BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, LAHORE

Admission Form (Private Candidate) for SSC (Annual) Examination, 2021

Board Copy

Ref. No. ______________

SCIENCE GROUP (PART-II) SESSION 2019-2021

( FULL APPEAR ) Roll No. ______________

Form No: 566730

Prev Roll No: 538791 ( ANNUAL , 2020 )
Name: AHMAD ALI Bay-Form No: 33103-2452808-7
Father Name: FALAK SHER Father CNIC: 33100-0649100-7
Date Of Birth: 21/06/2004 Mobile No: 03224255461

Registration No: 34372-SP.02-2020 M.O.I: MOLE ON FACE MALE

Speciality: NONE Religion: MUSLIM
Orphan: NO
Address: F-174,DHA-EME,MULTAN ROAD, LAHORE
District: LAHORE
Proposed Exam Area:ALI RAZA ABAD

Part I Subjects Part II Subjects

1. URDU
2. ENGLISH
3. ISLAMIYAT
4. PAKISTAN STUDIES
5. MATHEMATICS
6. PHYSICS
7. CHEMISTRY
8. COMPUTER SCIENCE

Cross attestation of photo please

Total Amount Rs. 1645

CMD Account No. 0042-79000670-03 (HBL) Candidate's Thumb Impression

Bank Challan No.720566730

Bank Branch Name: ___________________ Date : ___________________

Headmaster/Headmistress/Principal: ______________________

Head Of Institution Name: ______________________

School/ College Code: ______________________ Candidate Signature In Urdu ___________________

CNIC: ______________________ Candidate Signature In English _________________

Stamp/Signature:____________________________

Due Date: 10/12/2020 Printing Date: 06/12/2020

Manager/Cashier: _____________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION 86-MOZANG ROAD LAHORE Printing Date: 06/12/2020
Candidate Copy Admission Form SSC Annual 2021
Due Date: 10/12/2020 Commencement of Exam: 06/03/2021
Form No: Prev Roll No: 538791 ( ANNUAL , 2020 )
566730
Name: AHMAD ALI Father Name: FALAK SHER
Bank Challan No.720566730 Total Amount Rs.1645/-
Proposed Exam Area: ALI RAZA ABAD
Manager/Cashier: _____________________________
 BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, LAHORE
Revenue Form (Private Candidate) for SSC (Annual) Examination, 2021
Board Copy

Form No: 566730

Prev Roll No: 538791 ( ANNUAL , 2020 )
Name: AHMAD ALI Bay-Form No: 33103-2452808-7
Father Name: FALAK SHER Father CNIC: 33100-0649100-7
Date Of Birth: 21/06/2004 Mobile No: 03224255461

Registration No: 34372-SP.02-2020 MALE

Speciality: NONE
Address: F-174,DHA-EME,MULTAN ROAD, LAHORE
District: LAHORE

Part I Subjects Part II Subjects

1. URDU
2. ENGLISH
3. ISLAMIYAT
4. PAKISTAN STUDIES
5. MATHEMATICS
6. PHYSICS
7. CHEMISTRY
8. COMPUTER SCIENCE

Candidate Signature In Urdu ________________________________ Signature In English ________________________________

Due Date: 10/12/2020

Printing Date: 06/12/2020
Admission Fee P-I 0 Late Fee 0 Bank Stamp
Admission Fee P-II 700 Registration Fee 0
Processing Fee 395 Certificate Fee 550
Total Amount Rs. One Thousand Six Hundred and Forty Five
1645/-
CMD Account No. 0042-79000670-03 (HBL) Bank Challan No.720566730
Manager/Cashier: _____________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION 86-MOZANG ROAD LAHORE

Board Copy (For Budget Section)

Due Date: 10/12/2020 (To be sent to the board via HBL 0123
branch alongwith scroll)
Printing Date: 06/12/2020
Name: AHMAD ALI Father Name: FALAK SHER
Admission Fee P-I 0 Late Fee 0 Bank Stamp
Admission Fee P-II 700 Registration Fee 0
Processing Fee 395 Certificate Fee 550
Total Amount Rs. One Thousand Six Hundred and Forty Five
1645/-
CMD Account No. 0042-79000670-03 (HBL) Bank Challan No.720566730
Manager/Cashier: _____________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION 86-MOZANG ROAD LAHORE

Bank Copy
Due Date: 10/12/2020 (To be retained with HBL)
Printing Date: 06/12/2020
Name: AHMAD ALI Father Name: FALAK SHER
Admission Fee P-I 0 Late Fee 0 Bank Stamp
Admission Fee P-II 700 Registration Fee 0
Processing Fee 395 Certificate Fee 550
Total Amount Rs. One Thousand Six Hundred and Forty Five
1645/-
CMD Account No. 0042-79000670-03 (HBL) Bank Challan No.720566730
Manager/Cashier: _____________________________