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
1623401
COMPETITIVE EXAMINATION (CSS) - 2024
Date Applied
(Written Exam)
06-JAN-24

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. 012079

Name (In capital letters as per Matriculation

1) RAHUL KUMAR
Certificate):
2) Father's Name: LOHANA
Husband's Name (in case of married female
3)
candidates):
3) Date of Birth (As per Matriculation Certificate): 04-10-1997
4) CNIC Number: 41302-6675959-3
5a) Religion: NON MUSLIM
Whether Non Muslim desires to be examined in
5b) Islamic Studies or Comparative Study of Major COMPARATIVE STUDY OF MAJOR RELIGIONS
Religions:
6a) Gender: MALE
6b) Marital Status: SINGLE
7) Postal Address: FLAT NO A/12, BHITTAI COTTAGES BALDIA COLONY HYDERABAD CITY 71000
8) Permanent Address: VILLAGE GULAM NABI SHAH, TALUKA PITHORO
9) Particulars about Spouse/Fiancee:
a) Nationality: b) Age:
c) Education: d) Occupation:
e) Designation:
10) Examination Centre: HYDERABAD
11a) Self Domicile: District of
SINDH URBAN b) HYDERABAD CITY
Domicile:
c) Date of Issuance of Domicile 23-09-2014
12a) E-mail: [email protected] b) Ph.Office: 03123927204
c) Mobile: 0312-3927204 d) Ph.Res:
13) Age Relaxation Claimed?: GOVERNMENT EMPLOYEE (IN SERVICE)

Applicant's Signature
(Please DO NOT Fold/Tear/Write anyting on the QR Code)
Date
 -2-
14) Education Record:
Medium
S. School/ College/ Grade/
of Date of Result Name of Exam Distinctio R/
N University & From To Announceme Div/ Board/ University Major Subjects M/
Instructi nt Passed n
o. Location CGPA F
on
BIOLOGY ,
1 HYDERABAD ENGLISH 02-AUG-10 31-MAR- 25-JUL-12 MATRICULATION B BISE HYDERABAD CHEMISTRY ,
12
PHYSICS
BIOLOGY ,
2 HYDERABAD ENGLISH 10-SEP-12 31-MAR- 07-AUG-15 INTERMEDIATE A BISE HYDERABAD CHEMISTRY , R
14
PHYSICS
STOOD
FIRST IN
MEDICAL
BATCH,
04-JAN-16 31-DEC-19 06-MAR- BS (HONS)
UNIVERSITY OF BACTERIOLOGY ,
3 JAMSHORO ENGLISH First RECEIVED R
20 MICROBIOLOGY SINDH MEDICAL VIROLOGY
VICE
, IMMUNOLOGY
CHANCEL
LOELLEN

15) Extra Activities:

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

16) Disciplinary Action/ Conviction: NO

 -3-
17) Employment Record:
S. From Type of
No. Post and Office held
Name of Organization To Date Organization Nature BS
Date
ISRA UNIVERSITY HOSPITAL
1 LABORATORY TECHNOLOGIST 11-OCT-20 06-JAN-24 PRIVATE PERMANENT 3
HYDERABAD
SCHOOL EDUCATION AND LITERACY
2 JUNIOR ELEMENTARY SCHOOL TEACH 21-JUL-22 06-JAN-24 PROVINCIAL PERMANENT 14
GOVERNMENT OF SINDH GOVT.

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

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

19) Full particulars of Near Relations:

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

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 23 Public Administration 100
3 32 Environmental Sciences 100
4 43 Criminiology 100
5 48 Sociology 100
 -4-
21a) Whether Disabled?: NO
21b) Assistance Required?: NO

22) Particulars about Parents:

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

1 FATHER 55 UNDERMATRIC SALES MAN SHOPKEEPER ALIVE 240000

2 MOTHER 61 UNDERMATRIC ALIVE

23) Brothers/ Sisters:

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

10

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

S.
Year Roll No. Examination Result Group
No.

4
 -5-
25) Occupational Groups:
Order of
Occupational Groups/ Services
Preference
1 Pakistan Administrative Service
2 Police Service of Pakistan
3 Pakistan Customs Service
4 Inland Revenue Service
5 Foreign Service of Pakistan
6 Military Lands & Cantonments Group
7 Pakistan Audit and Accounts Service
8 Office Management Group
9 Commerce and Trade Group
10 Railways (Commercial and Transportation) Group
11 Information Group
12 Postal 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-JAN-24, Fee deposited in NBP Branch Name National Bank of Pakistan
a
Bank(Branch Code): NBP 0014 City/District: HYDERABAD CITY

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

c Attested copy of Computerized National Identity Card.

Attested copy of Matriculation Certificate showing date of birth. Provisional Certificate/ Result Card/ Marks Sheet is not
d
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 HYDERABAD CITY 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. /2024-CSS Roll No. ; /2024-CSS

Name: RAHUL KUMAR Name: RAHUL KUMAR

FLAT NO A/12, BHITTAI COTTAGES BALDIA FLAT NO A/12, BHITTAI COTTAGES BALDIA
Address: Address:
COLONY HYDERABAD CITY 71000 COLONY HYDERABAD CITY 71000

District: District:

Roll No. /2024-CSS Roll No. /2024-CSS

Name: RAHUL KUMAR Name: RAHUL KUMAR

FLAT NO A/12, BHITTAI COTTAGES BALDIA FLAT NO A/12, BHITTAI COTTAGES BALDIA
Address: Address:
COLONY HYDERABAD CITY 71000 COLONY HYDERABAD CITY 71000

District: District:

Roll No. /2024-CSS Roll No. /2024-CSS

Name: RAHUL KUMAR Name: RAHUL KUMAR

FLAT NO A/12, BHITTAI COTTAGES BALDIA FLAT NO A/12, BHITTAI COTTAGES BALDIA
Address: Address:
COLONY HYDERABAD CITY 71000 COLONY HYDERABAD CITY 71000

District: District:

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

Acknowledgement Receipt

Received Application Form No. ________________________ of Competitive Examination, 2024

(Written Exam) of
Mr./Miss/Mrs. RAHUL KUMAR

Signature and Official Stamp

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