(ii) For Additional/Improvement

Board_______________________________
Session / Year_____________________
Name of the Candidate (In Punjabi)
Fathers Name (In Punjabi)
Mothers Name (In Punjabi)
Date of Birth.

District Name
DOB in Words :
If Improvement in Subject with
Practical , Do you want to appear in
Practical Examination again?
(iii) Additional / Improvement category:
1.
2.
3.
Subject Code Subject Name
CATEGORY:-
Desired Centre Name
1. 2.
* Tick only the appropriate box like
Regn. No.
FOR OFFICE USE ONLY
SHEET NO.
Centre Code
________________________________________
_____________________________________________
_____________________________________________
Name of the Candidate in English (In Capital Letters)
Fathers Name in English (In Capital Letters)
Mothers Name in English (In Capital Letters)
Roll
No
Date Month Year
OLD Roll No
O-|=~e = |= (O, - |= =e=.=e=| c' |= -e =e -e- |~u ee +e =e ~e~ =c| c - =-|= ==s~ | =e |ec.ec| c'-e- |~u =|s| |== ~| +=s |=|
=e| - e| se' |-~e c~'+.c~'+| - =es =e -s s |== == =e |==s = +e ce = =ee e|| |~u =ee s ~e|s c| ' =es ~= |== e||
s =+ =ee c| |=s |+ - |e= |~|== == |~u |== ~| =e=e|.-s s === |~u c| - |ec.ec| c' - |e= e|| -e- s |e=~ |e= e|| =e| ce
=e| e|| -e- c| e|e
(, -e ~= |== ~| |==- = >+- =| =es |~u =| =e~e| =~= =|c== |s |= +e =|s ==s |~u c| =|s| ~+|
|-s| =O-|=~e = c=se
s==|=
- s==|= =e=.=e=| c' |= O-|=~e=se.=se| =|
=|-s| ==~| =| e|| e= ==.==
=ess = =|s| c, e|| -e- |~u ee ~e~ =c| c, O-|=~e c=se -e| ce| |~u
=|s c s |ec O-|=~e |e= e|| =e| =+ c

(e ' ,
c=
-=e|= .:=|- =e =s =-s s==| = =e ~ = | += e| = c=s e s - ce s==| = =e ~ = | += e| = c=s e s - ce s==| = =e ~ = | += e| = c=s e s - ce s==| = =e ~ = | += e| = c=s e s - ce s==| = =e ~ = | += e| = c=s e s - ce
FOR MATRICULATION EXAMINATION ADDITIONAL SUBJECTS AND IMPROVEMENT 2011-12
PUNJAB SCHOOL EDUCATION BOARD PUNJAB SCHOOL EDUCATION BOARD
Paste Recent
Attested
Passport size
Coloured
Photograph.
DO NOT STAPLE
Improvement
Deaf & Dumb
Handicaped
Paste Recent
Without
Attested
Passport size
Coloured
Photograph.
DO NOT STAPLE
Address.................................................................................................
...........................................................................................................
Block.......................................Teh.................................Distt...................
Phone Number with STD Code.......................................Mobile No. ...................
Email : ..................................................................................................
e = =e e = =e e = =e e = =e e = =e e = =e e = =e e = =e e = =e e = =e
' ' ' ' ' ' ' ' ' '
| s = ' | s = ' | s = ' | s = ' | s = ' | s = ' | s = ' | s = ' | s = ' | s = '
s s s s s s s s s s

| = | = s | = | = s | = | = s | = | = s | = | = s |= | = s |= | = s |= | = s |= | = s |= | = s
Blind
Additional Subject
SEX
Male
Female SIGNATURE OF CANDIDATE --
In English.......................................................
In Punjabi.......................................................
YES NO
(Particulars in this form are to be filled in by the Candidate after reading the syllabi & instructions)
DO NOT TEAR OR MUTILATE OR FOLD THIS FORM.
Fee Details:- Place:
Fee Amount in Rs
Receipt No.
Dated
Medium
Subject Code Subject Name
4.
5.
6.
Improvement Additional Subject
Punjabi Hindi English
For Private
Candidates
If you unable to write, do you
want writer ? (Attach Certificate)
YES NO