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ID 032571

Name MADHIA AMIN F Name MUHAMMAD AMIN


DOB 25-06-1991 F/G CNIC 37404-4881434-5
SSC Roll No 182299 Group HUMANITIES

Year 2008
Board BISE Rawalpindi

Roll No 747434
Year 2010
Session Annual
Specialty

SUBJECTS (PART-I) SUBJECTS (PART-II)


1. ENGLISH 1. ENGLISH

Address: Village Manga, P/o Tret, - MURREE


Center - MURREE GIRLS - MURREE
Name (Urdu) ___________________________________________________________________________________________________
Address (Urdu) __________________________________________________________________________________________________

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 (English) Signature (Urdu)

PROVISIONAL ADMISSION - Your Matric Information does not match with your Inter Information. You must provide correct information
before declaration of Result.

Challan No: 240139525 Registration No: 10094419545 *032571*

Admission HSSC 2011 BISE Rawalpindi Private


Due Date: 28-02-2011 1. Board's Copy Due Date: 28-02-2011 2. Bank's Copy
Board of Intermediate and Secondary Education Rawalpindi Board of Intermediate and Secondary Education Rawalpindi

*240139525* *240139525*
Bank Challan No. 240139525 Dated: 24-02-2011 Bank Challan No. 240139525 Dated: 24-02-2011
HBL Rehmanabad Account for Board of Intermediate and Secondary HBL Rehmanabad Account for Board of Intermediate and Secondary
Education Rawalpindi Education Rawalpindi
Account No: 00427900071303 Account No: 00427900071303

Name MADHIA AMIN Name MADHIA AMIN


Father's Name MUHAMMAD AMIN Father's Name MUHAMMAD AMIN
Registration No. 10094419545 Registration No. 10094419545
Address Village Manga, P/o Tret, Address Village Manga, P/o Tret,

Bank Information Bank Information

Bank Draft No.______ Dated:______ Bank Draft No.______ Dated:______

Particulars Amount (Rs.) Particulars Amount (Rs.)


Fee (Single) Fee (Single)
- Part1 Exam Fee 700/- - Part1 Exam Fee 700/-
- Part2 Exam Fee 700/- - Part2 Exam Fee 700/-
- Processing Fee 100/- - Processing Fee 100/-
Total Amount 1500/- Total Amount 1500/-
Amount in Words: one thousand five hundred rupees Only Amount in Words: one thousand five hundred rupees Only

Cashier_____________ Manager_____________ Cashier_____________ Manager_____________

Due Date: 28-02-2011 3. Student's Copy Due Date: 28-02-2011 4. Board's Copy
Board of Intermediate and Secondary Education Rawalpindi Board of Intermediate and Secondary Education Rawalpindi

*240139525* *240139525*
Bank Challan No. 240139525 Dated: 24-02-2011 Bank Challan No. 240139525 Dated: 24-02-2011
HBL Rehmanabad Account for Board of Intermediate and Secondary HBL Rehmanabad Account for Board of Intermediate and Secondary
Education Rawalpindi Education Rawalpindi
Account No: 00427900071303 Account No: 00427900071303

Name MADHIA AMIN Name MADHIA AMIN


Father's Name MUHAMMAD AMIN Father's Name MUHAMMAD AMIN
Registration No. 10094419545 Registration No. 10094419545
Address Village Manga, P/o Tret, Address Village Manga, P/o Tret,

Bank Information Bank Information

Bank Draft No.______ Dated:______ Bank Draft No.______ Dated:______

Particulars Amount (Rs.) Particulars Amount (Rs.)


Fee (Single) Fee (Single)
- Part1 Exam Fee 700/- - Part1 Exam Fee 700/-
- Part2 Exam Fee 700/- - Part2 Exam Fee 700/-
- Processing Fee 100/- - Processing Fee 100/-
Total Amount 1500/- Total Amount 1500/-
Amount in Words: one thousand five hundred rupees Only Amount in Words: one thousand five hundred rupees Only

Cashier_____________ Manager_____________ Cashier_____________ Manager_____________

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