BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, GUJRANWALA

ADMISSION FORM FOR INTERMEDIATE PART I-II & COMPOSITE (SUPPLEMENTARY) EXAMINATION, 2014
FOR PRIVATE CANDIDATE

126471
Form No: _____________

2-2-329347-11
Registration No:______________________

Roll No: _______________

(For office use only)

PERSONAL INFORMATION
Name:

AMANAT ALI

Father's Name:

Bay Form/CNIC No:

MUHAMMAD RAMZAN

Father's/Guardian's CNIC:34401-1775632-1

Religion:

MUSLIM

Locality:

RURAL

Gender:

MALE

Nationality:

PAKISTANI

Speciality:

NONE

Medium:

URDU

Scheme:

OLD

Identification Mark:
MATRIC EXAMINATION INFORMATION (SSC)
Roll No:

737617

Year:

2011

Session: ANNUAL

Board:

GUJRANWALA

Session: ANNUAL

Board:

GUJRANWALA

LAST INTERMEDIATE EXAMINATION INFORMATION (HSSC)

Roll No:

112508

Year:

2014

CONTACT INFORMATION
District: MANDI BAHA-UD-DIN Tehsil: MALAKWAL

Zone:

MALAKWAL

Mobile No: 0342-7862003

Address: MOH KOTLI KHRUD DERA BHUTTI CIVIL HOSPITAL MALAKWAL

Address in Urdu: _____________________________________________________________________________________________________
EXAM INFORMATION
Proposed Exam Centre:
Subject Group:
Exam Type

FEEDING DATE: 21-Sep-2014 12:30 PM

DOWNLOAD ON: 21-Sep-2014 12:30 PM

GOVT. COLLEGE F/W, MALAKWAL (COMB.)

_______________________________
PRE-MEDICAL

Re-Appear

Re-Appear

Part-I

Part-II

1._______________________________

1._______________________________

2._______________________________

2._______________________________

3._______________________________

3._______________________________

4._______________________________

4._______________________________

CHEMISTRY
5._______________________________

CHEMISTRY
5._______________________________

6._______________________________

6._______________________________

7._______________________________

7._______________________________

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 responsbility. I understand that only the information/data provided in the online system alongwith 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.

Paste Recent Photograph. Must Be

cross Attested by the
Candidate's signature in Urdu

Thumb Impression

Principal/V.Prinicipal/
Headmaster/Headmistress/
Dy.Headmaster/ Dy. Headmistress

Attestation of Principal/V.Prinicipal/ Headmaster/Headmistress/ Dy.Headmaster/ Dy.

Candidate's Signature in English

Headmistress

Page 1

Page 2

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, GUJRANWALA

Paste Recent

For Examination Intermediate Supplementary, 2014

Photograph. Must Be
Cross attested By the

(Identification Slip For Private Candidate)

Principal/V.Prinicipal/
Headmaster/Headmist
ress/ Dy.Headmaster/

126471
Form No: _____________

Roll No: _______________

Dy. Headmistress

Candidate's Name (in Urdu)____________________________(In English)____________________________________________

AMANAT ALI
Father's Name (In Urdu)______________________________ (In English)____________________________________________
MUHAMMAD RAMZAN
Identification Mark_________________________________________________________________________________________

Subject in Which Candidate is Appearing:

CH
CH
Part-I(subjects): _____________________________________
Part-II(subjects): _____________________________________
Signature Of Candidate(In Urdu)______________________________ (In English)_______________________________________
Signature Of Board's Official _________________________________

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------Address Slip For Examination Intermediate Supplementary 2014

Address Slip For Examination Intermediate Supplementary 2014

Roll No: _________________

Roll No: _________________

Candidate's Name (in Urdu) _______________________________

Candidate's Name (in Urdu)_______________________________

Father's Name (in Urdu) __________________________________

Father's (in Urdu) _______________________________________

Address in (in Urdu) _____________________________________

Address (in Urdu) _______________________________________

_____________________________________________________

______________________________________________________

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, GUJRANWALA

ONE WINDOW FORM FOR INTERMEDIATE SUPPLEMENTARY EXAMINATION, 2014
(FOR PRIVATE CANDIDATE ONLY)

126471

Form No: _____________

Name:

R & D Receipt (For Candidate)

AMANAT ALI

Subject Group:

PRE-MEDICAL

Father Name:

MUHAMMAD RAMZAN

Mobile No:

0342-7862003

Registration No:

2-2-329347-11

Address: MOH KOTLI KHRUD DERA BHUTTI CIVIL HOSPITAL MALAKWAL

Last Intermediate Roll No:
Proposed Exam Centre:

112508 Year: 2014

Session: ANNUAL

GOVT. COLLEGE F/W, MALAKWAL (COMB.)

Page 3

Board: GUJRANWALA

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, GUJRANWALA

ADMISSION FORM FOR INTERMEDIATE PART I-II & COMPOSITE (SUPPLEMENTARY) EXAMINATION, 2014

HBL

FOR PRIVATE CANDIDATE

Form/Challan No: 126471

Name:

AMANAT ALI

Subject Group:

PRE-MEDICAL

(Candidate Copy)
Roll-No: ____________________
(For office use only)
CMD A/c NO. 00427900072103
Father Name:

MUHAMMAD RAMZAN

Mobile No:

0342-7862003

Registration No:

2-2-329347-11

Address: MOH KOTLI KHRUD DERA BHUTTI CIVIL HOSPITAL MALAKWAL

Address in Urdu:_______________________________________________________________________________________
Last Intermediate Roll No:

112508 Year:

2014

Session: ANNUAL

Board:

GUJRANWALA

CH
Part-I(subjects): _________________________________________________________
_________________________________________________________
CH
Part-II(subjects):
22-Sep-2014
Last Date: ____________________________________________________________
________________________________________________________
Rs.1700/Admission Fee:

One Window Stamp

Form Fee:____________________________________________________________
Rs.100/Within due Date(22-Sep-2014)_____________________________________________
:Rs.1800/After due Date(29-Sep-2014) :______________________________________________
Rs.3500/-

Bank Stamp/Signature

HBL Branch:_________________________________
Date: ________________ Candidate's Signature:
_____________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, GUJRANWALA

ADMISSION FORM FOR INTERMEDIATE PART-II & COMPOSITE (SUPPLEMENTARY) EXAMINATION, 2014

HBL

FOR PRIVATE CANDIDATE

Form/Challan No: 126471

(Office Copy)

CMD A/c NO. 00427900072103

Name:

AMANAT ALI

Subject Group:

PRE-MEDICAL

Father Name:

MUHAMMAD RAMZAN

Mobile No:

0342-7862003

Registration No:

2-2-329347-11

Address: MOH KOTLI KHRUD DERA BHUTTI CIVIL HOSPITAL MALAKWAL

Address in Urdu:___________________________________________________________
22-Sep-2014
Last Date:________________________________________________________________
Within due Date(22-Sep-2014)________________________________________________
:Rs.1800/-

Bank Stamp/Signature

HBL Branch:_____________________________________ Date: ________________ Candidate's Signature:

_____________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, GUJRANWALA

FOR PRIVATE CANDIDATE

HBL
Form/Challan No: 126471

(Bank Copy)

CMD A/c NO. 00427900072103

Name:

AMANAT ALI

Subject Group:

PRE-MEDICAL

Father Name:

MUHAMMAD RAMZAN

Mobile No:

0342-7862003

Registration No:

2-2-329347-11

Address: MOH KOTLI KHRUD DERA BHUTTI CIVIL HOSPITAL MALAKWAL

Address in Urdu:___________________________________________________________
22-Sep-2014
Last Date:________________________________________________________________

Bank Stamp/Signatures

Within due Date(22-Sep-2014)________________________________________________

:Rs.1800/HBL Branch:_____________________________________ Date: ________________ Candidate's Signature:
_____________________

Page 4