ADMISSION / REVENUE FORM (PRIVATE Candidate) for HSSC 1st ANNUAL

Examination, 2023

PRE-MEDICAL GROUP (12TH: RE-APPEAR) 916393Roll No: _______________ (For

office use only)

Name: UMM-E-LAILA Father's Name: SAFDAR HUSSAIN

HSSC Info: 103579 ( S, 2022, BISE, GRW ) Mobile No: 0347-8738936

FEMALE Zone: 543 - PAHRIANWALI

Address: VILLAGE AND POST OFFICE PINDI KALU TEH: PHALIA DISTT:M.B.DIN

SSC Info: 465655 ( A,2016, BISE, GRW ) Reg No: 2-2-6071682-20

Subject: Part II : PHY, CH

Due Date: 03-03-2023

Candidate's Signature in Urdu______________________

Candidate's Signature in English____________________

Printing Date: 28-Feb-2023 01:59 PM Challan No. 12252763

1Bill Challan No. 100114500812252763 HBL CMD Account No. 00427900072103

Admission Fee 1900/- Late Fee 0/- Processing Fee 530 /- Certificate Fee 100/-
Registration Fee 0/-Total Amount Rs. 2530 /
Manager/Cashier:_________________________ Printing Date: 28-Feb-2023
01:59 PMBOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA
(HSSC 1ST ANNUAL EXAMINATION, 2023 )

Bank Copy: (To be retained with HBL) Due Date: 03-03-2023