BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, GUJRANWALA

ADMISSION /REVENUE FORM

(Private Candidate) for SSC Annual Examination , 2017

172731

Roll No: _______________

(For office use only)

Form No:

GENERAL GROUP
172731
(10th: Full Appear)

Prev Roll No:

303869 ( A, 2016 )

Bay Form No:

34201-4723969-6

Name:

FAIZA NASAR

Father CNIC:

34201-0388295-6

Father's Name:

NASSARULLAH TANVEER

Mobile No:

0347-6051967

Date Of Birth:

08-12-2000

Board Name:

BISE, GUJRANWALA

Registration No:

2-1-630779-15

Religion:

MUSLIM

Speciality:

NONE

Address:

MOHALLA MUGHAL PURA RASTA CHUKNAWALI KUNJAH TEHSIL & DIST GUJRAT

Proposed Exam Area:

FEMALE

89 - KUNJAH

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
Thumb
Impression

4. PAKISTAN STUDIES

Institution

5. General Math
6. GENERAL SCIENCE
7. ELEMENTS OF HOME ECONOMICS
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______________________
Candidate's Signature in English____________________
Due Date: 02-01-2017

Signature
Headmaster/Headmistress/Principal
Head Of Institution Name
School/College Code
CNIC

Printing Date: 29-Dec-2016 09:56 PM

CMD Account No. 00427900072103
Admission Fee
1300/Late Fee
0/Processing + Form Fee
295 /Amount in Words: Two Thousand One Hundred And Forty Five Only.
Total Amount Rs.
2145 /-

Head of Institution Stamp

Bank Challan No. 172731
Certificate Fee
550/-

Registration Fee 0/-

Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC Annual Examination ,2017 )
Bank Copy: (To be retained with HBL)
Printing Date: 29-Dec-2016 09:56 PM
Due Date: 02-01-2017
Form No:

172731

CMD Account No. 00427900072103

Name:

FAIZA NASAR

Father's Name:

Total Amount Rs.2145/-

Bank Challan No. 172731

NASSARULLAH TANVEER

Amount in Words: Two Thousand One Hundred And Forty Five Only.
Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC Annual Examination ,2017 )
Board Copy: (Along with Scroll)
Printing Date: 29-Dec-2016 09:56 PM

Due Date: 02-01-2017

Form No:

172731

CMD Account No. 00427900072103

Name:

FAIZA NASAR

Father's Name: NASSARULLAH TANVEER

Admission Fee

1300/-

Total Amount Rs. 2145/-

Late Fee

0/-

Processing + Form Fee

295/-

Bank Challan No. 172731

Certificate Fee

550/-

Registration Fee 0/-

Amount in Words: Two Thousand One Hundred And Forty Five Only.
Manager/Cashier:___________________________

Candidate Copy

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC Annual Examination ,2017 )
Printing Date: 29-Dec-2016 09:56 PM
Due Date: 02-01-2017

Form No: 172731

Name:

FAIZA NASAR

Total Amount Rs. 2145/Proposed Exam Area: 89 - KUNJAH

CMD Account No. 00427900072103

Bank Challan No. 172731

Father's Name: NASSARULLAH TANVEER

Manager/Cashier:___________________________