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8/7/2019 Application form for CE 2011 GB
http://slidepdf.com/reader/full/application-form-for-ce-2011-gb 1/8
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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3
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)