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abc=202008080416544

REGISTRATION FORM TO INTERMEDIATE PART-I, 2020-21 (MALE &

FORM#:OL-9293
FEMALE)

BANK ONLINE DEPOSIT SLIP OF RS. 1000/- FROM ANY UBL BANK BRANCH
Bank Code Deposit Date

Tick the specified Quota (Otherwise form will not be considered for quota)
Fomer Tribal Agencies / F.R Areas /Other Quotas
Hafiz-e-Quran
Disabled
ICP Employee Children
Khyber District
FR Peshawar UOP Employee Children
Kurram District
FR Kohat Balochistan
Aurakzai District
FR Bannu Afghan National
Mohmand District
FR Dera Ismail Khan UET Employee Children
Bajaur District
FR Lakki Marwat SAA
North Wazirestan District
FR Tank Islamia Collegiate
South Wazirestan District
O Level
AUP Employee Sons
Foreign Students
Note: Applicants availing former Agencies quota seats, shall have passed their matriculation from a school with
the vicinity of the respective agency (former )
PERSONAL INFORMATION
Student Name Gauhar Ali Student CNIC/Form-B 15402-3275630-1
Father Name Naimat Khan Domicile Malakand P.A
Date of Birth 05-11-2004 Gender Male
Cell # 03477619237 Guardian Cell # 03472573922
Board Appeared
BISE Malakand Are you interested in Hostel Yes
From
School Last
Bilal Public High School Agra
Attended
District Malakand P.A Tehsil Batkhela Village/Mohola Village and P/O agra Muhalla Koz
Parmanant Address
Kwar

ACADEMIC INFORMATION
Examination Year Annual/Supply Roll No Marks Obtainced Total Marks Grade /Division Percentage
SSC 2020 Annual 138931 1035 1100 A1 94.09

STUDENT ACKNOWLEDGEMENT
Form No Name Father Name Dealing Assistant
OL-9293 Gauhar Ali Naimat Khan

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ICP Copy Bank Copy

Branch Code Date Branch Code Date
Branch Name Branch Name
ONLINE DEPOSIT SLIP: ONLINE DEPOSIT SLIP:

Remote Branch: Univeristy Campus Branch, Peshawar(5374) Remote Branch: Univeristy Campus Branch, Peshawar(5374)
A/C Title: Online Admission Islamia college A/C Title: Online Admission Islamia college
A/C No: 223490482 A/C No: 223490482
Peshawar Peshawar
Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost

Applicant Name: Gauhar Ali Applicant Name: Gauhar Ali

Father Name: Naimat Khan Father Name: Naimat Khan
CNIC No/ Form B:15402-3275630-1 CNIC No/ Form B: 15402-3275630-1
Amount Rs: 1000/- Amount Rs: 1000/-

_______________ _______________ ______________ _______________ _______________ ______________

Applicant Applicant
Cashier Officer Cashier Officer
Signature Signature

Student Copy
Branch Code Date
Branch Name
ONLINE DEPOSIT SLIP:

Remote Branch: Univeristy Campus Branch, Peshawar(5374)

A/C Title: Online Admission Islamia college
A/C No: 223490482
Peshawar
Note: Bank Service Charges Free of Cost

Applicant Name: Gauhar Ali

Father Name: Naimat Khan
CNIC No/ Form B:15402-3275630-1
Amount Rs: 1000/-

_______________ _______________ ______________

Applicant Signature Cashier Officer
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