BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, GUJRANWALA

ADMISSION /REVENUE FORM (Private Candidate) for SSC SUPPLEMENTARY EXAMINATION , 2020 SKT
GENERAL GROUP Roll No: _______________
(For office use only)
Form No: 268384 (9th: Re-Appear 10th: Re-Appear)
Name (urdu): ____________________________________________ Father's Name (urdu): _______________________________
268384

Prev Roll No: 591345 ( A, 2020 ) Bay Form No: 34603-5226896-9

Name: ALI RAZA Father CNIC: 34603-3572790-1
Father's Name: MUHAMMAD ASGHAR Mobile No: 0320-5881891
Date Of Birth: 15-04-2002 Board Name: BISE, GRW
Registration No: 2-1-1204759-19 Religion: MUSLIM
Speciality: NONE
MALE
Address: P.O LANGERIALI NAZAD HANIF SUBZI FAROSH TESIL & DISTRICT SIALKOT
Student Id: 547211

Proposed Exam Area: 198 - SIALKOT CITY

Part I Subjects Part II Subjects Paste Recent

Photograph & Must Be

Cross Attested by the

Head/Deputy Head of
Candidate's
Thumb Institution
Impression

6. GENERAL SCIENCE 6. GENERAL SCIENCE

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 it's 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.

Candidate's Signature in Urdu______________________ Signature

Headmaster/Headmistress/Principal
Candidate's Signature in English____________________ Head Of Institution Name
School/College Code Head of Institution Stamp
Due Date: 28-09-2020
CNIC
Printing Date: 24-Sep-2020 07:04 PM CMD Account No. 00427900072103 Bank Challan No. 11281328
Admission Fee 1300/- Late Fee 0/- Processing Fee 395 /- Certificate Fee 0/- Registration Fee 0/-
Total Amount Rs. 1695 /- Amount in Words: One Thousand Six Hundred And Ninety Five Only.
Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC SUPPLEMENTARY EXAMINATION ,2020 )
Bank Copy: (To be retained with HBL)
Printing Date: 24-Sep-2020 07:04 PM
Due Date: 28-09-2020
Form No: 268384 CMD Account No. 00427900072103 Bank Challan No. 11281328 SKT
Name: ALI RAZA Father's Name: MUHAMMAD ASGHAR
Total Amount Rs.1695/- Amount in Words: One Thousand Six Hundred And Ninety Five Only.

Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC SUPPLEMENTARY EXAMINATION ,2020 )
Board Copy: (Along with Scroll)
Due Date: 28-09-2020 Printing Date: 24-Sep-2020 07:04 PM
SKT
Form No: 268384 CMD Account No. 00427900072103 Bank Challan No. 11281328
Name: ALI RAZA Father's Name: MUHAMMAD ASGHAR

Admission Fee 1300/- Late Fee 0/- Processing Fee 395/- Certificate Fee 0/- Registration Fee 0/-

Total Amount Rs. 1695/- Amount in Words: One Thousand Six Hundred And Ninety Five Only.

Manager/Cashier:___________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION GUJRANWALA (SSC SUPPLEMENTARY EXAMINATION ,2020 )
Candidate Copy Printing Date: 24-Sep-2020 07:04 PM
Due Date: 28-09-2020
CMD Account No. 00427900072103
Form No: 268384 Bank Challan No. 11281328
Name: ALI RAZA
Father's Name: MUHAMMAD ASGHAR
SKT
Total Amount Rs. 1695/-
Proposed Exam Area: 198 - SIALKOT CITY Manager/Cashier:___________________________