BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, GUJRANWALA

ADMISSION /REVENUE FORM (Private Candidate) for SSC Annual Examination , 2017
Roll No: _______________
(For office use only)
GENERAL GROUP
Form No: 166258 (9th: Full Appear 10th: Full Appear)
166258

Prev Roll No: 542094 ( A, 2016 ) Bay Form No: 00000-0000000-0

Name: MAHA SHAHID Father CNIC: 34101-3968354-7
Father's Name: SHAHID JAVED Mobile No: 0300-6443306
Date Of Birth: 25-12-1998 Board Name: BISE, GUJRANWALA
Registration No: 2-1-676356-14 Religion: MUSLIM
Speciality: NONE
FEMALE
Address: CHOWK BABA MALI WALA GALI HAKEEM GHULAM RASOOL WALI KHOKHAR KI GUJRANWALA

Proposed Exam Area: 44 - SATELLITE TOWN (GUJRANWALA)

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. General Math 5. General Math

6. GENERAL SCIENCE 6. GENERAL SCIENCE

7. ISLAMIC STUDIES 7. ISLAMIC STUDIES

8. ELEMENTS OF HOME ECONOMICS 8. ELEMENTS OF HOME ECONOMICS

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: 14-12-2016
CNIC
Printing Date: 13-Dec-2016 10:19 PM CMD Account No. 00427900072103 Bank Challan No. 166258
Admission Fee 1200/- Late Fee 0/- Processing + Form Fee 295 /- Certificate Fee 0/- Registration Fee 0/-
Total Amount Rs. 1495 /- Amount in Words: One Thousand Four Hundred And Ninety Five Only.
Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC Annual Examination ,2017 )
Bank Copy: (To be retained with HBL)
Printing Date: 13-Dec-2016 10:19 PM
Due Date: 14-12-2016
Form No: 166258 CMD Account No. 00427900072103 Bank Challan No. 166258
Name: MAHA SHAHID Father's Name: SHAHID JAVED
Total Amount Rs.1495/- Amount in Words: One Thousand Four Hundred And Ninety Five Only.

Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC Annual Examination ,2017 )
Board Copy: (Along with Scroll)
Due Date: 14-12-2016 Printing Date: 13-Dec-2016 10:19 PM

Form No: 166258 CMD Account No. 00427900072103 Bank Challan No. 166258
Name: MAHA SHAHID Father's Name: SHAHID JAVED

Admission Fee 1200/- Late Fee 0/- Processing + Form Fee 295/- Certificate Fee 0/- Registration Fee 0/-

Total Amount Rs. 1495/- Amount in Words: One Thousand Four Hundred And Ninety Five Only.

Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC Annual Examination ,2017 )
Candidate Copy Printing Date: 13-Dec-2016 10:19 PM
Due Date: 14-12-2016
CMD Account No. 00427900072103
Form No: 166258 Bank Challan No. 166258
Name: MAHA SHAHID
Father's Name: SHAHID JAVED
Total Amount Rs. 1495/-
Proposed Exam Area: 44 - SATELLITE TOWN (GUJRANWALA)
Manager/Cashier:___________________________