BOARD OF INTERMEDIATE AND SECONDARY EDUCATION SAIDU SHARIF,SWAT FORM NO.

348846
ADMISSION FORM FOR SECONDARY SCHOOL CERTIFICATE EXAMINATION

SSC PART-1

Year. 2021 Session. SPECIAL Roll No. Admission Date. 2021-11-12

01. GROUP. SCIENCE 02. STATE WHETHER. PRIVATE

03. DISTRICT. Shangla

04. INSTITUTION. Govt. High School Martung, Shangla.

05. PROPOSED CENTER. Govt. High School Martung, Shangla. (Combined)

06. PREVIOUS REFERENCE YEAR. 2021 PREVIOUS ROLL NO. 43346 PREVIOUS EXAM. ANNUAL

BISE NAME. BOARD OF INTERMEDIATE AND SECONDARY EDUCATION SWAT

07. GENDER. MALE DISABILITY.

08. CANDIDATE NAME. MUHAMMAD SUHAIL 09. FATHER NAME. SABIREEN

10. ENROLMENT NUMBER. 15-B/SH2014-2020

11. RELIGION. MUSLIM 12. NATIONALITY. PAKISTANI

13. POSTAL ADDRESS. VIllage: Jaba, Tehsil & P/O Martung, Distt Shangala

14. PERMANENT ADDRESS.

15. FATHER CNIC. 1550443088479 PHONE #. 03492654505

16. RECIEPT 0102141 RS. 2000 Date. 2021-11-11 Bank Name: ABL

17. SUBJECTS IN WHICH THE CANDIDATE TO BE EXAMINED WITH CODE.

S.N0 SUBJECTS ABR

1 PHYSICS PH-I
2 CHEMISTRY CH-I
3 BIOLOGY BIO-1

18. ATTESTING AUTHORITY.

I SOLEMNLY DECLARE THAT ALL THE ABOVE ENTRIES IN THE ADMISSION FORM ARE CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AND THAT NOTHING HAS BEEN CONCEALED,
I SHALL ABIDE BY THE RULES/REGULATIONS MADE AND NOTIFIED BY THE BOARD FROM TIME TO TIME AND THAT I SHALL BE RESPONSIBLE FOR THE CONSEQUENCES IN CASE OF ANY
INCORRECT INFORMATION

Signature of the head of the Institution Father’s /Guardian’s Signature:

Office stamp of the head of the Institution Candidate’s Signature:

Diary No ________________ FOR OFFICE USE ONLY

DEALING ASSTT: ASSTT: INCHARGE SUPERINTENDENT ACE(C) REMARKS