IA 047653

Name IRAM JAVED F Name JAVED ALMS

DOB 21-09-1991 F/G CNIC 35202-2803108-2
SSC Roll No 162851 Group HUMANITIES

Year 2009 Matric Name IRAM JAVED

Board BISE Lahore

Roll No 299573
Year 2010
Session Annual
Specialty

SUBJECTS (PART-I) SUBJECTS (PART-II)

1. EDUCATION 2. CIVICS
3. ISLAMIC STUDIES 4. URDU
5. ENGLISH 6. PAKISTAN STUDIES

Address: House no 4 Street No24 Sherazi Street Mohala Mughal Pura - LAHORE CANTT
Center - MUGHAL PURA - LAHORE CANTT
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: 240264030 Registration No: 00359-2224-2009 *047653*

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 Board of Intermediate and Secondary Education Lahore

86 Mozang Road Lahore *240264030* 86 Mozang Road Lahore *240264030*

Bank Challan No. 240264030 Dated: 18-02-2011 Bank Challan No. 240264030 Dated: 18-02-2011
Habib Bank Account for Board of Intermediate and Secondary Education Habib Bank Account for Board of Intermediate and Secondary Education
Lahore Lahore
Account No: 0042-79000670-03 Account No: 0042-79000670-03

Name IRAM JAVED Name IRAM JAVED

Father's Name JAVED ALMS Father's Name JAVED ALMS
Registration No. 00359-2224-2009 Registration No. 00359-2224-2009
House no 4 Street No24 Sherazi Street House no 4 Street No24 Sherazi Street
Address Address
Mohala Mughal Pura Mohala Mughal Pura

Bank Information Bank Information

Bank Draft No.______ Dated:______ Bank Draft No.______ Dated:______

Particulars Amount (Rs.) Particulars Amount (Rs.)

Fee (Single) Fee (Single)
- Part2 Exam Fee 700/- - Part2 Exam Fee 700/-
- Processing Fee 100/- - Processing Fee 100/-
Total Amount 800/- Total Amount 800/-
Amount in Words: eight hundred rupees Only Amount in Words: eight hundred rupees Only

Cashier_____________ Manager_____________ Cashier_____________ Manager_____________

Due Date: 28-02-2011 3. Student's Copy Due Date: 28-02-2011 4. Board's Copy
Board of Intermediate and Secondary Education Lahore Board of Intermediate and Secondary Education Lahore

86 Mozang Road Lahore *240264030* 86 Mozang Road Lahore *240264030*

Bank Challan No. 240264030 Dated: 18-02-2011 Bank Challan No. 240264030 Dated: 18-02-2011
Habib Bank Account for Board of Intermediate and Secondary Education Habib Bank Account for Board of Intermediate and Secondary Education
Lahore Lahore
Account No: 0042-79000670-03 Account No: 0042-79000670-03

Name IRAM JAVED Name IRAM JAVED

Father's Name JAVED ALMS Father's Name JAVED ALMS
Registration No. 00359-2224-2009 Registration No. 00359-2224-2009
House no 4 Street No24 Sherazi Street House no 4 Street No24 Sherazi Street
Address Address
Mohala Mughal Pura Mohala Mughal Pura

Bank Information Bank Information

Bank Draft No.______ Dated:______ Bank Draft No.______ Dated:______

Particulars Amount (Rs.) Particulars Amount (Rs.)

Fee (Single) Fee (Single)
- Part2 Exam Fee 700/- - Part2 Exam Fee 700/-
- Processing Fee 100/- - Processing Fee 100/-
Total Amount 800/- Total Amount 800/-
Amount in Words: eight hundred rupees Only Amount in Words: eight hundred rupees Only

Cashier_____________ Manager_____________ Cashier_____________ Manager_____________