PRICE : Rs.

25/=

SERIAL NO.

BOARD OF INTERMEDIATE EDUCATION KARACHI

APPLICATION FORM FOR THE ISSUANCE OF ORIGINAL H.S.C/P.T.C/C.T./D.P.E./H.Eco. CERTIFICATE FOR THE YEAR_______
INTER

BOARD OF M E D I AT E E D U C AT I O N

KARACHI

The Secretary, Board of Intermediate Education, Karachi

Most Recent Passport Size Photograph be pasted here

Sir, It is requested to kindly issue my Original H.S.C/P.T.C/C.T./D.P.E. Certificate for the Examination passed in the year__________ (Annual/Supplementary). My necessary particulars are as under: ROLL No. NAME : (IN CAPITAL LETTERS AS ENTERED IN MATRIC CERTIFICATE) FATHERS NAME : (IN CAPITAL LETTERS AS ENTERED IN MATRIC CERTIFICATE) GRADE/DIVISION: COMPULSORY SUBJECTS: 1. 3. OPTIONAL SUBJECTS: 1. 3. NAME OF COLLEGE / PRIVATE
RESIDENTIAL ADDRESS:

GROUP

MARKS OBTAINED 2. 4. 2.

RESIDENTIAL TELEPHONE NO. DATE : SIGNATURE OF THE CANDIDATE

MARK OF IDENTIFICATION: (MUST BE WRITTEN OTHERWISE THE FORM WILL BE REJECTED)

For Bank Use

For Office Use

Date of Issuance

Applicant Copy S. NO. To be filled by applicant

Name : Roll No. Year

Date of Receiving

Group Name of College/Private

Note: Timing: Monday to Thursday & Saturday 09:30 A.M. to 12.30 P.M. Friday 09.30 A.M. to 11.30 A.M. IMPORTANT: Certificate will be issued to the actual candidate only on production of C.N.I.C. in Original.

Date of issuance
Signature of Receiver
Signature of receiver & date

MD/03/09/50,000

DOCUMENTS TO BE ENCLOSED WITH THE APPLICATION FORM 01) 02) 03) 04) 05) 06) 07) Most Recent Passport Size Photograph. Passing Admit Card of H.S.C. Part-II (Original). Enrolment card of H.S.C. Part-I in case of Regular Candidate (Original). Registration Card, in case of Private Candidate (Original). Attested Photocopy of S.S.C. (Matric) Certificate. Attested Photocopy of H.S.C. Part-II (Intermediate) Marks Sheet of passing Roll Number. Attested photocopy of C.N.I.C. FEE SCHEDULE ORNDINARY URGENT SPECIAL FEE = = = No Fee Rs. 250/= Rs. 400/= (in case applied before issuance of notification)

DURATION FOR THE ISSUANCE OF CERTIFICATE ORNDINARY = URGENT/SPECIAL = IMPORTANT 01) Original Certificate will be issued only to the actual candidate on presenting Original Receipt and his/her C.N.I.C. at the time of issuance. 02) Original Certificate will be issued between 09.30 A.M. to 12.30 P.M. from Monday to Thursday and Saturday. From 09.30 A.M. to 11.30 A.M. on Friday. 03) Incomplete forms are liable to be rejected. One Month 10 Days

DECLARATION I have read, understood, agreed with the conditions and requirement laid down in the Original Certificate Form. SIGNATURE OF THE CANDIDATE: NAME : DATE :