BOARD OF INTERMEDIATE & SECONDARY EDUCATION PESHAWAR

PRIVATE ADMISSION FORM FOR SECONDARY SCHOOL CERTIFICATE EXAMINATION (ANNUAL-II) 2022

Receipt No 214300203 Roll No __________________________

(FOR OFFICE USE ONLY)
EXAM INFORMATION
Exam: Annual-II (10th) Year: 2022 Status Private
Group: Science Appear Status Compartment
Prev Year: 2022 Prev Exam Annual-I Prev Roll No 114706
Proposed Center GOVT HIGH SCHOOL RUMBOOR CHITRAL(8254)
PERSONAL INFORMATION
Name: REHANA
Father Name: JAMAL UD DIN
Date of Birth: 15-February-2005 Gender: Female
Enrollment No: 20209082540007 Religion: Non-Muslim

Father NIC #: 15201-8898253-7 Form(B) #: 15201-2379371-4

Mobile No: 0343-9546660 Phone No:
CONTACT INFORMATION
Country PAKISTAN Province: Khyber Pakhtunkhwa District: Chitral
Postal Address: VILLAGE RUMBOOR, UC AYUN, TEHSIL AND DISTRICT CHITRAL
Permanent Address: VILLAGE RUMBOOR, UC AYUN, TEHSIL AND DISTRICT CHITRAL

SUBJECT INFORMATION

82 ISLAMIYAT (COMP) - II
Saved Date & Time 2022-10-05 15:46:41 Exam Fee Rs. 1800/- Upto 10-10-2022 [Normal Fee]

AFFIDAVIT I solemnly declare on oath that all the entries in the Admission Form are in accordance with my previous record. I shall also
abide by the Rules/Regulations made and notified by BISE Peshawar from time to time.

_________________________________________________ _________________________________________________
SIGNATURE OF FATHER/GUARDIAN SIGNATURE OF CANDIDATE

FOR OFFICE USE ONLY

Entries & Result Checked Checked & Found Correct REMARKS

DEALING ASSTT ASSTT / INCHARGE

Print Date & Time : 2022-10-05: 15:47:12 & IPAddress : 39.33.78.89

 DEPOSIT SLIP
BOARD OF INTERMEDIATE & SECONDARY EDUCATION PESHAWAR
CASH MANAGEMENT COLLECTION.
Payable at any Branch of MCB/ABL in Pakistan.
A/C # 0977261141007172 A/C # 0010005344900220

Day Month Year

Date
2 0

BANK COPY

Receipt Number: 214300203 Print Date & Time 2022-10-05: 15:47:12

Student Name: REHANA

Father Name: JAMAL UD DIN

In Figures In Words
Amount (Fee)
1800 ONE THOUSAND, EIGHT HUNDRED ONLY

Fee Head SSC Admission Fee (Private) (1201)

BANK OFFICIAL SIGNATURE DEPOSITOR SIGNATURE

-----✂-----------------------------------✂-------------------------------✂--------------------------------✂-----------------------------✂-----

DEPOSIT SLIP
BOARD OF INTERMEDIATE & SECONDARY EDUCATION PESHAWAR
CASH MANAGEMENT COLLECTION.
Payable at any Branch of MCB/ABL in Pakistan.
A/C # 0977261141007172 A/C # 0010005344900220

Day Month Year

Date
2 0

DEPOSITOR COPY

Receipt Number: 214300203 Print Date & Time 2022-10-05: 15:47:12

Student Name: REHANA

Father Name: JAMAL UD DIN

In Figures In Words
Amount (Fee)
1800 ONE THOUSAND, EIGHT HUNDRED ONLY

Fee Head SSC Admission Fee (Private) (1201)

BANK OFFICIAL SIGNATURE DEPOSITOR SIGNATURE