PUNJAB EXAMINATION COMMISSION

REGISTRATION FORM FOR GRADE 5th EXAMINATION-2014

PRIVATE SCHOOL
Serial No. (Filled by EDO Office)______________

Examination Centre Code (Filled by EDO Office)

Your preferred Examination Centre (if any) ___________________________________

School's Name:
(In Block Letters)
School Registered:

(Yes) (No)

If yes then Reg. No.

____________________________________

Postal Address: _______________________________________________________________

_________________________________________________________________
District:______________________________

Tehsil:___________________________
Tick relevant box

Union Council Name:______________________

Location:Urban/Rural

Union Council No.

School Gender: Male/Female/Mixed

Total number of students in school:

Total female:
Candidates

Total Male:
Candidates

Total number of candidates:

Eng. medium:

Mix

Grade 5

Urdu Medium:

Number of candidates opting Social Studies in English/Urdu medium English

Urdu

Number of candidates opting Islamiyat in English/Urdu medium

Urdu

English

Six Compulsory subjects for Grade 5:- English, Urdu, Mathematics, Science, Social Studies and Islamiyat

Number of Non-Muslim candidates, opting Ethics (Ikhlaqiat) in lieu of Islamiyat

Total attached Sheets (

Signature Head of Institution

Stamp

Head of Institute's Contact numbers:-

NOTE:

___________________________________________________

i) Information regarding submission of forms, date sheet of examination, instructions to fill the form
etc., may be collected from Education Department Offices in the district or from website
(www.pec.edu.pk).
ii) The examination form will be submitted to Registration Centre established by EDO (Edu) at Tehsil
or Town Level in your district.
iii) Non-Muslim Candidates may opt the subject Ikhlaqiate in lieu of ISLAMIYAT.

RECEIPT:
Certified That the registration form for Grade 5 from school__________________________________

________________________________ has been received.

No. _____________________

Dated:_____________

Signature of Receiving Officer/Official

PUNJAB EXAMINATION COMMISSION

Form B-5 Student Sheet No.--------

REGISTRATION FORM FOR GRADE 5th EXAMINATION-2014

PRIVATE SCHOOL
School's Name:
Sr.#

DETAIL OF CANDIDATES APPEARING IN THE EXAMINATION

Name :
Father's Name:

Gender:

F M

Medium:

E U

Religion:

M N

Islamiat

E U

Social St.

E U

Gender:

F M

Medium:

E U

Religion:

M N

Islamiat

E U

Social St.

E U

Gender:

F M

Medium:

E U

Religion:

M N

Islamiat

E U

Social St.

E U

Gender:

F M

Medium:

E U

Religion:

M N

Islamiat

E U

Social St.

E U

Gender:

F M

Medium:

E U

Religion:

M N

Islamiat

E U

Social St.

E U

Gender:

F M

Medium:

E U

Religion:

M N

Islamiat

E U

Social St.

E U

D O B:
Name :
Father's Name:

Gender:

F M

Medium:

E U

Religion:

M N

Islamiat

E U

Social St.

E U

D O B:

Gender:

F M

Medium:

E U

Religion:

M N

Islamiat

E U

Social St.

E U

D O B:
Name :
Father's Name:
D O B:
Name :
Father's Name:
D O B:
Name :
Father's Name:
D O B:
Name :
Father's Name:
D O B:
Name :
Father's Name:
D O B:
Name :
Father's Name:

* Make photocopies of this page if required.

Signature With Stamp

Head of Institution