BOARD OF INTERMEDIATE & SECONDARY EDUCATION BANNU
PRIVATE ADMISSION FORM FOR SECONDARY SCHOOL CERTIFICATE EXAMINATION (ANNUAL-II ) 2023
Receipt No             234101062                                                                                   Roll No __________________________
                                                                                                                            (FOR OFFICE USE ONLY)
EXAM INFORMATION
Exam:                 Annual-II (9th)               Year:                         2023                     Status:        Private
Group:                Science                       Appear Status:                Reappear Failed
Prev Year:            2023                          Prev Exam:                    Annual                   Prev Roll No: 111982
Proposed Center:      KAKKI
PERSONAL INFORMATION
Name:                 SHAOIB ULLAH KHAN
Father Name:          MUHAMMAD USMAN
Date of Birth:        06-April-2009                 Gender:                       Male
Enrollment No:        20229011030064                Religion:                     Muslim
Father CNIC #:        11101-5777707-3               Form(B) #:                    11101-7836064-3
Mobile No:            0332-9739105                  Phone No:
CONTACT INFORMATION
Country:              PAKISTAN                      Province:                     Khyber Pakhtunkhwa District:            Bannu
Postal Address:       GHS TOOR KAKKI
Permanent Address: GHS TOOR KAKKI
SUBJECT INFORMATION
   01      ENGLISH - I                                                                         05   URDU - I
   09      ISLAMIC EDUCATION (COMP) - I                                                        13   PAKISTAN STUDIES - I
   41      MATHEMATICS - I                                                                     71   PHYSICS - I
   73      CHEMISTRY - I                                                                       75   BIOLOGY - I
Saved Date & Time       2023-09-06 06:37:49            Exam Fee Rs. 1800/-                  Upto           15-09-2023 [Normal Fee]
AFFIDAVIT             I solemnly declare on oath that all the entries made in the Admission Form are true to the best of my knowledge and in
                      accordance with the school record. I also affirm that I shall abide by the rules/regulations made and notified by BISE Bannu
                      from time to time.
         _________________________________________________                               _________________________________________________
                  SIGNATURE OF FATHER/GUARDIAN                                                         SIGNATURE OF CANDIDATE
                                                                                  SIGNATURE __________________ STAMP ____________________
I certify that the candidate bears good moral character and he/she is eligible PRINCIPAL / HEADMASTER / HEADMISTRESS (Affiliated with BISE Bannu)
for examination
                                                                               CNIC:                            -                                 -
                                                                                  Mobile No:                   0      3        -
                                                                        FOR OFFICE USE ONLY
                                                                                                               REMARKS
     Checked & Found
                                   Eligible                   Allowed
         Correct
                             SUPERINTENDENT                     A.C.E
    ASSTT / INCHARGE
                                              Print Date & Time : 2023-09-06: 06:38:05 & IPAddress : 182.191.131.12
                                                                         Deposit Slip
                                                    Board of Intermediate & Secondary Education Bannu
                                                             Payable at any Branch of NBP/BoK
 A/C # 3311339861 / 4082168352                                                                                       A/C # 0075-03560-00-4
        Day    Month    Year
 Date
                       2 0
BANK COPY
Receipt Number                 234101062                                              Print Date & Time              2023-09-06: 06:38:05
Student Name                   SHAOIB ULLAH KHAN
Father Name                    MUHAMMAD USMAN
                                    In Figures   In Words
Amount (Fee)
                                    1800         ONE THOUSAND, EIGHT HUNDRED ONLY
Fee Head                       SSC Admission Fee (Private) (1201)
              BANK OFFICIAL SIGNATURE                                               DEPOSITOR SIGNATURE
-----✂-----------------------------------✂-------------------------------✂--------------------------------✂-----------------------------✂-----
                                                                         Deposit Slip
                                                    Board of Intermediate & Secondary Education Bannu
                                                             Payable at any Branch of NBP/BoK
 A/C # 3311339861 / 4082168352                                                                                       A/C # 0075-03560-00-4
        Day    Month    Year
 Date
                       2 0
BISE Bannu COPY
Receipt Number                 234101062                                              Print Date & Time              2023-09-06: 06:38:05
Student Name                   SHAOIB ULLAH KHAN
Father Name                    MUHAMMAD USMAN
                                    In Figures   In Words
Amount (Fee)
                                    1800         ONE THOUSAND, EIGHT HUNDRED ONLY
Fee Head                       SSC Admission Fee (Private) (1201)
              BANK OFFICIAL SIGNATURE                                               DEPOSITOR SIGNATURE
-----✂-----------------------------------✂-------------------------------✂--------------------------------✂-----------------------------✂-----
                                                                         Deposit Slip
                                                    Board of Intermediate & Secondary Education Bannu
                                                             Payable at any Branch of NBP/BoK
 A/C # 3311339861 / 4082168352                                                                                       A/C # 0075-03560-00-4
        Day    Month    Year
 Date
                       2 0
DEPOSITOR COPY
Receipt Number                 234101062                                              Print Date & Time              2023-09-06: 06:38:05
Student Name                   SHAOIB ULLAH KHAN
Father Name                    MUHAMMAD USMAN
                                    In Figures   In Words
Amount (Fee)
                                    1800         ONE THOUSAND, EIGHT HUNDRED ONLY
Fee Head                       SSC Admission Fee (Private) (1201)
              BANK OFFICIAL SIGNATURE                                               DEPOSITOR SIGNATURE