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Serial No! Bank Challan No:__ [Name of facilitation Centre (For Private) PERSONAL DETAILS. Name in Eng. As SSC fale is I TT Fl Mame in Urdu As SSC Father's Name inng.as ssc{_1 | ee jal Father's Name in Urdu As SSC. i = = ow Te laa BEBE! Paste Fresh Bay-Form / CNIC No. feeble ysl els Passport Size Photograph Enrollment No. LUI I el and get it Gender OO wae CO Fomaie attested from Father/Guardian’s CNICNo.| Eelsalale elle te ea Pa ad D1 mustin [7] Non tus Medium: []engisn [] Uris | 40 atten Protosvaph Nationality : Speciality D Bina Cy Handicapped =) Prisoner Board Employes MATRIC RESULT DETAILS: Roll No. Obt. Marks: Board Year ‘Annual [_] Supply INTERMEDIATE RESULT DETAILS (LAST EXAM). Roll No. bt. Marks. Board. es ‘Annual [_] Supply APPEARING CATEGORIES ec L Pat eacneares than 33% marks in Prt papers & Past Fut {Dy Patan art Fut arendy appeared ire: Exam P-1 ony wie mbes (Cy Pet pase are at Ft 1D) Patan at farenyeopeares miner Exon 2 wit ew ects Co peter Fut ater matte fresvCarposte) Ei sre improve in Pt on 1D rast anu rat arent appere inn Ban P-2) wit same sites []} Maraimprove in Patan 1D vitor Dy Paton Pet ego: camer Ce) {© iis irre Prt an Pat yer Fevicom sen [Eo rt ant rr at ty appease mies] Mars improve in Selected Sects DD pe ott CONTACT INFORMATION ————$—=—=____ Zone Tehsil District Postal Address. ap ane Father/Guardian's Mobile No. ‘Email Address EXAM INFORMATION —_—_———————— Proposed Center (*di7m/1f). jubjects Part | Group: (—] Pre-Mecical[] Pre-Engineering [_] Ganeral Science [_] Commerce [] Humanities (others 1 Z 3. 4 bee 6. 2. ate ‘Subjects Part I! 1. 2. a 4. 5. 6. tas BANK INFORMATION ——$_ $$ $$ << << —<— <_< $< _ _ _ _ <_< <_< Bank Name __ __Amount ______Challan No,_ ae Dee ‘Ata: nav rads frm. Te ta ons tom ann oie seta eae ast ree mec / proved by me and covets cer foray Tecestow fat ny the oration x rod ihe rte oye sng with the trad an see ter ‘tence on iso wil ba ed ora ocssing scepter conson ns regu stot Attain Ahoy fl Name of Attestation Authority i CNIC # of Attestation Authority [ by = I stamp ||] canauss tance nenten|| Tsar eecton [EE LEK > E(Facllity Centre) et (Manual) ps6 binat Qube teelecd ye eied

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