Government of Pakistan

FEDERAL PUBLIC SERVICE COMMISSION

Website: www.fpsc.gov.pk
Aga Khan road, F-5/1, Islamabad
Email: [email protected]
Tracking ID
Fax: 051-9213386-9203410
UAN: 051-111-000-248
ONLINE APPLICATION FOR
1301945
COMPETITIVE EXAMINATION (CSS) - 2023
Date Applied
(Written Exam)
04-NOV-22

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.    27491

Name (In capital letters as per Matriculation

1) AMAD NOOR AHMAD BUTT
Certificate):
2) Father's Name: WAHEED AHMAD BUTT
Husband's Name (in case of married female
3)
candidates):
3) Date of Birth (As per Matriculation Certificate): 17-05-1996
4) CNIC Number: 34101-0536273-1
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
7) Postal Address: HOUSE 322, PHASE 2, JOYLAND BLOCK, RAHWALI CANTT, GUJRANWALA
8) Permanent Address: HOUSE 322, PHASE 2, JOYLAND BLOCK, RAHWALI CANTT, GUJRANWALA
9) Particulars about Spouse/Fiancee:  
a) Nationality: b) Age:
c) Education: d) Occupation:
e) Designation:
10) Examination Centre: LAHORE
11a) Domicile: PUNJAB
11b) District of Domicile: GUJRANWALA
12a) E-mail: [email protected] b) Ph.Office: 03230620080
c) Mobile: 0323-0620080 d) Ph.Res: 0553862928
13) Age Relaxation Claimed?: RELAXATION NOT CLAIMED (WITHIN AGE LIMITS)

Applicant's Signature
(Please DO NOT Fold/Tear/Write anyting on the QR Code)
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
BOARD OF
QUAID E AZAM INTERMEDIATE BIOLOGY,
10-MAR-
1 PUBLIC COLLEGE ENGLISH 15-FEB-12 24-JUL-12 MATRIC A AND SECONDARY CHEMISTRY, R
10
GUJRANWALA EDUCATION PHYSICS
GUJRANWALA
BOARD OF
PUNJAB GROUP OF INTERMEDIATE BIOLOGY,
19-MAR-
2 COLLEGES ENGLISH 15-JUN-12 11-SEP-15 INTERMEDIATE A AND SECONDARY CHEMISTRY, R
15
GUJRWANWALA EDUCATION PHYSICS
GUJRANWALA
SHEIKH ZAYED BACHELOR OF UNIVERSITY OF MEDICINE,
19-NOV- 12-FEB-21 24-MAY- MEDICINE
3 MEDICAL COLLEGE ENGLISH B HEALTH AND SURGERY, M
15 21 BACHELOR OF
LAHORE SCIENCES LAHORE PAEDIATRICS
SURGERY
UNIVERSITY OF BSC PART TWO UNIVERSITY OF
4 PUNJAB LAHORE ENGLISH 07-JAN-20 16-DEC-20 30-JUN-21 SPECIAL CATEGORY A ENGLISH, , R
PUNJAB LAHORE

15) Extra Activities:

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

1 09-NOV-05 04-NOV-22 CRICKET

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
SHEIKH ZAYED HOSPITAL LAHORE
1 HOUSE JOB 10-JUN-21 09-JUN-22 FEDERAL GOVT. TEMPORARY
FEDERAL GOVERNMENT OF PAKISTAN

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 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 30 History of USA 100
3 32 Environmental Sciences 100
4 39 Constitutional Law 100
5 48 Sociology 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
PRIVATE GOVERNMENT
1 FATHER 64 GRADUATION ALIVE 1200000 NO
CONSULTANT SERVANT

2 MOTHER 58 GRADUATION NILL NILL ALIVE NILL NILL

23) Brothers/ Sisters:

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

1 BROTHER 28 BUSINESSMAN INTERMEDIATE

2 SISTER 30 DOCTOR GRADUATION

3 SISTER 27 DOCTOR GRADUATION

10

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

S. Year Roll No. Examination Result Group
No.

 
 -5-
25) Occupational Groups:
Order of
Occupational Groups/ Services
Preference
1 Foreign Service of Pakistan
2 Pakistan Administrative Service
3 Inland Revenue Service
4 Pakistan Customs Service
5 Police Service of Pakistan
6 Military Lands & Cantonments Group
7 Pakistan Audit and Accounts Service
8 Commerce and Trade Group
9 Office Management Group
10 Information Group
11 Postal Group
12 Railways (Commercial and Transportation) 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: 02-NOV-22, Fee deposited in NBP Branch Name National Bank of Pakistan
a  
Ismail Nagar Lahore Bank(Branch Code): NBP 1587 City/District: LAHORE

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 GUJRANWALA 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:__________________________________

(Please DO NOT Fold/Tear/Write anyting on the QR

Code) Signature of Applicant
 -7-
Roll No.   27491                                                           /2023- Roll No.   27491;                                                          /2023-
CSS CSS

Name: AMAD NOOR AHMAD BUTT Name: AMAD NOOR AHMAD BUTT
 
HOUSE 322, PHASE 2, JOYLAND BLOCK, HOUSE 322, PHASE 2, JOYLAND BLOCK,
Address: Address:
RAHWALI CANTT, GUJRANWALA RAHWALI CANTT, GUJRANWALA

District: District:

Roll No.   27491                                                          /2023- Roll No.   27491                                                          /2023-

CSS CSS

Name: AMAD NOOR AHMAD BUTT Name: AMAD NOOR AHMAD BUTT
 
HOUSE 322, PHASE 2, JOYLAND BLOCK, HOUSE 322, PHASE 2, JOYLAND BLOCK,
Address: Address:
RAHWALI CANTT, GUJRANWALA RAHWALI CANTT, GUJRANWALA

District: District:

Roll No.   27491                                                          /2023- Roll No.   27491                                                          /2023-

CSS CSS

Name: AMAD NOOR AHMAD BUTT Name: AMAD NOOR AHMAD BUTT
 
HOUSE 322, PHASE 2, JOYLAND BLOCK, HOUSE 322, PHASE 2, JOYLAND BLOCK,
Address: Address:
RAHWALI CANTT, GUJRANWALA RAHWALI CANTT, GUJRANWALA

District: District:

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

Acknowledgement Receipt

Received Application Form No. ________________________ of Competitive Examination, 2023

(Written Exam) of
Mr./Miss/Mrs. AMAD NOOR AHMAD BUTT

Signature and Official Stamp

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