PPSC­4

PUNJAB PUBLIC SERVICE COMMISSION
Application Number:

85300709
1.Post Applied For: ASSISTANT REGISTRAR COOPERATIVE SOCIETIES

2.Department: COOPERATIVES DEPARTMENT

3.Advertisement Number: 38/2019

4.Case Number: 139G2019

5.Bank Receipt Date: 07­11­2019

6.Amount: Rs 1000/­

7.Bank Name/Receipt No: NBP /23

7(a) Branch Name: SHAHRAHE­E­QUIAD­E­AZAM CHINIOT , CHINIOT

8.Candidate's Name:
9.Father's Name:
10.Postal Address:
MUHAMMAD ADEEL ASIF
MUHAMMAD SHARIF
141­B ALI VIEW GARDEN MAIN BEDIAN ROAD LAHORE CANTT, 141­B ALI VIEW GARDEN MAIN
BEDIAN ROAD LAHORE CANTT, 141­B ALI VIEW GARDEN MAIN BEDIAN ROAD LAHORE CANTT

11.Gender: MALE 12.Religion MUSLIM

13.CNIC NO: 3520199012841 13(a).CNIC Expiry Date: 4­7­2025

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

16.A g e   (   o n   C l o s i n g Age: 29 year(s), 2 Month(s), 10
15.DOB: 22­10­1989
Date): Day(s)

17.Phone No: 3324737436 18.Mobile Number: 03324737436

19.E­mail: adeelchaudhary101@gmail.com

20(a).D o m i c i l e   I s s u e
20.Domicile: LAHORE 04­10­2016
Date:

21.Special Person? NO

(a).Type of Disability: NO (b).Examination Mode: NO

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

22.Government Employee? YES

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

2 Year(s) 2 Month (s) 9
(c).Date of Joining 30­01­2017 (d).Length of Service
Day (s)

(e).Obtained NOC From Employer? YES

23.Retired / Released Armed Forces
NO
Person?

0 Year (s) 0 Month (s)
(a).Length of Service (b). Convicted by Court Martial? NO
0 Day (s)

24.Near relative working in PPSC? NO

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

25.Ever Dismissed / Removed from
NO 25(a).Dismissed / Removed ? ­
Government/Autonomous body ?

(b).Reason of Removal/Dismissal
(c).If yes, produce Notification /
Detail of Charges from
­
concerned Department at the
time of interview, if called for

26.Do you Claim Additional Marks as
an Unemployed Child of a Punjab
Unemployed Child  of a Punjab
NO 26(a).Father / Mother CNIC No: NIL
Government Servant who was
Incapacitated or Died while in
Service?

27.Ever been Convicted by a Court in 27(a).If Yes, Produce Detail at the
NO
Pakistan? Time of Interview, if Called for

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

29.PMDC / PNC / OEC / PCATP / PBC
29(a).Registration Expiry Date:
NO :

30.Medical Certificate Issue Date:

31.W r i t t e n   T e s t   /   E x a m i n a t i o n   / 32.No. of Chances Availed for this
FAISALABAD 0
Interview Centre: Post:
33.P hysical Standard (For Uniform
Posts Only):

(a).Height

(b).Chest Normal (c).Chest Expanded

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

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

34.Academic Qualifications:

BOARD / RESULT EXAMINATION OBTAINED TOTAL %AGE /

CERTIFICATE/DEGREE SUBJECTS
UNIVERSITY DECLARED ON SYSTEM MARKS MARKS GRADE
MATRICULATION FEDERAL BOARD science 28­09­2006 ANNUAL 665 1050 63.33
INTERMEDIATE B.I.S.E LAHORE science 15­08­2009 ANNUAL 603 1100 54.82
UNIVERSITY OF computer
BACHELOR 05­05­2016 SEMESTER 2725 4300 63.37
LAHORE science

35.Service Record (if required)

POST HELD DEPARTMENT / OFFICE STARTING DATE ENDING DATE SCALE

It & Statistical Officer Dhq Hospital Chiniot 30­01­2017 18­11­2019 17

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: 08­11­2019 Candidate's Signature: ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­