Government of Pakistan

FEDERAL PUBLIC SERVICE COMMISSION

Website: www.fpsc.gov.pk
Aga Khan road, F-5/1, Islamabad Tracking ID
Email: examination@fpsc.gov.pk
957153
Fax: 051-9213386-9203410
UAN: 051-111-000-248
ONLINE APPLICATION FOR
Date Applied
COMPETITIVE EXAMINATION (CSS) - 2021
28-OCT-20

Important Note: Signed printout of this online application form along with all required documents must
be despatched so as to reach FPSC HQs Islamabad within ten (10) days of your online application
submission date. Otherwise your candidature will be rejected.

Receiving Stamp T.R. removed for Rs.

Batch
  Diary No.  
No.
 

Roll No.

Name (In capital letters as per Matriculation

1) FAYAZ ALI
Certificate):
2) Father's Name: ALI NAWAZ
3) Husband's Name (in case of married female
candidates):
3) Date of Birth (As per Matriculation Certificate): 15-11-1991
4) CNIC Number: 45301-2266950-5
5a) Religion: MUSLIM
Whether Non Muslim desires to be examined in
5b) Islamic Studies or Comparative Study of Major
Religions:
6a) Gender: MALE
6b) Marital Status: SINGLE
WAZIR PHOTOSTAT OPPOSITE NATIONAL BANK THARUSHAH, P.O
7) Postal Address:
THARUSHAH,DISTRICT NAUSHAHRO FEROZ
VILLAGE SHAFI MUHAMMAD WAGAN,P.O THARUSHAH, DISTRICT NAUSHAHRO
8) Permanent Address:
FEROZ
9) Particulars about Spouse/Fiancee:  
a) Nationality: b) Age:
c) Education: d) Occupation:
e) Designation:
10) Examination Centre: HYDERABAD
11a) Domicile: SINDH RURAL
11b) District of Domicile: NAUSHAHRO FEROZE
12a) E-mail: fayazaliwagan786@gmail.com b) Ph.Office:
c) Mobile: 0305-8431589 d) Ph.Res:
13) Age Relaxation Claimed?: RELAXATION NOT CLAIMED (WITHIN AGE LIMITS)

Applicant's Signature
Date
 -2-
14) Education Record:
Medium
S. School/ College/ Date of Result Grade/ R/
of Name of Exam Distinctio
N University & From To Announceme Div/ Board/ University Major Subjects M/
Instructi nt Passed n
o. Location CGPA F
on
ENGLISH,
31-MAR-
1 GHS THARUSHAH ENGLISH 15-AUG-05 25-JUL-07 SSC First BISE SUKKUR MATHEMATICS, A GRADE R
07
PHYSICS
ENGLISH ,
31-MAR-
2 GDC BHIRIA ROAD ENGLISH 15-AUG-07 24-AUG-09 HSC First BISE SUKKUR MATHEMATICS, B GRADE R
09
PHYSICS
BASIC
ELECTRONICS,
QUEST B.E ELECTRONIC QUEST FIRST
3 NAWABSHAH ENGLISH 19-JAN-10 31-DEC-13 24-APR-14 ENGINEERING First BASIC ELECTRICALS, R
NAWABSHAH DIVISION
SEMICONDUCTOR
DEVICES
4

15) Extra Activities:

S.
From To Extra Curricular Activities/ Sports/ Hobbies
No.
1

16) Disciplinary Action/ Conviction: NO

 -3-
17) Employment Record:
S. Post and Office held Name of Organization From To Date Type of Nature BS
No. Date Organization

18) Languages (A=Excellent B=Good C=Fair):

S.
Name of Language Read Write Speak Certificate/ Diploma, if any
No.
1 ENGLISH B B B

2 SINDHI A B B

3 URDU B B B

19) Full particulars of Near Relations:

S. Name of Relatives Relationship Post held/ Department Place of Duty
No.

Optional Subjects (600 Marks):

20) Candidates will be responsible for any error in the selection of subjects marked by them as wrong selection/combination of subjects will lead to
rejection under the Rules. Combination of optional subjects once chosen at the time of submission of online application shall not be allowed to
change subsequently. Change of optional subjects in hard copy of online form is also not allowed.

S. Subject
Subject Marks
No. Code
1 14 Political Science 200
2 16 Physics 200
3 40 International Law 100
4 51 Sindhi 100
 -4-
21a) Whether Disabled?: NO
21b) Assistance Required?: NO

22) Particulars about Parents:

S. Occupation/ Occupation/ Parent Annual Any other source of income/
No. Parent Age Qualification Designation Designation (at Alive or Income supporting income
present time of your birth) Dead

1 FATHER 38 INTERMEDIATE LABOUR 1994 80000 NO

2 MOTHER 66 UNDERMATRIC ALIVE

23) Brothers/ Sisters:

S.
B, S, SB, SS OR X Age Occupation Education
No.

1 BROTHER 39 FARMER MATRIC

2 SISTER 33 UNDERMATRIC

3 BROTHER 43 GOVERNMENT SERVANT GRADUATION

4 YOUR-SELF 29 GRADUATION

5 BROTHER 37 LABOUR INTERMEDIATE

6 BROTHER 41 GOVERNMENT SERVANT INTERMEDIATE

10

24) Detail of any previous attempt for Competitive Examination (CSS):

S. Year Roll No. Examination Result Group
No.

1 2017 3237 CSS FAIL

 
 -5-
25) Occupational Groups:
Order of
Occupational Groups/ Services
Preference
1 Pakistan Customs Service
2 Pakistan Audit and Accounts Service
3 Foreign Service of Pakistan
4 Police Service of Pakistan
5 Pakistan Administrative Service
6 Commerce and Trade Group
7 Inland Revenue Service
8 Information Group
9 Postal Group
10 Railways (Commercial and Transportation) Group
11 Military Lands & Cantonments Group
12 Office Management Group

Previous experience of Psychological

26a) NO
Test:
 -6-
27) Check List: Please confirm that the following documents have been attached
with the application form: Yes / No
1. All documents attached with the form must be numbered in continuation with the page number
of the application form in following sequence:-
Original Treasury Receipt for Rs.2200 Dated: 20-OCT-20, Fee deposited in NBP Branch Name National Bank of Pakistan,
a  
Branch Tharushah Bank(Branch Code): NBP 2019 City/District: NAUSHAHRO FEROZE

b Recent 4 Photographs (attested on back side, mentioning name and father's name).  

c Attested copy of Computerized National Identity Card.  

d Attested copy of Matriculation Certificate showing date of birth. Provisional Certificate/ Result Card/ Marks Sheet is not  
acceptable.

e Attested copy of Intermediate Certificate. Provisional Certificate/ Result Card/ Marks Sheet is not acceptable.  

f Attested copy of Degree(s).  

g Attested copy of self Domicile Certificate.  

h Certificate for Buddhist and Scheduled Caste Candidates. (Annex-A)  

i Certificate for Provincial/ Federal Tribal Areas candidates and those belonging to Gilgit-Baltistan. (Annex-B)  

j Certificate from Kashmir Affairs Division for Azad Kashmir Nationals. (Annex-C)  

k Certificate for Minorities. (Annex-D)  

l Departmental Permission Certificate (Annex-E) (for Government Servants).  

m In case of Ex-Employees of Armed Forces of Pakistan No Objection Certificate from relevant authority.  

n In case of Disabled candidates, certificate of disability from the competent authority.  

o Whether you have signed the application (first and this page)?  

2. If additional documents are attached with application form, please attach a separate list:-
28) Declaration:
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
(i) statements is false in any material respect 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.
(ii) I hereby declare that I am not in possession of any domicile certificate other thatn District NAUSHAHRO FEROZE as claimed/submitted
alongwith the instant application form. I further declare that if I am found in possession of any domicile certificate other than the one mentioned
above, my candidature for instant examination may be cancelled/rejected and if appointed, I will be liable to dismissal from service any time
with costs or any other penalty.
(iii) I hereby further declare that:
a. I have never been involved in any criminal or civil case or prosecuted in any criminal/civil or quasi judicial proceedings involving moral
turpitude. If so, please give detailed particulars of the incident with name of police station.
b. I have not been associated with any banned militant, ethnic or terrorist organization at any time.
c. My parents, in-laws and any of my close relations have not been associated with any banned terrorist, militant organization.
d. I have read and understood "Rules for Competitive Examination", and 'Regulations for Physical Examination' before filling this application form
and agree to abide by them.

Place:__________________________________  

Date:__________________________________ Signature of Applicant

 -7-

Roll No.                                                                /2021-CSS Roll No.                                                                /2021-CSS

Name: FAYAZ ALI Name: FAYAZ ALI

WAZIR PHOTOSTAT OPPOSITE NATIONAL   WAZIR PHOTOSTAT OPPOSITE NATIONAL

BANK THARUSHAH, P.O BANK THARUSHAH, P.O
Address: Address:
THARUSHAH,DISTRICT NAUSHAHRO THARUSHAH,DISTRICT NAUSHAHRO
FEROZ FEROZ

District: District:

Roll No.                                                                /2021-CSS Roll No.                                                                /2021-CSS

Name: FAYAZ ALI Name: FAYAZ ALI

WAZIR PHOTOSTAT OPPOSITE NATIONAL   WAZIR PHOTOSTAT OPPOSITE NATIONAL

BANK THARUSHAH, P.O BANK THARUSHAH, P.O
Address: Address:
THARUSHAH,DISTRICT NAUSHAHRO THARUSHAH,DISTRICT NAUSHAHRO
FEROZ FEROZ

District: District:

Roll No.                                                                /2021-CSS Roll No.                                                                /2021-CSS

Name: FAYAZ ALI Name: FAYAZ ALI

WAZIR PHOTOSTAT OPPOSITE NATIONAL   WAZIR PHOTOSTAT OPPOSITE NATIONAL

BANK THARUSHAH, P.O BANK THARUSHAH, P.O
Address: Address:
THARUSHAH,DISTRICT NAUSHAHRO THARUSHAH,DISTRICT NAUSHAHRO
FEROZ FEROZ

District: District:

..............................................................................................

Acknowledgement Receipt

Received Application Form No. ________________________ of Competitive Examination, 2021 of

Mr./Miss/Mrs. FAYAZ ALI

Signature and Official Stamp

(with date) F.P.S.C.