BOARD OF INTERMEDIATE AND SECONDARY EDUCATION RWP

Enquiry Receipt (Private Candidate) for SSC Annual Examination 2019

SCIENCE GROUP (9TH)

Enquiry Receipt (For Candidate)

Name : SYED SAIL ABBAS SHAH Form No : 081960

Father Name : MUBARAK HUSSAIN SHAH Due Date : 14/12/2018

Proposed Exam Centre : GOVT. HIGH SCHOOL BALKASSAR, (CHAKWAL.) (4203)

District: CHAKWAL

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 BOARD OF INTERMEDIATE AND SECONDARY EDUCATION RWP
Revenue Form (Private Candidate) for SSC Annual Examination 2019

SCIENCE GROUP (9TH)

Form No.: 081960 Batch No.: ________________
Category : 9TH FRESH
Name: SYED SAIL ABBAS SHAH Father Name: MUBARAK HUSSAIN SHAH
Registration No.: Mobile No.: 03358445972
Postal Address: MOH. HASHMI VPO MUREED. TEHSIL AND DISTRICT CHAKWAL.
SUBJECTS
Part I Subjects
1. URDU
2. ENGLISH
3. ISLAMIYAT
4. PAKISTAN STUDIES
5. MATHEMATICS
6. PHYSICS
7. CHEMISTRY
8. COMPUTER SCIENCE
STAMP
Challan No.: 730081960 Amount: 2095 Date: _________
Bank Name:______________________________________________________________________

Candidate's Signature In Urdu ___________________ Candidate's Signature In English ___________________

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 Bank Copy (This copy must be send to HBL Rehmanabad Rwp 0154)
Due Date: 14/12/2018 Account Details
Printing Date: 04/12/2018 ACCOUNT TITLE : BOARD OF INTERMEDIATE AND SECONDARY EDUCATION
Fee Description RAWALPINDI
Admission Fee Part I 700 Account No. 01540035529603 (HBL)
Admission Fee Part II 0 Bank Challan No. 730081960
Late Fee 0 Particulars Of Depositor
Processing Fee 395 SYED SAIL ABBAS SHAH
Registration Fee 1000 S/O MUBARAK HUSSAIN SHAH
Certificate Fee Address :MOH. HASHMI VPO MUREED. TEHSIL AND DISTRICT
0 CHAKWAL.
Total Amount 2095
Amount In Words: Two Thousand and Ninety Five
Cashier: _______________________________ Manager: _______________________________

Bank Copy
Due Date: 14/12/2018 Account Details
Printing Date: 04/12/2018 ACCOUNT TITLE : BOARD OF INTERMEDIATE AND SECONDARY EDUCATION
Fee Description RAWALPINDI
Admission Fee Part I 700 Account No. 01540035529603 (HBL)
Admission Fee Part II 0 Bank Challan No. 730081960
Late Fee 0 Particulars Of Depositor
Processing Fee 395 SYED SAIL ABBAS SHAH
Registration Fee 1000 S/O MUBARAK HUSSAIN SHAH
Certificate Fee Address :MOH. HASHMI VPO MUREED. TEHSIL AND DISTRICT
0 CHAKWAL.
Total Amount 2095
Amount In Words: Two Thousand and Ninety Five
Cashier: _______________________________ Manager: _______________________________

Candidate
Copy
Due Date: 14/12/2018 Account Details
Printing Date: 04/12/2018 ACCOUNT TITLE : BOARD OF INTERMEDIATE AND SECONDARY EDUCATION
Fee Description RAWALPINDI
Admission Fee Part I 700 Account No. 01540035529603 (HBL)
Admission Fee Part II 0 Bank Challan No. 730081960
Late Fee 0 Particulars Of Depositor
Processing Fee 395 SYED SAIL ABBAS SHAH
Registration Fee 1000 S/O MUBARAK HUSSAIN SHAH
Certificate Fee Address :MOH. HASHMI VPO MUREED. TEHSIL AND DISTRICT
0 CHAKWAL.
Total Amount 2095
Amount In Words: Two Thousand and Ninety Five
Cashier: _______________________________ Manager: _______________________________

Board Copy
Due Date: 14/12/2018 Account Details
Printing Date: 04/12/2018 ACCOUNT TITLE : BOARD OF INTERMEDIATE AND SECONDARY EDUCATION
Fee Description RAWALPINDI
Admission Fee Part I 700 Account No. 01540035529603 (HBL)
Admission Fee Part II 0 Bank Challan No. 730081960
Late Fee 0 Particulars Of Depositor
Processing Fee 395 SYED SAIL ABBAS SHAH
Registration Fee 1000 S/O MUBARAK HUSSAIN SHAH
Certificate Fee Address :MOH. HASHMI VPO MUREED. TEHSIL AND DISTRICT
0 CHAKWAL.
Total Amount 2095
Amount In Words: Two Thousand and Ninety Five
Cashier: _______________________________ Manager: _______________________________

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Form Submission Last Date is 14/12/2018.
BOARD OF INTERMEDIATE AND SECONDARY EDUCATION RWP
Admission Form (Private Candidate) for SSC Annual Examination 2019

SCIENCE GROUP (9TH)

Form No. : 081960 Roll No. :_____________

Appearing Category : 9TH FRESH
Ref No. :_____________

PERSONAL DETAILS

Name : SYED SAIL ABBAS SHAH Bay Form No. : 37201-6014941-5

Father Name : MUBARAK HUSSAIN SHAH Father CNIC : 37201-1788167-9
Date of Birth : 28/11/2003
Registration No :
Medium : URDU

Speciality : NONE MALE

Hafiz-e-Quran : NO Region : RURAL
Nationality : PAKISTANI Religion : MUSLIM
Identification Mark : NIL
Postal Address : MOH. HASHMI VPO MUREED. TEHSIL AND DISTRICT CHAKWAL.
District : CHAKWAL Mobile No : 03358445972

EXAMINATION INFORMATION
Proposed Exam Centre :GOVT. HIGH SCHOOL BALKASSAR, (CHAKWAL.) (4203)
SUBJECTS
Part I Subjects
1. URDU
2. ENGLISH
3. ISLAMIYAT
4. PAKISTAN STUDIES
5. MATHEMATICS
6. PHYSICS
7. CHEMISTRY
8. COMPUTER SCIENCE

BANK INFORMATION
Challan No : 730081960 Amount : 2095 Date :_________
Bank Name :_______________________________________________________________________
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 ____________________ Candidate's Thumb Impression

Candidate's Signature In English ____________________

Attestation Headmaster/Headmistress/Principal
Name: _______________________ Cell No: _______________________
School/College Code: __________
CNIC: _______________________ Stamp & Signature

Note:- Admission form must be submitted in Board Office by hand or through registered mail.

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