BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, GUJRANWALA

ADMISSION /REVENUE FORM (Private Candidate) for SSC ANNUAL EXAMINATION , 2020 HFD
SCIENCE GROUP Roll No: _______________
(For office use only)
Form No: 221633 (9th: Re-Appear 10th: Full Appear)
Name (urdu): ____________________________________________ Father's Name (urdu): _______________________________
221633

Prev Roll No: 224086 ( 9th, 2019 ) Bay Form No: 34302-4752188-0
Name: ALISHA GULZAR Father CNIC: 34302-3957519-9
Father's Name: RAI GULZAR HUSSAIN Mobile No: 0345-6980419
Date Of Birth: 18-12-2005 Board Name: BISE, GRW
Registration No: 2-1-6494610-19 Religion: MUSLIM
Speciality: NONE
FEMALE
Address: VILLAGE MATTAKY POST OFFIC RASOOL PUR TATAR PINDI BHATTIAN HAFIZABAD
Student Id: 581627

Proposed Exam Area: 265 - KASSESAY

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. MATHEMATICS 5. MATHEMATICS

6. PHYSICS

7. CHEMISTRY

8. BIOLOGY

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: 06-12-2019
CNIC
Printing Date: 30-Nov-2019 01:39 PM CMD Account No. 00427900072103 Bank Challan No. 11086467
Admission Fee 1400/- Late Fee 0/- Processing Fee 395 /- Certificate Fee 550/- Registration Fee 0/-
Total Amount Rs. 2345 /- Amount in Words: Two Thousand Three Hundred And Forty Five Only.
Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC ANNUAL EXAMINATION ,2020 )
Bank Copy: (To be retained with HBL)
Printing Date: 30-Nov-2019 01:39 PM
Due Date: 06-12-2019
Form No: 221633 CMD Account No. 00427900072103 Bank Challan No. 11086467 HFD
Name: ALISHA GULZAR Father's Name: RAI GULZAR HUSSAIN
Total Amount Rs.2345/- Amount in Words: Two Thousand Three Hundred And Forty Five Only.

Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC ANNUAL EXAMINATION ,2020 )
Board Copy: (Along with Scroll)
Due Date: 06-12-2019 Printing Date: 30-Nov-2019 01:39 PM
HFD
Form No: 221633 CMD Account No. 00427900072103 Bank Challan No. 11086467
Name: ALISHA GULZAR Father's Name: RAI GULZAR HUSSAIN

Admission Fee 1400/- Late Fee 0/- Processing Fee 395/- Certificate Fee 550/- Registration Fee 0/-

Total Amount Rs. 2345/- Amount in Words: Two Thousand Three Hundred And Forty Five Only.

Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC ANNUAL EXAMINATION ,2020 )
Candidate Copy Printing Date: 30-Nov-2019 01:39 PM
Due Date: 06-12-2019
CMD Account No. 00427900072103
Form No: 221633 Bank Challan No. 11086467
Name: ALISHA GULZAR
Father's Name: RAI GULZAR HUSSAIN
HFD
Total Amount Rs. 2345/-
Proposed Exam Area: 265 - KASSESAY Manager/Cashier:___________________________