BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, GUJRANWALA

ADMISSION /REVENUE FORM (Private Candidate) for SSC ANNUAL EXAMINATION , 2020 HFD
SCIENCE GROUP Roll No: _______________
(For office use only)
Form No: 189968 (9th: Full Appear 10th: Full Appear)
Name (urdu): ____________________________________________ Father's Name (urdu): _______________________________
189968

Prev Roll No: FRESH COMPOSITE Bay Form No: 34302-0417605-7

Name: WAZIR ABBAS Father CNIC: 34302-9611866-1
Father's Name: NAZRA Mobile No: 0342-5677994
Date Of Birth: 11-05-1999 Board Name: BISE, GRW
Registration No: 2-3-1777831-19 Religion: MUSLIM
Speciality: NONE
MALE
Address: VILLAGE LAKRIANWALA POST OFFICE SUKHEKE MANDI TEHSIL PINDI BHATTIAN DIATRICT HAFIZABAD
Student Id: 865357

Proposed Exam Area: 59 - SUKHEKE MANDI

Part I Subjects Part II Subjects Paste Recent

1. URDU 1. URDU Photograph & Must Be

2. ENGLISH 2. ENGLISH Cross Attested by the

3. ISLAMIYAT (COMPULSORY) 3. ISLAMIYAT (COMPULSORY) Head/Deputy Head of

Candidate's
4. PAKISTAN STUDIES 4. PAKISTAN STUDIES Thumb Institution
Impression
5. MATHEMATICS 5. MATHEMATICS

6. PHYSICS 6. PHYSICS

7. CHEMISTRY 7. CHEMISTRY

8. BIOLOGY 8. BIOLOGY

Affidavit:- I have read this form. The data/information on this form and in online system is same as last entered/modified/provided by me and it's correctness
is only my responsibility.I understand that only the information/data provided in the online system along with the photograph and some other handwritten
details on this form will be used for further processing. I accept all the terms and conditions in this regard.

Candidate's Signature in Urdu______________________ Signature

Headmaster/Headmistress/Principal
Candidate's Signature in English____________________ Head Of Institution Name
School/College Code Head of Institution Stamp
Due Date: 06-12-2019
CNIC
Printing Date: 16-Nov-2019 08:30 PM CMD Account No. 00427900072103 Bank Challan No. 11022814
Admission Fee 1400/- Late Fee 0/- Processing Fee 395 /- Certificate Fee 550/- Registration Fee 1000/-
Total Amount Rs. 3345 /- Amount in Words: Three Thousand Three Hundred And Forty Five Only.
Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC ANNUAL EXAMINATION ,2020 )
Bank Copy: (To be retained with HBL)
Printing Date: 16-Nov-2019 08:30 PM
Due Date: 06-12-2019
Form No: 189968 CMD Account No. 00427900072103 Bank Challan No. 11022814 HFD
Name: WAZIR ABBAS Father's Name: NAZRA
Total Amount Rs.3345/- Amount in Words: Three Thousand Three Hundred And Forty Five Only.

Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC ANNUAL EXAMINATION ,2020 )
Board Copy: (Along with Scroll)
Due Date: 06-12-2019 Printing Date: 16-Nov-2019 08:30 PM
HFD
Form No: 189968 CMD Account No. 00427900072103 Bank Challan No. 11022814
Name: WAZIR ABBAS Father's Name: NAZRA

Admission Fee 1400/- Late Fee 0/- Processing Fee 395/- Certificate Fee 550/- Registration Fee 1000/-

Total Amount Rs. 3345/- Amount in Words: Three Thousand Three Hundred And Forty Five Only.

Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC ANNUAL EXAMINATION ,2020 )
Candidate Copy Printing Date: 16-Nov-2019 08:30 PM
Due Date: 06-12-2019
CMD Account No. 00427900072103
Form No: 189968 Bank Challan No. 11022814
Name: WAZIR ABBAS
Father's Name: NAZRA
HFD
Total Amount Rs. 3345/-
Proposed Exam Area: 59 - SUKHEKE MANDI Manager/Cashier:___________________________