Grade Form

PUNJAB EXAMINATION COMMISSION

NINSTRUCTIONS:
5 PRIVATE SCHOOL STUDENT REGISTRATION FORM
EXAMINATION 2018 A :
1. FORM MUST BE FILLED IN BLOCK LETTERS. Diary No. _________
2. THE FORM MUST BE SUBMITTED AT THE RESPECTIVE EXAMINATION CLUSTER CENTER (ECC) WITHIN DUE DATE.
3 IN CASE OF FAKE ENTRY, STRICT ACTION WILL BE TAKEN AGAINST SCHOOL ADMINISTRATION SUBMITTING THIS FORM.
4. ATTESTED COPY OF BIRTH CERTIFICATE, NADRA FORM B, COPY OF SCHOOL ADMISSION-WITHDRAWAL REGISTER OF EACH STUDENT IS ALSO REQUIRED.

SSCHOOL INFORMATION: (To be filled in by school head only) :

1. PEF Code: 2. Registration No.
If school is associated with Punjab Education Foundation (PEF) If school is registered with EDO (EDU) office.

3. School Name: _____________________________________ 4. School System: ____________________________

If school is member of any group/chain.

5. Level: H. SEC. SEC ELE PRIMARY 6. Type: MALE FEMALE BOTH 7. Location: URBAN RURAL
Higher Secondary Secondary Elementary
Primary
8. Address: ______________________________9. Tehsil: ____________________ 10. District: ____________________

11. NA # 12. PP # 13. UC # 14. UC Name: _________________

NA (National Assembly) PP (Punjab Province, Provincial Assembly) UC (Union Council)

15. Total No. of students who applied for registration: 16. Total No. of PEC form ‘B’ sheets attached:
SINFORMATION OF SCHOOL HEAD: (To be filled in by school head only) o
17. Name: _________________________________ 18. CNIC No.

19. Mobile No. 0 3 2 1 4 4 7 8 8 1 8 20. Email Address: ___________________________________

21. Signature of School Head: _________________________ 22. Official Stamp: __________________________

AATTESTATION: (To be attested by AEO concerned or Head/Principal Govt. Secondary or Higher Secondary School or Govt. Gazetted Officer) .
It is certified that information given in Form ‘A’ and Form ‘B’ is correct.
23. Name: _______________________________ 24. Designation: __________________________

25. CNIC # 26. Mobile # 0 3 2 1 4 4 7 8 8 1 8

27. Signature: _________________________ 28. Official Stamp: __________________________

TO BE FILLED IN BY ECC OFFICE ONLY:
29. Examination Center Code: 30. Examination Center Name: ____________________________________

31. Online Form No. (OSRS Generated Form No.) 32. Date of Registration: ____/____/______

33. ECC School Name: _____________________________________34. ECC EMIS Code:

35. Received by: __________________________________ 36. Designation: _________________________

37. Signature: _________________________ 38. Official Stamp: __________________________

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ACKNOWLEDGEMENT RECEIPT: (To be issued by ECC office)
Diary No. __________ Date of Submission: _____/_____/_______

It is acknowledged that a Registration Form containing particulars of ______ Students of School ______________________________
for Grade 5 PEC Examination Year 2018 has been duly received.

Received by (Name): _______________________ Signature with Stamp: _________________________