FEDERAL BOARD OF INTERMEDIATE AND SECONDARY TION, 1-8/4, ‘Phone Wo. 01 87250630 -Malt Sooratary@ fhise.adu.k APPLICATION FORM FOR VE) ATIO) IFICATE/RESULT CARD Name of Student (in block teers) Father Name Rexistration No, 4. Roll No, Examination Pass HSSC/SSC/PTC/CT 6. Year of Examination Marks Obtained 8. Date of Birth Grade 10, Name of Institution from which appeared Bank Challan/Bank Draft No, Dated. Amount Verification case be forwarded to purpose:- IBCC ( Islamabad/Peshawar/Lahore/Quetta/Karachi) Or any Other Postal Adress: 14, Contact No. Certificate Thereby solemnly declare that the documents presented/attached are genuine, and have neither been altered nor tampered with. I understand that in case of falsification of document tendered or the wrong information supplied/concealment of correct information, I shall be held responsible for legal/criminal action. Dated: Signature of Student Note i, 02 Unattested and legible photocopies of each document are required, ji, __Rs-300/ for those candidates who registered/appeared within country and US $ 20/- (oF equivalent to Pakistani rupees) for those candidates who registered/appeared from abroad. iii, The fee will be charged at par with the inland candidates if documentary proof of settled in Pakistan ie. photocopy of passport, copy of CNIC, affidavit ete, is produced,