I5 Thumb Impression (LEFT)

054034

Bay Form Photo (1.5 * 1.5

inches)
Name ARSLAN AHMAD F Name ASIF MAHMOOD
DOB 11-11-1991 F/G CNIC 33100-9852064-5
Gender MALE Group HUMANITIES

Medium Urdu Nationality Pakistani

Religion Muslim Locality Urban
SSC Roll No 175460 Hafiz No
Year 2009 Marks 514
Board BISE Faisalabad Session Annual
Specialty

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

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

Address: 418B BATALA COLONY - FAISALABAD

Center - SATIANA ROAD - FAISALABAD
Name (Urdu) ___________________________________________________________________________________________________
Address (Urdu) __________________________________________________________________________________________________

Note: Please affix a recent colored photograph of 1.5 * 1.5 inch size in the box given above. Write your name and Form Number on the back
side of the photograph with ball point pen.
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 Candidate
Attested By

EMIS Code Date 24-02-2011

Institute Name

Signature of Head / Principal Stamp

Challan No: 240159459 Registration No: 5-0001-00488-09 *054034*

Registration / Admission HSSC 2011 BISE Faisalabad 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 Faisalabad Board of Intermediate and Secondary Education Faisalabad

*240159459* *240159459*
Bank Challan No. 240159459 Dated: 24-02-2011 Bank Challan No. 240159459 Dated: 24-02-2011
United Bank Limited Account for Board of Intermediate and Secondary United Bank Limited Account for Board of Intermediate and Secondary
Education Faisalabad Education Faisalabad
Account No: 122-0001-6 Account No: 122-0001-6

Name ARSLAN AHMAD Name ARSLAN AHMAD

Father's Name ASIF MAHMOOD Father's Name ASIF MAHMOOD
Registration No. 5-0001-00488-09 Registration No. 5-0001-00488-09
Address 418B BATALA COLONY Address 418B BATALA COLONY

Bank Information Bank Information

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

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

Fee (Single) Fee (Single)
- Part1 Exam Fee 750/- - Part1 Exam Fee 750/-
- Part2 Exam Fee 750/- - Part2 Exam Fee 750/-
- Processing Fee 100/- - Processing Fee 100/-
Total Amount 1600/- Total Amount 1600/-
Amount in Words: one thousand six hundred rupees Only Amount in Words: one thousand six 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 Faisalabad Board of Intermediate and Secondary Education Faisalabad

*240159459* *240159459*
Bank Challan No. 240159459 Dated: 24-02-2011 Bank Challan No. 240159459 Dated: 24-02-2011
United Bank Limited Account for Board of Intermediate and Secondary United Bank Limited Account for Board of Intermediate and Secondary
Education Faisalabad Education Faisalabad
Account No: 122-0001-6 Account No: 122-0001-6

Name ARSLAN AHMAD Name ARSLAN AHMAD

Father's Name ASIF MAHMOOD Father's Name ASIF MAHMOOD
Registration No. 5-0001-00488-09 Registration No. 5-0001-00488-09
Address 418B BATALA COLONY Address 418B BATALA COLONY

Bank Information Bank Information

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

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

Fee (Single) Fee (Single)
- Part1 Exam Fee 750/- - Part1 Exam Fee 750/-
- Part2 Exam Fee 750/- - Part2 Exam Fee 750/-
- Processing Fee 100/- - Processing Fee 100/-
Total Amount 1600/- Total Amount 1600/-
Amount in Words: one thousand six hundred rupees Only Amount in Words: one thousand six hundred rupees Only

Cashier_____________ Manager_____________ Cashier_____________ Manager_____________