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YE

AR

FORM NO.

BATCH NO.

SERIAL NO.

(For office use only)

(For office use only)

20

15

FEDERAL BOARD OF INTERMEDIATE AND SECONDARY EDUCATION ISLAMABAD


ADMISSION FORM FOR HIGHER SECONDARY SCHOOL CERTIFICATE (PART-II) EXAMINATION

(To be filled in by the candidate)


01.YEAR:

2 Supplementary

Annual

02. SESSION: 1

04.REFERENCE SSC YEAR:

03. REGISTRATION NO:

ROLL NO.

05.GROUP:

Humanities

Pre-Medical

06. GENDER:

Male

Female

08.AREA:

Federal

Punjab

ROLL NO.

HSSC Part-I YEAR:


3

Pre-Engineering

Science General

Commerce

Medical Technology

07. STATUS

Regular

Ex.

Private

Sindh

Khyber
Pakhtunkhwa

Balochistan

Gilgit-Baltistan

09. INSTITUTION:

Overseas

AJK

Code

(For Regular Candidates Only)

10. PROPOSED CENTRE:

Code

(For Ex/Pvt. Candidates Only)

(For Office Use Only)

11. CANDIDATES NAME:


(In Block Letters)

12. FATHERS NAME:


(In Block Letters)

13. RELIGION:

Muslim

14. NATIONALITY: 1 Pakistani

Non-Muslim

Non-Pakistani

15. HOME ADDRESS:


(In Block Letters)
(For all Regular, Ex,
Private Candidates)

16. SUBJECTS IN WHICH TO APPEAR (Please see subjects code list at page-2)
HSSC PART - I
S. No.

HSSC PART - II

SUBJECT

Subject Code

(I) English(Comp)-/
Englsih (Advance)
(II) Urdu (Comp) Pak Culture/

S. No.

SUBJECT

Subject Code

(I) English(Comp)-/English (Advance)


Sindhi (Comp)

Urdu Salees

(III) Islamic Education (Comp) /


Civics (For Non Muslim)

UN-ATTESTED
PHOTOGRAPH

Entry of subject &


its correct code is
the responsibility
of the candidate /
Institution

(II) Urdu (Comp) /Pak Culture/

(III) Pakistan Studies

(In lieu of Islamic Education Comp)

All Male / Female


Candidates are Required
to Paste Photograph
1 1
4

x 1 1
2

(IV)

(IV)

(V)

(V)

(VI)

(VI)

(VII)

(VII)

17. STATUS WHETHER APPEARING:

First Time

For Improving Result

In Additional Subjects

As Compartment Case

After Complete Failure

IBCC Case

18. PREVIOUS REFERENCE (HSSC-II):Year

Annual

Roll No.

Supplementary

19. MARK OF IDENTIFICATION:


20.FEE:

Challan / D.D No:

Amount: RS / US $

Category of fee:

Normal Fee

Double Fee

Date:
3

Triple Fee

21. AFFIDAVIT: I solemnly declare that all the entries made in the Admission Form are correct. My particulars as mentioned in
the Admission Form are true and correct to the best of my knowledge, belief, also according to the School/College/SSC records
and nothing has been concealed therein. I further affirm that in case of gap period after passing SSC Examination I have neither
appeared at HSSC level nor disqualified from any Board. I shall abide by the rules/regulations made and notified by the Board
from time to time.

SIGNATURE OF FATHER/GUARDIAN

SIGNATURE OF CANDIDATE

Phone No.
Price : Rs. 30/- (in Pakistan)
US$ 1/- (in Abroad)

SIGNATURE WITH SEAL


Attesting Authority
(See Instruction-4)

PAGE-2

LIST OF SUBJECTS WITH CODES


Name of Subjects
Code No.

RATES OF FEE
(In Country)

NATURE OF FEE
HSSC-I

1. Registration Fee
2. Admission Fee (All Groups)
for Regular Candidates
3. Admission Fee (All Groups)
for Ex/Private candidates

HSSC-II

(In Abroad)

HSSCI & II

HSSC-I

HSSC-II

Rs. 600/-

HSSCI & II

US $ 75/-

Rs. 1100/-

Rs. 1100/-

Rs. 2200/-

US $ 100/- US $ 100/-

US $ 200/-

Rs. 1200/-

Rs. 1200/-

Rs. 2400/-

US $ 100/- US $ 100/-

US $ 200/-

4. Additional Subject(s)/IBCC

Rs. 2400/-

5. Improvement of Marks/Grade Rs. 1350/- Rs. 1350/-

Rs. 2550/-

US $ 200/US $ 125/- US $ 125/-

US $ 225/-

To be remitted through Bank Draft/Online Bank Challan in any Branch of HBL.

INSTRUCTIONS FOR CANDIDATES


1. The Board shall not be responsible for any eventual mistake in the result if the form is not correctly filled in.
2. Admission Forms of regular candidates shall not be entertained without Registration and for private
candidates without Registration Fee at HSSC level.
3. Copy of SSC/HSSC Result Card & Registration Card must be attached with the Admissioin Form.
4. The Higher Secondary School Certificate Examination shall be open to a private candidate who is resident of
territorial jurisdiction of FBISE and they got admission form attested by any Govt Officer of BPS-17 & above
in Education Deparment / Armed Forces, whereas admission form of regular candidates must be attested
by the heads of their respective institutions only.
5. Photograph at page-2 and the admission form both should be attested by one and the same attesting
authority.
6. College Leaving Certificate (in original) must be attached, to the effect that the candidate has not been
on the roll of an affiliated Institution as a regular candidate after 30th November during the current
academic year.
7. A private candidate shall not be permitted to appear in the subjects involving practicals, against which
the star* sign appears in the subject list.
8. Private candidates will submit/send their forms individually with their home addresses. Their forms will
not be accepted through any school/college/academy/coaching centre.
9. Original result card and original verified copy of HSSC Part-I of those candidate who appeared from other
board must be submitted along with admission form.
10. A candidate found guilty of having concealed any fact in Admission Form or of having made any false
statement shall be debarred from appearing at the Board Examination for such period as decided by the
Board.
11. Permission letter for change of subject(s), combination of subject(s), cancellation of HSSC-I result
etc. must be enclosed with the Admission Form, if applicable.
12. After passing HSSC-II examination, candidate may appear for improvement of marks/grade in current
course within a period of one year as an ex-candidate in (a) upto two papers/Subjects (b) all papers of Part-I
only (c) all papers of Part-II only (d) all papers of Part-I & II. There is only one chance for improvement of
Marks/Grade.
13. Facility of re-appearing in upto two papers of part-I along with part-II papers, is provided for which paper of
part-I will have to be indicated in the respective columns under para 16 over leaf. He/She shall pay fee of both
the parts.
14. A Candidate after passing one year of examination may appear in an additional subject i.e math only within 2
years of passing HSSC examination in current course. He/She will be issued result card separately.

WARNING
The Board shall have the right to reject the Admission Form of a candidate if (a) the form is not
correctly filled in or any required information i s lacking; (b) the form and requisite fee is not
submitted to Board within stipulated time; (c) the candidate does not settle objections raised in
accordance with the rules within specified period;(d) the candidate does not fulfil the conditions of
eligibility for the Examination; and (e) the same has not been submitted within due date even
though the fee has been deposited in time.
Note:
Intitutions/Candidates who send their Admission Forms by Post must despatch
three (3) days before the last date fixed for each slab of notified schedule.

FOR REGULAR CANDIDATES (Certificate of the Head of Institution)


I Certify that:
(i)
He/She is a bonafide student of this institution and bears a good moral character.
(ii)
He/She has 75% attendance in each subject during the full academic session of 20__________
(iii) He/She is short of_________percent attendance. The deficiency attendance has been condoned by the undersigned.
(iv) He/She has devoted 72 hours to manual work during the year in addition to 30 academic periods, which are formally
provided in the colleges time table.
(v)
He/She has passed SSC Examination in Annual/Supplementary _______________under roll no._______________(result card attached)
(vi) His/Her Photograph is recent and not older than six moths.
(vii) The particulars given in the admission Form are in accordance with those already supplied in the Registration Form/Return.

CROSS ATTESTATION OF
HEAD OF INSTITUTION

THIS FORM HAS THOROUGHLY BEEN CHECKED AND ALL THE DISCREPANCIES HAVE BEEN RECTIFIED
PHOTOGRAPH
(All male/female

regular candidates)
1 1 X 1 1
4
2

SIGNATURE WITH SEAL OF HEAD OF THE INSTITUTION

CROSS ATTESTATION

FOR PRIVATE CANDIDATES


1. I___________________________do hereby certify that the candidate
named_________________________ S/o / D/o________________ is
known to me.
PHOTOGRAPH
(All male/female
ex / private candidates)
1 1 X 1 1
4
2

2. He/She bears good moral character


3. He/She passed SSC Examination in Annual/Supplementary________under
Roll No.___________ (Result Card Attached)
4. He/She appeared in HSSC Annual/Supplementary Exam 20_____under
Roll No.
(Result Card Attached)
5. His/Her Photograph is recent and not older than six (06) months.
6. He/She is resident of territorial jurisdiction of FBISE.

(Signature with seal)


To be Attested by any Govt Officer of BPS-17 &
above in Education Department / Armed Forces

CNIC No.

ENGLISH - I (Compulsory)
ENGLISH - II (Compulsory)
ENG. ADVANCE-I (with permission of the board)
ENG. ADVANCE-II
URDU - I (Compulsory)
URDU - II (Compulsory)
PAKISTANI CULTURE-I
(with permission of the board)
PAKISTANI CULTURE-II
URDU SALEES
(with permission of the board)
SINDHI
ISLAMIC EDUCATION (Compulsory)
CIVICS (for non-muslims)
PAKISTAN STUDIES (Compulsory)
HISTORY OF PAKISTAN-I
HISTORY OF PAKISTAN-II
ISLAMIC HISTORY-I
ISLAMIC HISTORY-II OPTION-I
(Umayyad and Abbasids)
ISLAMIC HISTORY-II OPTION-II
(Umayyad and Muslims in Spain)
ECONOMICS-I
ECONOMICS-II
*GEOGRAPHY-I
*GEOGRAPHY-II
*PSYCHOLOGY-I
*PSYCHOLOGY-II
CIVICS-I
CIVICS-II
*STATISTICS-I
*STATISTICS-II
MATHEMATICS-I
MATHEMATICS-II
PHILOSOPHY-I
PHILOSOPHY-II
*O.L.H ECONOMICS-I
*O.L.H ECONOMICS-II
*FINE ARTS-I
*FINE ARTS-II
ISLAMIC STUDIES-I
ISLAMIC STUDIES-II
*HEALTH AND PHY: EDU-I
*HEALTH AND PHY: EDU-II
EDUCATION-I
EDUCATION-II
SOCIOLOGY-I
SOCIOLOGY-II
*LIBRARY SCIENCE-I
*LIBRARY SCIENCE-II
ARABIC-I
ARABIC-II
ENGLISH (ELECTIVE-I)
ENGLISH (ELECTIVE-II)
*FRENCH-I
*FRENCH-II
URDU (ELECTIVE-I)
URDU (ELECTIVE-II)
PERSIAN-I
PERSIAN-II
*PHYSICS-I
*PHYSICS-II
*CHEMISTRY-I
*CHEMISTRY-II
*BIOLOGY-I
*BIOLOGY-II
*COMPUTER SCIENCE-I
*COMPUTER SCIENCE-II
*ELE. ANATOMY & MICRO TECH-I
*HEAMOTOLOGY & BLOOD BANKING-II
*MICRO BIOLOGY-I
*MICRO BIOLOGY-II
*ELE.CHEM & CHEMICAL PATH-I
*CLINICAL PATH & SEROLOGY-II
PRINCIPLES OF ACCOUNTING-I
PRINCIPLES OF ACCOUNTING-II
PRINCIPLES OF ECO-I
COMMERCIAL GEOGRAPHY-II
PRINCIPLES OF COMMERCE-I
BANKING-II
*COMPUTER STUDIES (IN LIEU OF BANKING-II)
BUSINESS MATHEMATICS-I
BUSINESS STATISTICS-II
*BASIC MEDICAL SCIENCE-I
*BASIC MEDICAL SCIENCE-II
*APPLIED SCIENCES-I
*APPLIED SCIENCES-II
*RADIOGRAPHIC TECHNIQUES-I
*RADIOGRAPHIC TECHNIQUES-II
*OPERATION THEATRE TECHNIQUES-I
*OPERATION THEATRE TECHNIQUES-II
*OPHTHALMIC TECHNIQUES-I
*OPHTHALMIC TECHNIQUES-II
*PHYSIOTHERAPY TECHNIQUES-I
*PHYSIOTHERAPY TECHNIQUES-II
*DENTAL HYGIENE-I
*DENTAL HYGIENE-II

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0A1
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NOTE:
1. Only one subject from the following is to be Offered at a time.
(a) History of Pakistan. (b) Islamic History
2. Only one language could be offered at a time.
3. The private candidate can not offer the subject
mentioned with stars (*)