d at I sl amabad o nl ). 02 03

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Serial No. …………..

FEDERAL PUBLIC SERVICE COMMISSION, ISLAMABADAPPLICATION FORM FOR COMBINED COMPETITIVE EXAMINATION-2011 FOR RECRUITMENT TO THE POST OF

ASSISTANT COMMISSIONER (BS-17), SECTION OFFICER (BS-17), PROJECT MANAGER (BS-17) AND

DEVELOPMENT OFFICER (BS-16) IN GILGIT-BALTISTAN SECRETARIAT.

For office use only

FPSC T.R Receiving StampReceiving Stamp of FPSC Headquarters

Receiving Stamp of FPSC Provincial / 

Regional Office

Batch No. ________________ Diary No. ________________ Roll No. _____________

___________________________________________________________________________________________________

1. (a). Full Name (in capital letters) ____________________________________________________________________

(b). Father’s Name _______________________________________________________________________________

(c). Husband’s Name (Female Candidates only) ________________________________________________________

2. National Identity Card No. _______________________________________________________________

3. (a). Present Address ______________________________________________________________________

____________________________________________________________________________________

(b). Permanent Address ___________________________________________________________________

____________________________________________________________________________________

(c). Telephone No. Office _____________________ Residence: ___________________________________

(with City Code)

Mobile ________________________ E-mail _______________________________________________

4. Nationality Self Father’s Spouse

5. (a). Sex (put a cross (x) in the relevant box) Male Female

(b). Marital Status: (put a cross (x) in the relevant box) Single Married

 

(c). Religion (pl. put a cross (x) in the relevant box) Muslim Non-Muslim

6. Date of Birth: Day Month Year

7. Government Servant: Yes No

8. Self Domicile

9. Examination Centre: Islamabad Gilgit Skardu Karachi*

(Please put a cross (x) against only one Centre which you prefer)

10. Relaxation in Age Limits: (Please mark only one, put a cross (x) in the relevant box)

(i). Relaxation not claimed (within age limits)

(ii). Overage Relaxation of Age Limit claimed on the following grounds (as provided in the rules)

Government Servant

Scheduled Caste/Buddhist Community

Gilgit-Baltistan

11. (a) Whether (b). If yes, do you need: OR

Disabled?

 

(Applicant’s signature)

* Subject to availability of sufficient number of candidates.

PLEASE PASTE HEREONE ATTESTED

RECENT

PHOTOGRAPH

DO NOT USE PINS

STAPLES OR TAPE

I G S K

00

01

Y N Helper Writer (c). Computer (For visuallyim aired at Islamabad onl ).

02

03

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13. Education: List below all institutions where you have been educated and the examination passed by you. If in any examination, you secured I/II/III posit ion write 1/2/3 in the relevant column

otherwise leave that column blank. For institutions in Pakistan give place/ district under Location, for institutions abroad mention the country only.

(a) Pre-graduation Education (Matriculation, Intermediate and Equivalent).

YearsS.

No.

School/Col lege Locat ion

From To

Examination

Passed

Matriculation,

Intermediate

or Equivalent

Passed

In Year

Division

(I/II/III)

or Grade

(A/B/C/D)

Position *Distinctions

achieved

 /Academic

Awards etc.

•Extra Curricular

Activities / 

••Sports/Hobbies

Board/University

(Examining Body)

1

D-1 2

(b) Graduation and postgraduate Education; Mention only the Principal Subjects (not more than three)

* Distinctions achieved/Academic Awards: Prizes, Medals, Scholarships obtained during the academic career.

•Extra Curricular Activities: Extra-curricular activities in School/College/University i.e. President of students union/Red Crescent Scouts/girls guide etc.

•• Sports: Participation in sports Position and prizes won. Hobbies Leisure time (Vacations and other spare time) Activities.

° In this column write “R” against t he qualifications that make you eligible for appearing in the examination. In case you are MBBS, Mark “M” and if you have graduated from Foreign University e nter “F”.

Years Date of Announcement of ResultS.

No

Name of 

Institution

and

location

From To

Name of 

Examination

passedDay Month Year

Division(I/II/III)

or Grade

(A/B/C/ D)

Position *Distinctions

achieved

 /Academic

Awards etc.

•Extra

Curricular

Activities

 / 

••Sports

 /Hobbies

University

(Examining

Body)

Principal

Subjects°R/M/ 

F

1.

2.

1

3.

1.

2.

2

3.

1.

2.

D-2

3

3.

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14. Employment record:--Describe your employments, starting from the time of completing your education to submitting this application, so as to completely account for the whole

of this period. In this Employment Record include all appointments held, professional practice, self-employment and un-employment, if any.

Date (Exact dates must be filled in and no box

be left blank)

Type of organization Put a cross (x) in one

relevant Column

Nature of Job, put a Cross

(x) in one relevant

Column

Sl.No.

Post and Name of 

the Office, or Title

(in case of 

professional

practice self-

employment). For

the period of un-

employment write

UNEMPLOYED

1. Division and Ministry in

case of Federal

Government

office

2. Department and Name of 

the Government in case of 

Provincial Government

3. Name of the organization

and address in case of 

Non- government office

From To“ Please write “To-date”

if you are still in service)

   F  e   d  e  r  a   l   G  o  v   t .

   P  r  o  v   i  n  c   i  a   l   G  o  v   t .

   A  r  m  e   d   F  o  r  c  e  s

   S  e  m   i   G  o  v   t .

   P  r   i  v  a   t  e

   P  v   t .   P  r  a  c   t   i  c  e   /   S  e   l   f  -

   E  m  p   l  o  y  e   d

   U  n  -  e  m  p   l  o  y  e   d

   P  e  r  m  a  n  e  n   t

   T  e  m  p  o  r  a  r  y

   O   f   f   i  c   i  a   t   i  n  g

   A   d   h  o  c   /   C  o  n   t  r  a  c   t

Basic

Scale

Day Month Year Day Month Year

01

02

03

04

05

06

07

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15. Please confirm if following documents have been attached with the application.

Yes No(a). Original Treasury Receipt for Rs. 1000/- No. ________________________

Name of Branch _______________________________________________

Name of District __________________________ Date ________________

(b). Recent Photographs (06 copies)

(c). Attested copy of Matriculation Certificate showing date of birth

(d). Attested copy of Intermediate Certificate and Degree (s)

(e). Attested copy of Self Domicile Certificate

(f). Forwarding letter from the employer alongwith a certificate regarding domicile

claimed and accepted at the time of entry into Government Service (Page 07 of 

the Application Form).

(g). Whether an employee of Armed Forces of Pakistan

(h). Attested copy of National Identity Card

(i). Two copies of Character Certificate

(j). Whether application signed or not.

(If any other documents are attached with this application please attach a separate list)

16. 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 material aspect 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.

17. Submission of fake/forged documents and any mis-representation or omission discovered even after

appointment may render my appointment liable to termination in addition to the action decided by the

Commission.

18. I have read and understood the “Rules for Combined Competitive Examination” and the “Instructions to

Candidates” before filling this application form and agree to abide by them.

(Applicant’s signature)

Date:-_________________

IMPORTANT NOTE

1. Please check whether you have signed the Application Form?

2. Please re-check whether you have selected two optional subjects, carrying a total of 

300 marks and according to the Rules?

3. Please check whether you have attached the original Treasury Receipt?

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ADDRESS FOR CORRESPONDENCE

Important Note:Please write your name and address in Capital Letters at the six spaces below. Any change of 

address should be reported to FPSC immediately. Also the candidates must arrange for communications sent via

old address to be redirected or collected. The Commission does not accept any responsibility in this respect.

Address “Care of Post Box No” etc should not be written as postal authorities do not accept registered letters at

such addresses.

No.F.9/10/GBCE/2008-PPE(Roll No. )

 

Name ...…………………………………………...

Address……………………………………………

…………………………………………………….

…………………………………………………….

Post Code

No.F.9/10/GBCE/2008-PPE(Roll No. )

 

Name………………………………………………

Address………………………………….................

……………………………………………………...

……………………………………………………...

Post Code

No.F.9/10/GBCE/2008-PPE(Roll No. )

 

Name ……………………………………………..

Address…………………………….......................

……………………………………………………

……………………………………………………

Post Code

No.F.9/10/GBCE/2008-PPE(Roll No. )

Name ………………………………………………

Address…………………………….………..............

………………………………………………………

………………………………………………………

Post Code

No.F.9/10/GBCE/2008-PPE(Roll No. )

 

Name ..…………………………………………...

Address……………………………………………

……………………………………………..……

…….………………………………………….….

Post Code

No.F.9/10/GBCE/2008-PPE(Roll No. )

 

Name ………………………………………………

Address………………………………………...........

………………………………………………………

………………………………………………………

Post Code

….…………………………………………………………………………………………………….....

Acknowledgement Receipt

FEDERAL PUBLIC SERVICE COMMISSION

Received Application Form No.____________ for

Gilgit-Baltistan Combined Competitive

Examination -2011 of 

Mr/Miss/Mrs._____________________________

Date____________ Signature ________________

(Seal of the Office) Name: ______________

FEDERAL PUBLIC SERVICE COMMISSION

Received Application Form No.____________ for

Gilgit-Baltistan Combined Competitive

Examination -2011 of 

Mr/Miss/Mrs.______________________________

Date____________ Signature ________________

(Seal of the Office) Name: ______________

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Serial No………………

FOR USE OF GOVERNMENT SERVANTS

(To be detached by the candidate from the Application Form and submitted through his employing Department)

COMBINED COMPETITIVE EXAMINATION-2011

(For the posts of Assistant Commissioner (BS-17), Section Officer (BS-17),Project Manager (BS-17) and Development Officer (BS-16) in Gilgit-Baltistan)

1. (a) Name of candidate_____________________________________________________________

(b) Father/Husband’s Name________________________________________________________

(c) Designation of the candidate and department with complete address:

_____________________________________________________________________________

_____________________________________________________________________________

2. I have applied to the Federal Public Service Commission, Islamabad for the above Examination on theprescribed form. Necessary departmental permission for applying for admission to the examination may kindly

be forwarded to the Secretary, Federal Public Service Commission, F-5/1, Aga Khan Road, Islamabad, at the

earliest. Last date for receipt of applications by the Commission is __________.

3. I declare that the Department/Office in which I am serving is not an Autonomous/Semi-Autonomous

Body/Organization.

Signature and Name of Candidate.

(FOR USE BY THE DEPARTMENT/ EMPLOYER OF THE CANDIDATE)

No._________________

Date_______________

4. Forwarded: Mr/Miss/Mrs:_________________________________________________________

is employed in this Department since __________________________. He/she holds a

*Temporary/Contractual/Permanent post under the *Federal/Provincial Government/Gilgit-Baltistan

Government and is drawing his/her pay in the BPS_________. The total period of continuous Government

Service rendered by him/her on __________ will be ___________ Years __________ Months __________

Days.

5. The place of domicile as declared by him/her at the time of first entry into Government Service was

Gilgit-Baltistan. His/her character, so far as known to me is good and there is nothing against him/her, which

may render him/her ineligible for the Combined Competitive Examination.

6. Certified that this Department/Office is not an Autonomous/Semi-Autonomous

Body/Organization/Corporation.

Signature…………………………………………….

Name………………………………………………...

Designation and Department with complete address.

(Also affix official stamp)

Secretary

Federal Public Service Commission,

F-5/1, Aga Khan Road. Islamabad

 

*Strike out whichever is not applicable.

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Annex “A”

Certificate to be produced by the candidate belonging to Recognized Scheduled Caste and Buddhist

Community.

---------------------

This is to certify that Mr/Miss/Mrs. ___________________________________________

Son/daughter/wife of ________________________________________ the resident of Village / Town

______________________________________ belongs to:-

(i). Recognized Scheduled Caste

(ii). Buddhist Community

and is a permanent resident of the District ___________________________________________ and

his/her family ordinarily resides in the village/town ________________________________ of District

__________________________________________________________________.

Signature _________________District Magistrate

(with Seal of the Office)

______________________________________________________________________________

Annex “B”

Certificate to be produced by the candidates belonging to Gilgit-Baltistan, under para 6(i) of the

Federal Public Service Commission Rules relating to the Gilgit-Baltistan Combined Competitive

Examination -2011.

This is to certify that Mr/Miss/Mrs. ___________________________________________

son/daughter/wife of __________________________________________ belongs to Gilgit-Baltistan

and is a permanent resident of Village/Town _______________________ of District

_________________________________ and his/her family have been living in that area.

Signature _________________

District Magistrate

(with Seal of the Office)