BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, GUJRANWALA

ADMISSION /REVENUE FORM (PRIVATE CANDIDATE) FOR INTERMEDIATE (PART-II & COMPOSITE) ANNUAL EXAMINATION , 2020 GRT
Form No:915689 Roll No: _______________
Student Id :494381 (For office use only)
HUMANITIES GROUP (11TH: FULL APPEAR 12TH:FULL APPEAR)
915689

Name: ABDUL NOUMAN Bay Form No: 34202-6527496-3

Father's Name: SHOUKAT ALI Father CNIC: 34202-0687127-1
HSSC Info: 242597 ( A, 2019, BISE, GRW ) Student's Cell No: 0345-5749019
SSC Info: 642228 ( A,2017, BISE, GRW ) Nationality: PAKISTANI
Registration No: 2-2-1009288-17 Religion: MUSLIM

Speciality: NONE Scheme: NEW

MALE
Address: VILL. MAIRH P.O.BOX RARYALA TEHSIL KHARIAN DISTT GUJRAT
District Name: GUJRAT Tehsil Name: KHARIAN

Zone Name: 533-KHARIAN

Part I Subjects Part II Subjects Paste Recent

1. URDU 1. URDU Photograph & Must Be

2. ENGLISH 2. ENGLISH Cross Attested by the

3. ISLAMIC EDUCATION 3. PAKISTAN STUDIES Head/Deputy Head of

4. ISLAMIC STUDIES 4. ISLAMIC STUDIES Institution

5. EDUCATION 5. EDUCATION

6. ECONOMICS 6. 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______________________ Stamp/Signature

Headmaster/Headmistress/Principal
Candidate's Signature in English____________________ Head Of Institution Name
Due Date: 30-01-2020 School/College Code
Thumb Impression
CNIC
Printing Date: 20-Jan-2020 10:11 PM CMD Account No. 00427900072103 Bank Challan No. 11175269
Admission Fee 1600/- Late Fee 0 Processing Fee 395 /- Certificate Fee 0 /- Registration Fee 0/-
Total Amount Rs. 1995 /- Amount in Words: One Thousand Nine Hundred And Ninety Five Only.
Form No:915689 Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA , INTERMEDIATE (PART-II & COMPOSITE) ANNUAL EXAMINATION ,2020
Bank Copy: (To be retained with HBL)
Due Date: 30-01-2020 Printing Date: 20-Jan-2020 10:11 PM

CMD Account No. 00427900072103 Bank Challan No. 11175269 GRT

Name: ABDUL NOUMAN Father's Name: SHOUKAT ALI
Total Amount Rs. 1995/- Amount in Words: One Thousand Nine Hundred And Ninety Five Only.
Form No:915689 Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA , INTERMEDIATE (PART-II & COMPOSITE) ANNUAL EXAMINATION ,2020
Board Copy: (Along with Scroll)

Due Date: 30-01-2020 Printing Date: 20-Jan-2020 10:11 PM

GRT
CMD Account No. 00427900072103 Bank Challan No. 11175269
Name: ABDUL NOUMAN Father's Name: SHOUKAT ALI
Admission Fee 1600/- Late Fee 0 Processing Fee 395/- Certificate Fee 0/- Registration Fee 0/-
Total Amount Rs. 1995/- Amount in Words: One Thousand Nine Hundred And Ninety Five Only.
Form No:915689 Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA , INTERMEDIATE (PART-II & COMPOSITE) ANNUAL EXAMINATION ,2020
Candidate Copy
Due Date: 30-01-2020 Printing Date: 20-Jan-2020 10:11 PM
CMD Account No. 00427900072103
Form No: 915689 Bank Challan No. 11175269 GRT
Name: ABDUL NOUMAN Father's Name: SHOUKAT ALI
Total Amount Rs. 1995/- Amount in Words: One Thousand Nine Hundred And Ninety Five Only.
Zone Name: 533-KHARIAN Manager/Cashier:___________________________