5/31/2017 ApplicationForm

PPSC4

PUNJABPUBLICSERVICECOMMISSION

ApplicationNumber:

21007545

1.PostAppliedFor:ASSISTANT(PUNJABPOLICEDEPARTMENT)

2.AdvertisementNumber: 29/2017

3.CaseNumber: 14E2017

4.BankReceiptDate: 31052017

5.Amount: Rs400/

6.BankName/ReceiptNumber: NBP/38

6(i)BranchName: MAINBRANCHMANSEHRA,MANSEHRA
7.Candidate'sName: MUHAMMADBILAL
8.Father'sName: NOORMUHAMMAD
9.PostalAddress: MCB1/889FAISALCOLONYTALAGANGROAD,CHAKAL
10.Gender: MALE 11.CNICNO: 3720116588583 11(i).CNICExpiryDate: 31122021
12.Religion: MUSLIM 13.MaritalStatus: SINGLE 13(i).SpouseName:
14.DOB: 14081991 15.Age(onClosingDate): 25Year(s)9Month(s)21Day(s)

16.PhoneNo: 3315827123 17.MobileNumber: 03315827123 18.Email: bilal16840@gmail.com

19.Domicile: CHAKWAL 19(i).DomicileIssueDate: 30122009
20.DoyouClaimtobeaDisabledPerson? NO
a.IfYes,thenTypeofDisability: NO
b.IfBlind,thenExaminationMode: NO
c.DisableCertificateRef.No. NA
d.DisableCertificateIssueDate: NA
21.GovernmentEmployee? NO
a.IfYes,thenTypeofService NA
b.DateofJoining NA
c.LengthofService NA
d.ObtainedNOCFromEmployer? NO
22.Retired/ReleasedArmedForcesPerson? NO
a.IfYes,thenLengthofService 0Year(s)0Month(s)0Day(s)
b.ConvictedbyCourtMartial? NO
23.EverDismissedfromGovernment/Autonomousbody? NO
a. If Yes, Produce Original Certified Documents from Concerned

DepartmentsattheTimeofInterview,ifCalledfor
24. Do you Claim Additional Marks as an Unemployed Child of a Punjab
24(i).Father/MotherCNIC
UnemployedChildofaPunjabGovernmentServantwhowasIncapacitatedor NO 0
No:
DiedwhileinService?
25(i). If Yes, Produce Detail at the Time of Interview, if
25.EverbeenConvictedbyaCourtinPakistan? NO
Calledfor

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5/31/2017 ApplicationForm

26. Are you Facing any Criminal Trial in any Court of 26(i) If Yes, Produce Detail at the Time of Interview, if
NO
Pakistan? Calledfor
27.PMDC / PNC / OEC / 27(i).Registration 28.MedicalCertificate
PCATP/PBCNO: ExpiryDate: IssueDate:
29.WrittenTest/Examination/InterviewCentre: RAWALPINDI 30.No.ofChancesAvailedforthisPost: 0
31.PhysicalStandard(ForUniformPostsOnly):
Height
Chest Nromal Expanded
Vision DistantVisionLeft: DistantVisionRight: NearVisionLeft: NearVisionRight:
32.AcademicQualifications:

RESULT
BOARD/ EXAMINATION OBTAINED TOTAL %AGE/
CERTIFICATE/DEGREE SUBJECTS DECLARED
UNIVERSITY SYSTEM MARKS MARKS GRADE
ON
B.I.S.E BIO,PHYSICS,
MATRICULATION 01082008 ANNUAL 731 850 86.00
RAWALPINDI CHEM,MAT
B.I.S.E BIO,PHYSICS,
INTERMEDIATE 04092010 ANNUAL 835 1100 75.91
RAWALPINDI CHEM
UNIVERSITYOF
BACHELOR GEOPHYSICS 25082015 SEMESTER 3.23 4 80.75
SARGODA

33.ServiceRecord(ifrequired)

POSTHELD DEPARTMENT/OFFICE STARTINGDATE ENDINGDATE SCALE

DISCLAIMER:IcertifythatallinformationintheApplicationFormsubmittedbymeiscorrectandincaseanyinformationis
foundtobeincorrect,itwilldisqualifymycandidature.IalsocertifythatIhavereadallrequirements/conditionsofthispost
alongwiththeGeneralInstructionsinthisregard.

Date: 31052017 Candidate'sSignature:

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