IA

012232

Name DOB Roll No Year Session Specialty

ROBINA FAQIR HUSSAIN 14-11-1991 331215 2010 Annual

F Name F/G CNIC Group

FAQIR HUSSAIN 35404-1615668-3

HUMANITIES

SUBJECTS (PART-I)

SUBJECTS (PART-II) 1. ECONOMICS 3. SOCIOLOGY 5. ENGLISH 2. ISLAMIC STUDIES 4. URDU 6. PAKISTAN STUDIES

Address: Gali Masjid wali , Mohallah Rasool pura , Farooqabad, Sheihkupura distrcit. - SHEIKHUPURA Center - FAROOQABAD - SHEIKHUPURA Name (Urdu) ___________________________________________________________________________________________________ Address (Urdu) __________________________________________________________________________________________________ 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 responsibility. I understand that only the information / data provided in the online system along with the 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.
Signature (English) Signature (Urdu)

Challan No: 240223966

Registration No: 33615-PVT.-2010

*012232*

Admission

HSSC

2011

BISE Lahore

Private

Due Date: 28-02-2011

1. Board's Copy

Due Date: 28-02-2011

2. Bank's Copy

Board of Intermediate and Secondary Education Lahore

86 Mozang Road Lahore Bank Challan No. 240223966

*240223966*
Dated: 12-02-2011

Board of Intermediate and Secondary Education Lahore

86 Mozang Road Lahore Bank Challan No. 240223966

*240223966*
Dated: 12-02-2011

Habib Bank Account for Board of Intermediate and Secondary Education Lahore

Habib Bank Account for Board of Intermediate and Secondary Education Lahore

Account No: 0042-79000670-03 Name Father's Name Registration No. Address ROBINA FAQIR HUSSAIN FAQIR HUSSAIN 33615-PVT.-2010 Gali Masjid wali , Mohallah Rasool pura , Farooqabad, Sheihkupura distrcit. Bank Information Bank Draft No.______ Particulars Fee (Single) - Part2 Exam Fee - Processing Fee Total Amount Dated:______ Amount (Rs.) 700/100/Name Father's Name Registration No. Address

Account No: 0042-79000670-03 ROBINA FAQIR HUSSAIN FAQIR HUSSAIN 33615-PVT.-2010 Gali Masjid wali , Mohallah Rasool pura , Farooqabad, Sheihkupura distrcit. Bank Information Bank Draft No.______ Particulars Fee (Single) - Part2 Exam Fee - Processing Fee Total Amount Dated:______ Amount (Rs.) 700/100/-

800/-

800/-

Amount in Words: eight hundred rupees Only Cashier_____________ Due Date: 28-02-2011 Manager_____________ 3. Student's Copy

Amount in Words: eight hundred rupees Only Cashier_____________ Due Date: 28-02-2011 Manager_____________ 4. Board's Copy

Board of Intermediate and Secondary Education Lahore

86 Mozang Road Lahore Bank Challan No. 240223966

*240223966*
Dated: 12-02-2011

Board of Intermediate and Secondary Education Lahore

86 Mozang Road Lahore Bank Challan No. 240223966

*240223966*
Dated: 12-02-2011

Habib Bank Account for Board of Intermediate and Secondary Education Lahore

Habib Bank Account for Board of Intermediate and Secondary Education Lahore

Account No: 0042-79000670-03 Name Father's Name Registration No. Address ROBINA FAQIR HUSSAIN FAQIR HUSSAIN 33615-PVT.-2010 Gali Masjid wali , Mohallah Rasool pura , Farooqabad, Sheihkupura distrcit. Bank Information Bank Draft No.______ Particulars Fee (Single) - Part2 Exam Fee - Processing Fee Total Amount Dated:______ Amount (Rs.) 700/100/Name Father's Name Registration No. Address

Account No: 0042-79000670-03 ROBINA FAQIR HUSSAIN FAQIR HUSSAIN 33615-PVT.-2010 Gali Masjid wali , Mohallah Rasool pura , Farooqabad, Sheihkupura distrcit. Bank Information Bank Draft No.______ Particulars Fee (Single) - Part2 Exam Fee - Processing Fee Total Amount Dated:______ Amount (Rs.) 700/100/-

800/-

800/-

Amount in Words: eight hundred rupees Only Cashier_____________ Manager_____________

Amount in Words: eight hundred rupees Only Cashier_____________ Manager_____________