BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, GUJRANWALA

904576 ADMISSION / REVENUE FORM (PRIVATE Candidate) for HSSC 2nd ANNUAL Examination, 2023 NWL

Student Id: 847044 Roll No: _______________

(For office use only)
Name: MOAZ NAWAB Father's Name: SHAHBAZ AKHTAR
HSSC Info: 170006 ( A, 2023, BISE, GRW ) Mobile No: 0304-4770074
SSC Info: 487925 ( A,2021, BISE, GRW ) Reg No: 2-4-1002996-21
Address: VILLAGE: CHAK BAHRIYAAN, POST OFFICE: IKHLASPUR, TAHSIL: SHAKARGARH, DISTRICT:
NAROWAL
Zone: 563 - SHAKARGARH
Part I : U
Subject: MALE
Part II : U,
Practical : 1Bill Challan No. 100114500812412478 HBL CMD Account No. 00427900072103
Due Date: 25-09-2023 Printing Date: 19-Sep-2023 10:10 AM

Affidavit:- I have read this form. The data/information on this form and in online system is same as last entered/modified/provided by me and it's correctness
is only my responsibility.I understand that only the information/data provided in the online system along with the photograph and some other handwritten
details on this form will be used for further processing. I accept all the terms and conditions in this regard.
Paste Recent
Candidate's Signature in Urdu______________________ Signature
Photograph & Must
Headmaster/Headmistress/Principal
Candidate's Signature in English____________________ Head Of Institution Name Be Cross Attested by
School/College Code Head of Institution Stamp the Head/Deputy
CNIC
Printing Date: 19-Sep-2023 10:10 AM Challan No. 12412478 Head of Institution

Admission Fee 1700/- Late Fee 0/- Processing Fee 530 /- Certificate Fee 0/- Registration Fee 0/-

Total Amount Rs. 2230 /- Amount in Words: Two Thousand Two Hundred And Thirty Only.
Manager/Cashier:_________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (HSSC 2ND ANNUAL EXAMINATION, 2023 )
Bank Copy: (To be retained with HBL)
Printing Date: 19-Sep-2023 10:10 AM
Due Date: 25-09-2023
Student Id. 847044 NWL
Form No: 904576 Challan No. 12412478 1Bill Challan No. 100114500812412478
HBL CMD Account No. 00427900072103
Name: MOAZ NAWAB Father's Name: SHAHBAZ AKHTAR
Total Amount Rs. 2230/- Amount in Words: Two Thousand Two Hundred And Thirty Only.

Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (HSSC 2ND ANNUAL EXAMINATION, 2023 )
Board Copy: (Along with Scroll)
Due Date: 25-09-2023 Printing Date: 19-Sep-2023 10:10 AM NWL
Student Id. 847044
Form No: 904576 Challan No. 12412478 1Bill Challan No. 100114500812412478
HBL CMD Account No. 00427900072103
Name: MOAZ NAWAB Father's Name: SHAHBAZ AKHTAR
Admission Fee 1700/- Late Fee 0/- Processing Fee 530/- Certificate Fee 0/- Registration Fee 0/-
Total Amount Rs. 2230/- Amount in Words: Two Thousand Two Hundred And Thirty Only.

Manager/Cashier:___________________________