Website: www.fpsc.gov.pk Email: fpsc@fpsc.gov.

pk Fax: 051-92133869203410

FEDERAL PUBLIC SERVICE COMMISSION

Sector F-5/1, Aga Khan Road,ISLAMABAD

Application Form No

483615
Print Date: 07-FEB-13

APPLICATION FORM FOR RECRUITMENT TO BS-16 and ABOVE POSTS

For Official Use Only Receiving Stamp of FPSC
To be filled by the Candidate Application Fee Paid: YES Original Treasury Receipt of Rs. 300 Treasury No. 16 Date 07-FEB-13 Bank Name National Bank of Pakistan Bank Branch Code 0301 District of Bank Branch ABBOTTABAD

Batch No.

Diary No.

Consolidated Advt.No. Case No.(Category Code if applicable) Subject: 02/2013 F4-34/2013-R Name of Post Applied for: ASSISTANT DIRECTOR (GEOLOGY) - BPS(17) Ministry/ Division/ Department: PETROLEUM AND NATURAL RESOURCES/GEOLOGICAL SURVEY OF PAKISTAN Name: (Write in Capital Letters and spell as per your Matriculation Certificate): 1) SAAD KHURSHID Father's/ Husband's Name (For female married candidates) 2) MUHAMMAD KHURSHID 3) Nationality of Spouse (Wife/Husband) 4) Computerized (NADRA) National Identity Card (CNIC) No. of Applicant 13101-8454262-9 5) Date of Birth (Exact As per Matric. Certificate) 08-12-1987 b) Age on Closing Date 6) a) Gender Male b) Marital Status Single c) Religion Muslim 7) 8) 9) 10) 11) 12) a) Self Domicile: KHYBER PAKHTUNKHWA b) District of Domicile: ABBOTTABAD a) Test Centre ISLAMABAD b) Interview Centre ISLAMABAD a) Age Relaxation Not Claimed (Within Age limit) b) Relaxation Claimed: Nil Present Postal Address: VILLAGE: NARIAN, P/O: NAWAN SHEHR, TEHSIL & DISTRICT: ABBOTTABAD Permanent Address: VILLAGE: NARIAN, P/O: NAWAN SHEHR, TEHSIL & DISTRICT: ABBOTTABAD Contact Nos.a) Office b) Residence 0992390364 c) Cell No. 03328918717 d) Fax No. E-Mail Address: saadjadoon2009@gmail.com Qualification Result Declaration Name Date MATRICULATION 03-MAR-04 INTERMEDIATE 18-MAY-06 B.S. (HONS) 15-SEP-12 CGPA/Div/ Grade Div:First Div:Second CGP:2.94

13) ACADEMIC QUALIFICATIONS: S.No. 1 2 3 Board/University BISE Abbottabad BISE Abbottabad COMSATS Institute of Information Technology Major Subjects SCIENCE,, PRE-ENGINEERING ,, GEOPHYSICS,GEOLOGY,

14) COURSES/ TRAINING: (Certificate, Diploma, Post-Graduate Diploma, on job training etc.) S.No. Name of Course 1 2 Short Computer course SEISMIC WORKSHOP Institution & Location CAREER DEVELOPMENT INSTITUTE (CDI) ABBOTTABAD OIL & GAS TRAINING INSTITUTE (OGTI) ISLAMABAD Grade B A Starting Date Ending Date Nature of Training Weeks 24 2

01-02-2011 31-07-2013 02-07-2012 17-07-2012

15) RESEARCH/ PUBLICATIONS/ PAPERS/ ARTICLES: S. No. 1 16) Do you fall in the Category of disabled candidates? Disability Claim Helper Title Journal/Conferences (in case of paper/article) Publisher -Publication Date Day Month Year R No

17) Do you possess relevant post Qualification experience for the post as mentioned in the advertisement on the closing date? S. No. 1 Name Of Post ATTACHMENT BS Organization/ Department From DD-MM-YYYY 24-09-2012 To DD-MM-YYYY 28-11-2012 Status Federal Government Nature Of Job Apprentice Yes / No

INTERNEE OGDCL

18) List of Documents to be attached 1 Correct Case No./ Name of post/ Department as per Advertisement 2 Original Treasury Challan with application form 3 Latest Three(3) Photographs Mentioning your name on backside 4 Copy of Computerized National Identity Card (CNIC) 5 Copy of Matric/ Secondary School Certificate (Proof of Age) 6 Copy of required Degrees/ Diplomas/ Certificates 7 Proof of Post-Qualification experience 8 Copy of self Domicile Certificate 9 Departmental Permission Certificate (For Govt. Servants) 10 In Case of Disabled Candidates, Certificate of Disability from the Competent Authority

19) Declaration(i): I hereby solemnly declare that I am not in possession of any domicile certificate other than District ABBOTTABADclaimed/ submitted alongwith this application form for the instant case. I further declare that if I am founding possession of any domicile certificate other than the one mentioned above, I will be liable to dismissal from service with costs or any other penalty. Declaration(ii): I certify that the statements made by me in the answers to the foregoing questions 1-19 are ture, complete and correct to the best of my knowledge and belief. Submission of fake/ forged documents and any misrepresentation or omission discovered even after appointment may render my appointment liable to termination in addition to the action decided by the Commission. I have also carefully read the General Instructions to the candidates and I am bound by the terms and conditions contained therein. 20) The documents be arranged in the above said order, and all documents attached with the application form must be numbered in continuation with the page number of the Application Form

Applicant's Signature Date

21) Important Note:Please write your name and address in Capital letters. Any change of address should be reported to FPSC immediately. The Commission does not accept any responsibility in case of change in address not communicated to the Commission. Addressess 'Care of Post Box No.' etc. should not be written as postal authority does not accept Registered letters at such addresses

F4-34/2013-R Name: SAAD KHURSHID

Roll No.

F4-34/2013-R Name: SAAD KHURSHID

Roll No.

Address: VILLAGE: NARIAN, P/O: NAWAN SHEHR, TEHSIL & DISTRICT: ABBOTTABAD F4-34/2013-R Name: SAAD KHURSHID Address: VILLAGE: NARIAN, P/O: NAWAN SHEHR, TEHSIL & DISTRICT: ABBOTTABAD F4-34/2013-R Name: SAAD KHURSHID Roll No. Roll No.

Address: VILLAGE: NARIAN, P/O: NAWAN SHEHR, TEHSIL & DISTRICT: ABBOTTABAD F4-34/2013-R Name: SAAD KHURSHID Address: VILLAGE: NARIAN, P/O: NAWAN SHEHR, TEHSIL & DISTRICT: ABBOTTABAD F4-34/2013-R Name: SAAD KHURSHID Roll No. Roll No.

Address: VILLAGE: NARIAN, P/O: NAWAN SHEHR, TEHSIL & DISTRICT: ABBOTTABAD

Address: VILLAGE: NARIAN, P/O: NAWAN SHEHR, TEHSIL & DISTRICT: ABBOTTABAD