Page 1

AZAD JAMMU AND KASHMIR BOARD OF INTERMEDIATE AND SECONDARY EDUCATION MIRPUR
ADMISSION FORM FOR INTERMEDIATE ANNUAL EXAMINATION 2022 PART-II(12TH)
FOR PRIVATE CANDIDATES
APPEARING TYPE: AFTER COMPLETE FAILURE DATED: 26-04-2022 11:28:54 AM
APP NO: PII-41823 BATCH NO: 95260801 BATCH SR: 4 REG NO: 21060830034
AMOUNT: 7340 CHALLAN NO: 122220011359 CHALLAN DATED:

PREVIOUS REFERENCE
YEAR ROLL NO SESSION BOARD RESULT
22 563029 ANNUAL AJK FAIL

PERSONAL DETAILS

STUDENT'S NAME: AIMAL NASEER

FATHER'S NAME: NASEER AHMED KHAN
CNIC/FORM B NO: 82101-0748253-5
GENDER: MALE
RELIGION: MUSLIM
MARK OF IDENTIFICATION:

CONTACT DETAILS

POSTAL ADDRESS: VILLAGE BANGRAN PO MALLOT TEHSIL AND DISTTT BAGH

PERMANENT ADDRESS: VILLAGE BANGRAN PO MALLOT TEHSIL AND DISTTT BAGH
HOME PHONE NO: 00000000000 MOBILE NO: 03428775401
POSTAL DISTRICT: BAGH POSTAL TEHSIL: BAGH
POST OFFICE: MALLOT DOMICILE DISTRICT: BAGH

EXAM CENTRE

CENTRE: 608 INTER COLLEGE MALLOT, BAGH.

GROUP/SUBJECTS DETAILS

GROUP: HUMANITIES COMBINATION: CIV IST HPE GROUP CHANGE: NO COMBINATION CHANGE: NO
PART-I SUBJECTS PART-II SUBJECTS
SUBJECT CODE MEDIUM SUBJECT CODE MEDIUM
ENGLISH-I 01 ENGLISH-II 02
URDU-I 05 URDU-II 06
ISLAMIC EDUCATION 11 PAK. STUDIES 13
CIVICS-I 27 CIVICS-II 28
ISLAMIC STUDIES-I 39 ISLAMIC STUDIES-II 40
HEALTH & PHY. EDU.-I 41 HEALTH & PHY. EDU.-II 42

SIGNATURE OF CANDIDATE(ENGLISH) _______________ SIGNATURE OF CANDIDATE(URDU) _______________

ATTESTATION OFFICER NAME ________________ DESIGNATION ______________________

SIGNATURE ______________________ STAMP ______________________

Page 2
 Page 3
AZAD JAMMU AND KASHMIR BOARD OF INTERMEDIATE AND SECONDARY EDUCATION MIRPUR
ADMISSION FORM FOR INTERMEDIATE ANNUAL EXAMINATION 2022 PART-II(12TH)
FOR PRIVATE CANDIDATES
APPEARING TYPE: AFTER COMPLETE FAILURE DATED: 26-04-2022 11:28:54 AM
APP NO: PII-41823 BATCH NO: 95260801 BATCH SR: 4 REG NO: 21060830034
AMOUNT: 7340 CHALLAN NO: 122220011359 CHALLAN DATED:
BANK BRANCH:

PREVIOUS REFERENCE
YEAR ROLL NO SESSION BOARD RESULT
22 563029 ANNUAL AJK FAIL

PERSONAL DETAILS

STUDENT'S NAME: AIMAL NASEER

FATHER'S NAME: NASEER AHMED KHAN

CONTACT DETAILS

DOMICILE DISTRICT: BAGH

VILLAGE BANGRAN PO MALLOT TEHSIL AND
POSTAL ADDRESS:
DISTTT BAGH

EXAM CENTRE

CENTRE: 608 INTER COLLEGE MALLOT, BAGH.

GROUP/SUBJECTS DETAILS

GROUP: HUMANITIES
COMBINATION: CIV IST HPE
1) ENGLISH-I 2) URDU-I 3) ISLAMIC EDUCATION
4) CIVICS-I 5) ISLAMIC STUDIES-I 6) HEALTH & PHY. EDU.-I 7)
1) ENGLISH-II 2) URDU-II 3) PAK. STUDIES
4) CIVICS-II 5) ISLAMIC STUDIES-II 6) HEALTH & PHY. EDU.-II 7)
I HEREBY DECLARE THAT THE DETAILS FURNISHED ABOVE ARE TRUE
AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.

SIGNATURE OF CANDIDATE(ENGLISH) _______________

SIGNATURE OF CANDIDATE(URDU) _______________

ATTESTATION OFFICER NAME ________________ DESIGNATION ______________________

SIGNATURE ______________________ STAMP ______________________

 Page 4
For Bank For Bank (Along with Scroll) For Board For Student

AJK BISE Acc No 00427991668003 AJK BISE Acc No 00427991668003 AJK BISE Acc No 00427991668003 AJK BISE Acc No 00427991668003

Branch Code: _______ Date: _______ Branch Code: _______ Date: _______ Branch Code: _______ Date: _______ Branch Code: _______ Date: _______

Challan No: 122220011359 Challan No: 122220011359 Challan No: 122220011359 Challan No: 122220011359

App No: PII-41823 App No: PII-41823 App No: PII-41823 App No: PII-41823

Student Name: AIMAL NASEER Student Name: AIMAL NASEER Student Name: AIMAL NASEER Student Name: AIMAL NASEER
Depositor's Depositor's Depositor's Depositor's
CNIC: CNIC: CNIC: CNIC:
Phone No: 00000000000 Phone No: 00000000000 Phone No: 00000000000 Phone No: 00000000000
Village Bangran PO Village Bangran PO Village Bangran PO Village Bangran PO
Address: Mallot tehsil and disttt Address: Mallot tehsil and disttt Address: Mallot tehsil and disttt Address: Mallot tehsil and disttt
bagh bagh bagh bagh
Due Date: 30-04-2022 Due Date: 30-04-2022 Due Date: 30-04-2022 Due Date: 30-04-2022

Category Amount Category Amount Category Amount Category Amount

HSSC ADMISSION HSSC ADMISSION HSSC ADMISSION HSSC ADMISSION
7340/- 7340/- 7340/- 7340/-
FEE(1200-0001) FEE(1200-0001) FEE(1200-0001) FEE(1200-0001)
GENERAL(1200-9999) 10/- GENERAL(1200-9999) 10/- GENERAL(1200-9999) 10/- GENERAL(1200-9999) 10/-
Total 7350/- Total 7350/- Total 7350/- Total 7350/-

Student's Bank Officer's Student's Bank Officer's Student's Bank Officer's Student's Bank Officer's
Signature Signature Signature Signature Signature Signature Signature Signature