Registration / Admission

Form No. Bay Form Gender Specialty Group Medium

SSC (9th)

2011

BISE Multan

Private

131648
Name

ADNAN ANSARI 31-08-1988 M. YAQOOB ANSARI 36302-3121988-9
Locality

MALE

DOB Father's Name

HUMANITIES GROUP (WITH TWO ELECTIVE SUBJECS)

Father/Guardian CNIC Nationality

Urdu

Religion

Muslim

Pakistani

Urban

Hafiz

No

Address Center

house # 547/d-2 iqbal street nawan shehar multan. - MULTAN

CANTT MULTAN - MULTAN
Optional Subjects

1. ISLAMIC HISTORY

2. HEALTH AND PHYSICAL EDUCATION

Note: Please affix a recent colored photograph of 1.5 * 1.5 inch size in the box given below. Write your name and Form Number on the back side of the photograph with ball point pen. 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 its 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.

Signature (URDU) Affix Recent Signature (ENGLISH) Colored Photograph 1.5 * 1.5 inch Thumb Impression (LEFT)

Name (URDU)

Address (URDU)

Attested By EMIS Code Institute Name Signature of Head / Principal Stamp Date 19-12-2010

Challan No: 120020430

Registration No: 2003MN50410303

*131648*

Student's Copy Amount in Words: seven hundred rupees Only Cashier_____________ Due Date: 31-12-2010 Manager_____________ 4.Processing Fee Total Amount Dated:______ Amount (Rs.) 600/100/- Account No: 0042-7900071203 Name Father's Name Registration No. Address adnan ansari M. Board's Copy Board of Intermediate and Secondary Education Multan *120020430* Dated: 19-12-2010 Board of Intermediate and Secondary Education Multan *120020430* Dated: 19-12-2010 Bank Challan No. Bank Information Bank Draft No. yaqoob ansari 2003MN50410303 house # 547/d-2 iqbal street nawan shehar multan.______ Particulars Fee (Single) . Bank Information Bank Draft No.Part1 Exam Fee (Practical) . Bank Information Bank Draft No.Processing Fee Total Amount Dated:______ Amount (Rs. Address adnan ansari M.______ Particulars Fee (Single) .Processing Fee Total Amount Dated:______ Amount (Rs.Due Date: 31-12-2010 1.Part1 Exam Fee (Practical) . Board's Copy Due Date: 31-12-2010 2.______ Particulars Fee (Single) . Bank's Copy Board of Intermediate and Secondary Education Multan *120020430* Dated: 19-12-2010 Board of Intermediate and Secondary Education Multan *120020430* Dated: 19-12-2010 Bank Challan No. Address adnan ansari M. 120020430 Habib Bank Account for Board of Intermediate and Secondary Education Multan Habib Bank Account for Board of Intermediate and Secondary Education Multan Account No: 0042-7900071203 Name Father's Name Registration No. 120020430 Bank Challan No.Part1 Exam Fee (Practical) .Processing Fee Total Amount Dated:______ Amount (Rs. yaqoob ansari 2003MN50410303 house # 547/d-2 iqbal street nawan shehar multan.Part1 Exam Fee (Practical) . 120020430 Habib Bank Account for Board of Intermediate and Secondary Education Multan Habib Bank Account for Board of Intermediate and Secondary Education Multan Account No: 0042-7900071203 Name Father's Name Registration No. 120020430 Bank Challan No. yaqoob ansari 2003MN50410303 house # 547/d-2 iqbal street nawan shehar multan.) 600/100/- 700/- 700/- Amount in Words: seven hundred rupees Only Cashier_____________ Manager_____________ Amount in Words: seven hundred rupees Only Cashier_____________ Manager_____________ . yaqoob ansari 2003MN50410303 house # 547/d-2 iqbal street nawan shehar multan. Address adnan ansari M.) 600/100/- 700/- 700/- Amount in Words: seven hundred rupees Only Cashier_____________ Due Date: 31-12-2010 Manager_____________ 3.) 600/100/- Account No: 0042-7900071203 Name Father's Name Registration No.______ Particulars Fee (Single) . Bank Information Bank Draft No.

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