BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, D.G.
KHAN
           ADMISSION FORM FOR MATRIC(PART-II/COMBINED) ANNUAL EXAMINATION 2020
               APPEARING CATEGORY:                        9TH ALREADY APPEARED                                                 STATUS:         PRIVATE:
                                                                                                                                                                            0000006153243
               FORM No:               615324
               _________________________                      Roll No: _________________________________
               Name:                           MUHAMMAD     SHERAZ   KHAN
                                                    __________________________________   Name in Urdu:______________________________
               Father's Name:                  RIAZ HUSSAIN
                                                    __________________________________Father in Urdu:_____________________________
               Registration No:                           818-32320278-129037
               Father Cnic:                               323034306206
                                                          __________________
               Speciality:                                                                           Birth Date:               06-11-2004                  PASTE YOUR
                                                                                                                                                           RECENT COLOUR
               Student Cnic/Bay Form:                             3230324395165
                                                                                                                                                           ATTESTED
                Appearing Status: 9th:                            RE-APPEAR
                                                                                                                                                           PHOTOGRAPH
                  SRNO                                 Part I                                                                                              WITH GUM
                     1                               UR
                                                                                                                                               Group:                          SCIENCE
                                                                                                                                                                               _________
                     2                               ENG                                                                                       Religion:                       Muslim
                     3                               ISL                                                                                       Gender:                         Male
                     4                               PS
                                                                                                                                               Mobile No:                      03433683518
                     5                               MATHS                                                                                     Medium:                         Urdu
                     6                               PHY
                     7                               CH
                     8                               BIO
_______________________________________________________________________________________________________________________
                                               Last Ninth Detail:                                                                    Data Feeding Date
                                                                                                                                     Printing Date        02-12-2019
               Old Roll No:               154892 Year: NA2019                               Board: DGK
                                                                                                                                     Challan No           615324
                                                                                                                                     Amount
                                                                                                                                     Challan Paid Date __________________________
               District: MUZAFFARGARH Tehsil:         KOT ADU        Permanent
                                                                          Bank District:
                                                                               Name      Muzaffargarh
                                                                                           __________________________
               Proposed Nearest Exam Center: _____________________________________________________________________
                                             CHAK NO. 518/TDA
               Address     C/O  UNIQUE PUBLIC SCHOOL CHAK NO 518/TDA P/O CHAK NO 518/TDA TEH KOT ADU DIST MUZA
                           ________________________________________________________________________________________
                                 C/O UNIQUE PUBLIC SCHOOL CHAK NO 518/TDA P/O CHAK NO 518/TDA TEH KOT ADU DIST
               Temporary Address ___________________________________________________________________________________
____________________________________________________________________________________________________________
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                                                                     FormNo: 615324                            Name: MUHAMMAD SHERAZ KHAN
     0000006153243
                                                                                                                     Receipt No: ________________
                                                                                                  Page 1/2
       BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, D.G.KHAN
            ADMISSION FORM FOR MATRIC(PART-II/COMBINED) ANNUAL EXAMINATION 2020
               APPEARING CATEGORY:            9TH ALREADY APPEARED                              STATUS:     PRIVATE:
                                                                                                                                 0000006153243
               FORM No:               615324
               _________________________                     Roll No: _________________________________
               Name:                          MUHAMMAD     SHERAZ KHAN
                                              __________________________________
               Father's Name:                 RIAZ HUSSAIN
                                              __________________________________
               Registration No:               818-32320278-129037
               Father Cnic:                   323034306206
                                              __________________                                                    Group:         SCIENCE
               Speciality:                                                   Date Of Birth:     06-11-2004          Religion:      Muslim
            Student Cnic/Bay Form: 3230324395165                                                                    Gender:        Male
                                                                                                                    Medium:        Urdu
        Appearing Status & Subjects:
        ___________________________________
       9th: UR           ENG        ISL       PS      MATHS          PHY         CH         BIO Personal Mobile No: _________
                                                                                                                      03433683518
                                                                                                    Data Feeding Date      02-12-2019
       10th:                                                                                        Printing Date          02-12-2019
                                                                                                    Challan No             615324
     FEE INFORMATION                                                                                Amount                 1050
   _________________________
       A/C No.: 14700000001701                                                                      Challan Paid Date: _______________________
                                                                                                    Last Previous.Roll No:    154892
       Challan #     615324
                                                                                                    Year:                          NA2019
       Printed On             02-12-2019                   BANK STAMP                               Board:                         DGK
       Amount                 1050                     Officer               Cashier
   Address C/O UNIQUE PUBLIC SCHOOL CHAK NO 518/TDA P/O CHAK NO 518/TDA TEH KOT ADU DIST MUZAFFAR GAR
-------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                      (2)
_______________________________________________________________________________________________________________________
      HBL  B.I.S.E COMPLEX BR.(1470) DERA GHAZI KHAN A/C NO 14700000001701
      ___________________________________________________________________
       Date: _________________                                    Challan No:                                                      615324
                                                                                                                                   _______________
       Name:          MUHAMMAD SHERAZ KHAN
                      ________________________                        Amount:           1050
       Father's Name: ________________________
                      RIAZ HUSSAIN                                    Amount in word: __________________
       Roll No:       154892                                          Fee purpose:   Admission Matric(A2020)
       Examination:    Matric Annual 2020                             Mobile No:        03433683518
       Address: C/O UNIQUE
                      ______________________________________________________________ KOT ADU DIST MU
                               PUBLIC  SCHOOL CHAK  NO 518/TDA   P/O CHAK  NO 518/TDA  TEH
       Applied Date 02-12-2019 Officer: ____________ Cashier: ____________         Challan No: 615324
-----------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                      (3)
      HBL B.I.S.E COMPLEX BR.(1470) DERA GHAZI KHAN A/C NO 14700000001701
      ___________________________________________________________________
       Date: _________________                                    Challan No:                                                      615324
                                                                                                                                   _______________
       Name:          MUHAMMAD SHERAZ KHAN
                      ________________________                        Amount:           1050
       Father's Name: RIAZ HUSSAIN
                      ________________________                        Amount  in word:  __________________
       Roll No:       154892                                          Fee purpose:   Admission Matric(A2020)
       Examination:    Matric Annual 2020                             Mobile No:        03433683518
       Address: C/O UNIQUE     PUBLIC SCHOOL CHAK NO 518/TDA P/O CHAK NO 518/TDA TEH KOT ADU DIST MU
                      ______________________________________________________________
       Applied Date 02-12-2019 Officer: ____________ Cashier: ____________         Challan No: 615324
                                                                           Page 2/2