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PUNJAB BOARD OF TECHNICAL EDUCATION


IOBALTOWN. LAHORE
PH:0,12 99260209.

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042-q926019r-94,

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PBTE/1ecu20l6/

ESTABLISHMINT OFEXAMINATTON CENTRE(S) FOR DAE /


DD\4 I" 4\\U4I EXAYI\ATTON. 20 I6
rhal no candidale rclared lo me or residing pirh me, is kking pan
exaninarion !i lhis nrre(t.

fie

Nanc ollnslitulion wnh adde$

EmJ

l(Pin! pJl HcJdnlnet

Nolei
I

Ay a rclativc nca.t fathei, eal of slep / slepbo$er ed sister, parmal and


mlcrnal unclej paternal Md narernsl grandfdlher, wlfe, son, daughter,
hnsb.nd, nephew, niece and e ldli on s in I!w.

ln

casc of Co!t. lnsitute please pDpose SupeNisory/lnvigilation statr md


pm!1dc 11$ ro AcE (conducr I),PBTE. Lahore.

Sramp ol lhe PrnrcipaL/lleadnaslr

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