BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, MULTAN

S S C (10th/Combined ) 2nd Annual Examination 2022 22-2

PRIVATE ADMISSION FORM
Ph# 061-9210125 10P
Form# 2220008770 Roll No.
Token# 114891 (Office Use Only.)

Category:Reappear Group: Science Gender: Male

Registration # : 0621LDSAN209777
Prev. Exam. Details:
9th Roll #: 659958 / 9th A-2021 / MUL
10th Roll #: 300760 / 10th A-2022 / MUL
Prev. Result: ENG-B MATHS-B PHY-B CH-B CSC-B TILL SA-2023

Personal Details:
Candidate's Name: MUHAMMAD USMAN
Pakistani
____________________________________________________________ Urdu Medium
Father's Name: ALTAF HUSSAIN Muslim
____________________________________________________________ Orphan? No Hafiz-e-Quran? No
Date of Birth: 16-05-2007 Bay-Form/CNIC: 3610114346053
____________________________________________________________ Father's CNIC: 3610163556459
District: KHANEWAL Father's Cell# 03221078251
Postal Address: CHAK # 138/10.R POST OFFICE SAME TEHSIL Speciality : None
JAHANIAN DISTRICT KHANEWAL. Identity Mark: NILL
Email :N/A
Proposed Zone: 71: Jahanian
Proposed Centre: 157: Govt. High School, Jahanian (HALL)

Subjects:
Ninth Tenth ____________________________________
****** ******
****** English ____________________________________

****** ****** ____________________________________

****** ******
****** Mathematics ____________________________________

****** Physics ____________________________________

****** Chemistry
****** Computer Science ____________________________________

Candidate to write on line given below in own handwriting:

"I understand that impersonation is a crime and anyone doing so will be arrested."
____________________________________________________________________________
____________________________________________________________________________

Certificate from Attesting Authority:

1. Certified that the Bio-data & Photograph of the above candidate are
checked and found correct.
2. Certified that the candidate has affixed his 'THUMB IMPRESSION & Signature of Attesting Authority
SIGNATURES' in my presence.
Sat, 10-Sep-2022 (08:57 AM)

Name Of Attesting Authority:

CNIC Number of Authority:

Contact Number of Authority: Stamp of Attesting Authority

For Office Use Only:

Signature
Name of dealing official checking the eligibility of candidate: ____________________ with Date: ________________
Payable at any HBL Branch / Konnect Shop / HBL Ap BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, MULTAN
S S C (10th/Combined ) 2nd Annual Examination 2022
COMPUTERIZED BANK CHALLAN
Ph# 061-9210125
1
Challan #2220008770 Roll No.
(Office Use Only.)

Category:Reappear Group: Science Gender: Male

Reg#: 0621LDSAN209777 Speciality: None For Office Use:

9th Roll #: 659958 / 9th A-2021 / MUL Fee Due : _________________

10th Roll #: 300760 / 10th A-2022/ MUL Fee Paid: _________________
Candidate's Name: MUHAMMAD USMAN
Father's Name: ALTAF HUSSAIN Arrears : _________________
Contact/Address: (03221078251) CHAK # 138/10.R POST OFFICE SAME TEHSIL JAHANIAN DISTRICT KHANEWAL.
Subjects:
9th: 1. *** 2. *** 3. *** 4. *** 5. *** 6. *** 7. *** 8. ***
10th: 1. *** 2. ENG 3. *** 4. *** 5. MATHS 6. PHY 7. CH 8. CSC
FEE INFORMATION Valid Upto: 12-09-2022
A/C No.: 1204-00700016-01
Fee Deposited By
Challan # 2220008770 BANK STAMP
Printed On: 10/09/2022
Amount: 1495/- Officer Cashier
Note: Errors & Omissions Excepted.

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, MULTAN

S S C (10th/Combined ) 2nd Annual Examination 2022
STUDENT RECEIPT
Ph# 061-9210125
Form# 2220008770
Token# 114891
Category:Reappear Group: Science Gender: Male
Registration # : 0621LDSAN209777 FEE DETAILS
Prev. Exam. Details: Printed On: 10-09-22
9th Roll #: 659958 / 9th A-2021 / MUL Amount: 1495/-
10th Roll #: 300760 / 10th A-2022 / MUL Valid Date: 12-09-2022
Personal Details: Subjects:
Candidate's Name: MUHAMMAD USMAN Ninth Tenth
Father's Name: ALTAF HUSSAIN ****** ******
Date of Birth: 16-05-2007 ****** English
Bay-Form/CNIC: 3610114346053 Hafiz-e-Quran:No ****** ******
Father's CNIC: 3610163556459 Is Orphan? No
****** ******
Father's Cell#: 03221078251 Muslim Pakistani
****** Mathematics
Identity Mark: NILL
****** Physics
Urdu Medium Email:N/A
Speciality: None ****** Chemistry
District: KHANEWAL ****** Computer Science
Address: CHAK # 138/10.R POST OFFICE SAME TEHSIL JAHANIAN DISTRICT KHANEWAL.
Proposed Exam. Zone: 71: Jahanian
Proposed Exam. Centre: 157: Govt. High School, Jahanian (HALL)

Challan # 2220008770
Printed on:10-09-2022 BANK COPY 2
2220008770

A/C#: 1204-00700016-01
(Payable at any HBL Branch) Purpose: Admission Fee
Name MUHAMMAD USMAN
Address: CHAK # 138/10.R POST OFFICE SAME TEHSIL JAHANIAN DISTRICT KHANEWAL.
In Words: one thousand, four hundred and ninety-five
Amount : 1495/- rupees only
Valid Upto: 12-09-2022 Contact # : 03221078251 Officer Cashier
Note: Bank will send Original form and Copy#3 to HBL BISE MULTAN(1204) without delay

Challan # 2220008770
Printed on:10-09-2022 3
2220008770

A/C#: 1204-00700016-01
(Payable at any HBL Branch) Purpose: Admission Fee
Name MUHAMMAD USMAN
Address: CHAK # 138/10.R POST OFFICE SAME TEHSIL JAHANIAN DISTRICT KHANEWAL.
In Words: one thousand, four hundred and ninety-five
Amount : 1495/- rupees only
Valid Upto: 12-09-2022 Contact # : 03221078251 Officer Cashier