BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, LAHORE

Admission Form (Private Candidate) for SSC (First Annual) Examination, 2024
Board Copy

Ref. No. ______________

SCIENCE GROUP (PART-I) SESSION 2023-2025

( ALREADY REGISTERED BUT NOT Roll No. ______________

APPEARED )

Form No: 106463

Name: MUHAMMAD Bay-Form No: 35202-3883500-7

HUSSNAIN IMTIAZ
Father Name: IMTIAZ ALI SHAD Father CNIC: 33104-5305232-3
Date Of Birth: 03/05/2008 Mobile No: 03062854519
Registration No: 66179-SP002-2023 M.O.I: N0NE MALE
Speciality: NONE Religion: MUSLIM
Orphan: NO
Address: BASTI SYED GHULAM QADIR, NEAR MINHAJ MODEL SCHOOL RAIWIND ROAD MANGA
MANDI DISTT LAHORE
District: LAHORE
Proposed Exam Area:MANGA MANDI

Part I Subjects
1. TRANSLATION OF THE HOLY QURAN
2. URDU
3. ENGLISH
4. ISLAMIYAT
5. PAKISTAN STUDIES
6. MATHEMATICS
7. PHYSICS
8. CHEMISTRY
9. BIOLOGY
Cross attestation of photo please
Total Amount Rs. 1560
CMD Account No. 0042-79000670-03 (HBL) Candidate's Thumb Impression

Bank Challan No.710106463 1Bill Challan No: 1001145011710106463

Bank Branch Name: ___________________ Date : ___________________

Name Of Headmaster/Headmistress/Principal: ______________________

Name Of Institution: ______________________

School/ College Code: ______________________ Candidate Signature In Urdu ___________________

CNIC: ______________________ Candidate Signature In English _________________

Stamp/Signature:____________________________

Due Date: 22/12/2023 Printing Date: 21/12/2023

Manager/Cashier: _____________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION 86-MOZANG ROAD LAHORE Printing Date: 21/12/2023
Candidate Copy Admission Form SSC First Annual 2024
Due Date: 22/12/2023 Commencement of Exam: 01/03/2024
Form No: 106463
Name: MUHAMMAD Father Name: IMTIAZ ALI SHAD
HUSSNAIN IMTIAZ
Bank Challan No.710106463 Total Amount Rs.1560/-
Proposed Exam Area: MANGA MANDI
Subjects: T.QURAN.I - URDU.I - ENG.I - ISL.I - PS.I - MATH.I - PHY.I - CHEM.I - BIO,.I
Manager/Cashier: _____________________________
 BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, LAHORE
Revenue Form (Private Candidate) for SSC (First Annual) Examination, 2024
Board Copy

Form No: 106463

Name: MUHAMMAD HUSSNAIN Bay-Form No: 35202-3883500-7

IMTIAZ
Father Name: IMTIAZ ALI SHAD Father CNIC: 33104-5305232-3
Date Of Birth: 03/05/2008 Mobile No: 03062854519
Registration No: 66179-SP002-2023 MALE
Speciality: NONE
Address: BASTI SYED GHULAM QADIR, NEAR MINHAJ MODEL SCHOOL RAIWIND ROAD MANGA
MANDI DISTT LAHORE
District: LAHORE
Part I Subjects
1. TRANSLATION OF THE HOLY QURAN
2. URDU
3. ENGLISH
4. ISLAMIYAT
5. PAKISTAN STUDIES
6. MATHEMATICS
7. PHYSICS
8. CHEMISTRY
9. BIOLOGY

Candidate Signature In Urdu ________________________________ Signature In English ________________________________

Due Date: 22/12/2023

Printing Date: 21/12/2023
Admission Fee P-I 750 Late Fee 0 Bank Stamp
Admission Fee P-II 0 Registration Fee 0
Processing Fee 530 Certificate Fee 0
Development Fee 200 Sports Fee 0
Scholarship Fee 80 Total Amount Rs. 1560/-
Amount in words One Thousand Five Hundred and Sixty 1Bill Challan No: 1001145011710106463
CMD Account No. 0042-79000670-03 (HBL) Bank Challan No.710106463
Manager/Cashier: _____________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION 86-MOZANG ROAD LAHORE

Board Copy (For Budget Section)

Due Date: 22/12/2023 (To be sent to the board via HBL 0123
branch alongwith scroll)
Printing Date: 21/12/2023
Name: MUHAMMAD HUSSNAIN IMTIAZ Father Name: IMTIAZ ALI SHAD
Admission Fee P-I 750 Late Fee 0 Bank Stamp
Admission Fee P-II 0 Registration Fee 0
Processing Fee 530 Certificate Fee 0
Development Fee 200 Sports Fee 0
Scholarship Fee 80 Total Amount Rs. 1560/-
Amount in words One Thousand Five Hundred and Sixty 1Bill Challan No: 1001145011710106463
CMD Account No. 0042-79000670-03 (HBL) Bank Challan No.710106463
Manager/Cashier: _____________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION 86-MOZANG ROAD LAHORE

Bank Copy
Due Date: 22/12/2023 (To be retained with HBL)
Printing Date: 21/12/2023
Name: MUHAMMAD HUSSNAIN IMTIAZ Father Name: IMTIAZ ALI SHAD
Admission Fee P-I 750 Late Fee 0 Bank Stamp
Admission Fee P-II 0 Registration Fee 0
Processing Fee 530 Certificate Fee 0
Development Fee 200 Sports Fee 0
Scholarship Fee 80 Total Amount Rs. 1560/-
Amount in words One Thousand Five Hundred and Sixty 1Bill Challan No: 1001145011710106463
CMD Account No. 0042-79000670-03 (HBL) Bank Challan No.710106463
Manager/Cashier: _____________________________