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Admission /revenue Form: Roll No

This document is an admission/revenue form for Muhammad Usman to take the SSC Annual Examination in 2017 as a private candidate. It provides his personal details like name, father's name, date of birth, address, registration number, proposed exam area. It lists the subjects he will take in Part I and Part II of the exam. It specifies the admission fee, late fee, processing fee, certificate fee and total amount to be paid. It also includes instructions to the candidate to sign and attach a recent photograph. The form is to be submitted along with payment by the given due date to the Board of Intermediate and Secondary Education in Gujranwala.

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Mohammad Shehzad
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61 views1 page

Admission /revenue Form: Roll No

This document is an admission/revenue form for Muhammad Usman to take the SSC Annual Examination in 2017 as a private candidate. It provides his personal details like name, father's name, date of birth, address, registration number, proposed exam area. It lists the subjects he will take in Part I and Part II of the exam. It specifies the admission fee, late fee, processing fee, certificate fee and total amount to be paid. It also includes instructions to the candidate to sign and attach a recent photograph. The form is to be submitted along with payment by the given due date to the Board of Intermediate and Secondary Education in Gujranwala.

Uploaded by

Mohammad Shehzad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, GUJRANWALA

ADMISSION /REVENUE FORM (Private Candidate) for SSC Annual Examination , 2017
Roll No: _______________
(For office use only)
GENERAL GROUP
Form No: 161043 (10th: Full Appear)
161043

Prev Roll No: 288581 ( A, 2016 ) Bay Form No: 34101-8320300-5


Name: MUHAMMAD USMAN Father CNIC: 34101-1123301-3
Father's Name: ZIA-ULLAH Mobile No: 0334-4186455
Date Of Birth: 06-11-1998 Board Name: BISE, GUJRANWALA
Registration No: 2-3-221702-15 Religion: MUSLIM
Speciality: NONE
MALE
Address: SAEED AHMED, ST# 10,JAHANGIR COLONY, KHOKKERKI SIALKOT ROAD GUJRANWALA.

Proposed Exam Area: 44 - SATELLITE TOWN (GUJRANWALA)

Part I Subjects Part II Subjects Paste Recent

1. URDU Photograph & Must Be

2. ENGLISH Cross Attested by the

3. ISLAMIYAT (COMPULSORY) Head/Deputy Head of


Candidate's
4. PAKISTAN STUDIES Thumb Institution
Impression
5. General Math

6. GENERAL SCIENCE

7. EDUCATION

8. ISLAMIC STUDIES

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.

Candidate's Signature in Urdu______________________ Signature


Headmaster/Headmistress/Principal
Candidate's Signature in English____________________ Head Of Institution Name
School/College Code Head of Institution Stamp
Due Date: 14-12-2016
CNIC
Printing Date: 13-Dec-2016 09:40 AM CMD Account No. 00427900072103 Bank Challan No. 161043
Admission Fee 650/- Late Fee 0/- Processing + Form Fee 295 /- Certificate Fee 550/- Registration Fee 0/-
Total Amount Rs. 1495 /- Amount in Words: One Thousand Four Hundred And Ninety Five Only.
Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC Annual Examination ,2017 )
Bank Copy: (To be retained with HBL)
Printing Date: 13-Dec-2016 09:40 AM
Due Date: 14-12-2016
Form No: 161043 CMD Account No. 00427900072103 Bank Challan No. 161043
Name: MUHAMMAD USMAN Father's Name: ZIA-ULLAH
Total Amount Rs.1495/- Amount in Words: One Thousand Four Hundred And Ninety Five Only.

Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC Annual Examination ,2017 )
Board Copy: (Along with Scroll)
Due Date: 14-12-2016 Printing Date: 13-Dec-2016 09:40 AM

Form No: 161043 CMD Account No. 00427900072103 Bank Challan No. 161043
Name: MUHAMMAD USMAN Father's Name: ZIA-ULLAH

Admission Fee 650/- Late Fee 0/- Processing + Form Fee 295/- Certificate Fee 550/- Registration Fee 0/-

Total Amount Rs. 1495/- Amount in Words: One Thousand Four Hundred And Ninety Five Only.

Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC Annual Examination ,2017 )
Candidate Copy Printing Date: 13-Dec-2016 09:40 AM
Due Date: 14-12-2016
CMD Account No. 00427900072103
Form No: 161043 Bank Challan No. 161043
Name: MUHAMMAD USMAN
Father's Name: ZIA-ULLAH
Total Amount Rs. 1495/-
Proposed Exam Area: 44 - SATELLITE TOWN (GUJRANWALA)
Manager/Cashier:___________________________

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