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Al-Hijrah Residential School & College

Dera Ghazi Khan Campus, Punjab – Pakistan

APPLICATION FORM FOR ADMISSION TEST

Student Name: ____________________________________________________________

B-Form No: - -
Attach 4
Date of Birth: Blood Group: Photographs here

Father’s Name: __________________________________________________________

CNIC No. - -

Guardian’s Name: _________________________________________________________

Local/Domicile
CNIC No. - - District

Father’s/Guardian Occupation: ____________________________________________

Mobile No: _________________________ Emergency No: _____________________

Father’s/Guardian
Yearly Income
Present address: ___________________________________________________________ Rs.

Permanent address: ________________________________________________________

Name of the last

School Attended
Admission No.
Attested by
Signature: _________________ Stamp.
Head Master
Passed Class 6 Marks Obtained Total Marks
Result

Signatures Student: Parent/Guardian:

Submission Date:

Admission Office Contact: 0336-8820931 | 0334-3722468

Website: http://www.alhijrah.pk
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Checklist / Required Document: )‫(رضوریداتسوزیاتوجافرمےکاسھتعمجرکاےنںیہ‬

 Passport-size pictures (4)

 Form-B (1 copy)
 Local/Domicile Certificate: Student or Parent (1 copy)
 CNIC: Parent (1 copy)
 Income Certificate (From DC/AC of the area) or Last Pay Slip (Government Servant)
 School Verification Certificate/‫وکسلاکدصتیقیرسٹیفیکیٹ‬
 Medical Fitness Certificate

‫انلمکمافرمایرضوریداتسوزیاتیکیمکیکوصرتںیمدروخاتسوبقلںیہنیکاجےئیگ۔‬:‫ونٹ‬

:‫دنسھٹسکیٹکبوبرڈ)ےکدرجذلیاضمنیمےسوہںےگ‬/‫ارٹنیٹسیٹامجتعمشش(اجنپب‬
‫۔رنجلاسسنئ‬5 ‫۔االسایمت‬4 ‫اسحب‬/‫۔راییض‬3 ‫۔اردو‬2 ‫۔اشلگن‬1

For Office Use Only

Session:
Batch #:
Status of Candidate:
Admission Date:

Admission Office Contact: 0336-8820931 | 0334-3722468

Website: http://www.alhijrah.pk