10/16/23, 12:41 AM Application Form

PPSC-4

PUNJAB PUBLIC SERVICE COMMISSION Application Number:

94407666
1.Post Applied For: TEHSILDAR/ CONSOLIDATION OFFICER/ HILL TORRENT OFFICER/ READER TO MEMBERS
BOARD OF REVENUE
2.Department: BOARD OF REVENUE, PUNJAB

3.Advertisement Number: 18/2023

4.Case Number: 8J2023

5.Fee Deposit Date: 06-10-2023

6.Amount: Rs. 1000/-

7.Bank Name/PSID No:
8.Candidate's Name:
9.Father's Name:
10.Postal Address:
WASEELA MOBILINK
MICROFINANCE BANK /
40382310066535335
MUHAMMAD WASEEM
SAJJAD HUSSAIN KHAN
SADIQ MANSION BOYS HOSTEL ROOM NO.11 TEMPLE ROAD MOZANG

11.Gender: MALE 12.Religion MUSLIM

13.CNIC NO: 3620389224579 13(a).CNIC Expiry Date: 02-11-2030

14.Marital Status: SINGLE 14(a). Spouse Name:

16.Age (On Closing Age: 23 year(s), 0 Month(s), 28

15.DOB: 04-12-1999
Date): Day(s)

17.Phone No: 3127743928 18.Mobile Number: 03127743928

19.E-mail: waseemkhanghallo93@gmail.com

20(a).Domicile Issue
20.Domicile: LODHRAN 03-11-2020
Date:

21.Special Person? NO

(a).Type of Disability: NA (b).Examination Mode: NA

(c).Disability Certificate Ref. No. NA (d).Disability Certificate Issue Date: NA

22.Government Employee? NO

(a).Type of Service NA (b).PPSC Employee NO

(c).Date of Joining NA (d).Length of Service NA

(e).Obtained NOC From

NO
Employer?

23.Retired / Released Armed Forces

NO
Person?

(a).Length of Service NA (b). Convicted by Court Martial? NA

24.Near relative working in PPSC? NO

(a).Name of Relative NA (b). Designation/Relation NA

https://www.ppsc.gop.pk/(S(w5zjef0vy4yri1cla2cg55kz))/UsersReg/ApplicationPrintNew.aspx 1/2
10/16/23, 12:41 AM Application Form

25.Ever Dismissed / Removed / 25(a).Dismissed / Removed /

Discharged from Government / Discharged ?
Autonomous body ?
NO NA

(c).If yes, produce Notification /

(b).Reason of Removal / Dismissal Detail of Charges from
NA
/ Discharge concerned Department at the
time of interview, if called for

26.Do you claim additional marks as

an unemployed child of a Punjab
Government servant who was
NO 26(a).Father / Mother CNIC No: NA
incapacitated or died while in
service?

27.Ever been Convicted by a Court in 27(a).If Yes, Produce Detail at the

Pakistan? NO
Time of Interview, if Called for

28.Are you Facing any Criminal Trial 28(a).If Yes, Produce Detail at the
NO
in any Court of Pakistan? Time of Interview, if Called for

29.PMDC / PNC / OEC / PCATP / PBC

NA 29(a).Registration Expiry Date: NA
NO :

30.Medical Certificate Issue Date: NA

31.Written Test / Examination / 32.No. of Chances Availed for this

Interview Centre: LAHORE 0
Post:

33.Physical Standard:
(a).Height NA

(b).Chest Normal NA (c).Chest Expanded NA

(d).Distant Vision Left NA (e).Distant Vision Right NA

(f).Near Vision Left NA (g).Near Vision Right NA

34.Academic Qualifications:

RESULT
BOARD / EXAMINATION OBTAINED TOTAL %AGE /
CERTIFICATE/DEGREE SUBJECTS DECLARED
UNIVERSITY SYSTEM MARKS MARKS GRADE
ON
MATRICULATION B.I.S.E MULTAN biology 25-07-2013 SEMESTER 603 1050 57.42
B.I.S.E DERA
INTERMEDIATE pre-medical 12-01-2016 ANNUAL 583 1100 53
GHAZI KHAN
ISLAMIA
chemistry,
BACHELOR UNIVERSITY 19-08-2017 ANNUAL 421 800 52.63
zoology
BAHAWALPUR

35.Service Record (if required)

POST HELD DEPARTMENT / OFFICE STARTING DATE ENDING DATE SCALE

Tehsildar/Conslidation Officer Board Of Revenu 18-10-2023 19-10-2023 16

DISCLAIMER: I certify that all information in the Application Form submitted by me is correct and in case any information is
found to be incorrect, it will disqualify my candidature. I also certify that I have read all requirements / conditions of this post
along with the General Instructions in this regard.

Date: 13-10-2023 Candidate's Signature: --------------------------------------------

https://www.ppsc.gop.pk/(S(w5zjef0vy4yri1cla2cg55kz))/UsersReg/ApplicationPrintNew.aspx 2/2